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Posture, balance impaired in women with chronic pelvic pain

05 May 2018

Women with chronic pelvic pain (CPP) exhibit poor balance ability and posture compared with healthy counterparts, a study has found.

Researchers examined 48 women with CPP (mean age 41.05 years) and 48 healthy women (mean age 42.11 years). Balance ability was evaluated using Mini-Balance Evaluation Systems Test and Timed Up and Go Test, while posture was assessed using photogrammetry and Spinal Mouse.

There were significant between-group differences observed in all Mini Best Test subscales: total (p<0.001), anticipatory (p=0.002) and reactive postural control (p<0.001), sensory orientation (p<0.001), and dynamic gait (p<0.001).  This was also true for all Timed Up and Go test subscales: alone (p<0.001), with manual (p=0.002) and cognitive task (p=0.030).

Likewise, the CPP and healthy control groups significantly differed in terms of spinal cervical angles, such that women with CPP were more likely to exhibit a forward head posture, more deviation in global spine alignment, and increased thoracic kyphosis and lumbar lordosis.

Cohen's d showed that some subscales of balance and posture tests showed a large effect size (d ≥0.8), indicating a more consistent result.

The present data suggest the importance of including balance and posture assessment in the routine assessment of women with CPP. Researchers noted that awareness of balance impairment and posture disturbances aid in performing an accurate and precise assessment, diagnosis and interpretation that should improve patient care.

Additionally, treatment of CPP symptoms should include an approach to improve balance and posture, they said.

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09 Jan 2019
Despite comparable efficacies, triamcinolone injections appear to be slightly superior over 5-fluorouracil injections for inducing keloid remission, a recent trial has found.
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