Three-dimensional Breathing Leads To Better Effectiveness Than Lumbar Stabilization Exercises In The Patients With Chronic Pelvic Pain

Abstract

PURPOSE: Lumbar stabilization exercises (LSE) is one of the most popular therapeutic methods for the treatment of chronic pelvic pain (CPP). Moreover, three-dimensional breathing (TDB) is a novel paradigm of CPP prevention and treatment, but the comparison of efficacy between LSE and TDB have rarely been reported. The purpose of this study is to compare the efficacy of TDB and LSE in improving the efficacy of patients with CPP. METHODS: Thirty-six female patients with chronic pelvic pain were randomly divided into three-dimensional breathing (TDB) and lumbar stabilization exercises (LSE) groups. The training cycle of the 2 groups was 8 weeks, and the training frequency was 3 times a week. The clinical symptoms, functional parameters of pelvic and deep muscle strength were collected and measured before and after training in the 2 groups. All experimental data were analyzed by two-way ANOVA. Pearson's r was used to analyze the relationship between the change of muscle strength and the Changes in pelvic function parameters. RESULTS: After 10 weeks of intervention, the parameters of the 2 groups showed the following changes: ①The clinical symptoms were significantly improved in LSE (6.22 ± 0.22 vs 2.38 ± 0.55, P < 0.001) and TDB (5.76 ± 0.53 vs 1.48 ± 0.46, P < 0.001). ②The range of pelvic neutral positions increased significantly in LSE (6.02 ± 0.49 vs 5.35 ± 2.25, P < 0.05) and TDB (5.93 ± 0.38 vs 5.04 ± 1.89, P < 0.05), it is related to the muscle strength of the psoas major (P < 0.05, r = 0.465) and the lower transverse abdominal muscle (P < 0.05, r = 0.451). ③The range of pelvic neutral positions is related to pelvic posterior stability (P < 0.05, r = 0.632), pelvic function (P < 0.05, r = 0.517), and pelvic lateral stability (P < 0.05, r = 0.569).④The extended effect of neutral position of pelvis in TDB was better than that in LSE (2.93 ± 1.14 vs 3.33 ± 1.21, P < 0.05). CONCLUSION: Lumbar stabilization exercises and three-dimensional breathing patterns improved clinical symptoms and increased Pelvic neutral range in patients with chronic pelvic pain. However, the extended effect of neutral position of pelvis was better in the three-dimensional breathing group, which was related to the deep muscle strength and the stability of pelvic. Supported by Natural Science Foundation of Shandong Province ZR2020MC080