Pelvic floor muscle functioning in women with vulvar vestibulitis syndrome

E. D. Reissing, Candace Brown, M. J. Lord, Y. M. Binik, S. Khalifé

Research output: Contribution to journalArticle

124 Citations (Scopus)

Abstract

Vaginal sEMG biofeedback and pelvic floor physical therapists' manual techniques are being increasingly included in the treatment of vulvar vestibulitis syndrome (VVS). Successful treatment outcomes have generated hypotheses concerning the role of pelvic floor pathology in the etiology of VVS. However, no data on pelvic floor functioning in women with VVS compared to controls are available. Twenty-nine women with VVS were matched to 29 women with no pain with intercourse. Two independent, structured pelvic floor examinations were carried out by physical therapists blind to the diagnostic status of the participants. Results indicated that therapists reached almost perfect agreement in their diagnosis of pelvic floor pathology. A series of significant correlations demonstrated the reliability of assessment results across muscle palpation sites. Women with VVS demonstrated significantly more vaginal hypertonicity, lack of vaginal muscle strength, and restriction of the vaginal opening, compared to women with no pain with intercourse. Anal palpation could not confirm generalized hypertonicity of the pelvic floor. We suggest that pelvic floor pathology in women with VVS is reactive in nature and elicited with palpations that result in VVS-type pain. Treatment interventions need to recognize the critical importance of addressing the conditioned, protective muscle guarding response in women with VVS.

Original languageEnglish (US)
Pages (from-to)107-113
Number of pages7
JournalJournal of Psychosomatic Obstetrics and Gynecology
Volume26
Issue number2
DOIs
StatePublished - Jun 1 2005

Fingerprint

Vulvar Vestibulitis
Pelvic Floor
Muscles
Palpation
Physical Therapists
Pathology
Pain
Gynecological Examination
Muscle Strength
Reproducibility of Results

All Science Journal Classification (ASJC) codes

  • Reproductive Medicine
  • Clinical Psychology
  • Obstetrics and Gynecology
  • Psychiatry and Mental health

Cite this

Pelvic floor muscle functioning in women with vulvar vestibulitis syndrome. / Reissing, E. D.; Brown, Candace; Lord, M. J.; Binik, Y. M.; Khalifé, S.

In: Journal of Psychosomatic Obstetrics and Gynecology, Vol. 26, No. 2, 01.06.2005, p. 107-113.

Research output: Contribution to journalArticle

Reissing, E. D. ; Brown, Candace ; Lord, M. J. ; Binik, Y. M. ; Khalifé, S. / Pelvic floor muscle functioning in women with vulvar vestibulitis syndrome. In: Journal of Psychosomatic Obstetrics and Gynecology. 2005 ; Vol. 26, No. 2. pp. 107-113.
@article{58eef8309c7f400d97cacdf4c6758319,
title = "Pelvic floor muscle functioning in women with vulvar vestibulitis syndrome",
abstract = "Vaginal sEMG biofeedback and pelvic floor physical therapists' manual techniques are being increasingly included in the treatment of vulvar vestibulitis syndrome (VVS). Successful treatment outcomes have generated hypotheses concerning the role of pelvic floor pathology in the etiology of VVS. However, no data on pelvic floor functioning in women with VVS compared to controls are available. Twenty-nine women with VVS were matched to 29 women with no pain with intercourse. Two independent, structured pelvic floor examinations were carried out by physical therapists blind to the diagnostic status of the participants. Results indicated that therapists reached almost perfect agreement in their diagnosis of pelvic floor pathology. A series of significant correlations demonstrated the reliability of assessment results across muscle palpation sites. Women with VVS demonstrated significantly more vaginal hypertonicity, lack of vaginal muscle strength, and restriction of the vaginal opening, compared to women with no pain with intercourse. Anal palpation could not confirm generalized hypertonicity of the pelvic floor. We suggest that pelvic floor pathology in women with VVS is reactive in nature and elicited with palpations that result in VVS-type pain. Treatment interventions need to recognize the critical importance of addressing the conditioned, protective muscle guarding response in women with VVS.",
author = "Reissing, {E. D.} and Candace Brown and Lord, {M. J.} and Binik, {Y. M.} and S. Khalif{\'e}",
year = "2005",
month = "6",
day = "1",
doi = "10.1080/01443610400023106",
language = "English (US)",
volume = "26",
pages = "107--113",
journal = "Journal of Psychosomatic Obstetrics and Gynaecology",
issn = "0167-482X",
publisher = "Informa Healthcare",
number = "2",

}

TY - JOUR

T1 - Pelvic floor muscle functioning in women with vulvar vestibulitis syndrome

AU - Reissing, E. D.

AU - Brown, Candace

AU - Lord, M. J.

AU - Binik, Y. M.

AU - Khalifé, S.

PY - 2005/6/1

Y1 - 2005/6/1

N2 - Vaginal sEMG biofeedback and pelvic floor physical therapists' manual techniques are being increasingly included in the treatment of vulvar vestibulitis syndrome (VVS). Successful treatment outcomes have generated hypotheses concerning the role of pelvic floor pathology in the etiology of VVS. However, no data on pelvic floor functioning in women with VVS compared to controls are available. Twenty-nine women with VVS were matched to 29 women with no pain with intercourse. Two independent, structured pelvic floor examinations were carried out by physical therapists blind to the diagnostic status of the participants. Results indicated that therapists reached almost perfect agreement in their diagnosis of pelvic floor pathology. A series of significant correlations demonstrated the reliability of assessment results across muscle palpation sites. Women with VVS demonstrated significantly more vaginal hypertonicity, lack of vaginal muscle strength, and restriction of the vaginal opening, compared to women with no pain with intercourse. Anal palpation could not confirm generalized hypertonicity of the pelvic floor. We suggest that pelvic floor pathology in women with VVS is reactive in nature and elicited with palpations that result in VVS-type pain. Treatment interventions need to recognize the critical importance of addressing the conditioned, protective muscle guarding response in women with VVS.

AB - Vaginal sEMG biofeedback and pelvic floor physical therapists' manual techniques are being increasingly included in the treatment of vulvar vestibulitis syndrome (VVS). Successful treatment outcomes have generated hypotheses concerning the role of pelvic floor pathology in the etiology of VVS. However, no data on pelvic floor functioning in women with VVS compared to controls are available. Twenty-nine women with VVS were matched to 29 women with no pain with intercourse. Two independent, structured pelvic floor examinations were carried out by physical therapists blind to the diagnostic status of the participants. Results indicated that therapists reached almost perfect agreement in their diagnosis of pelvic floor pathology. A series of significant correlations demonstrated the reliability of assessment results across muscle palpation sites. Women with VVS demonstrated significantly more vaginal hypertonicity, lack of vaginal muscle strength, and restriction of the vaginal opening, compared to women with no pain with intercourse. Anal palpation could not confirm generalized hypertonicity of the pelvic floor. We suggest that pelvic floor pathology in women with VVS is reactive in nature and elicited with palpations that result in VVS-type pain. Treatment interventions need to recognize the critical importance of addressing the conditioned, protective muscle guarding response in women with VVS.

UR - http://www.scopus.com/inward/record.url?scp=22144446403&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=22144446403&partnerID=8YFLogxK

U2 - 10.1080/01443610400023106

DO - 10.1080/01443610400023106

M3 - Article

VL - 26

SP - 107

EP - 113

JO - Journal of Psychosomatic Obstetrics and Gynaecology

JF - Journal of Psychosomatic Obstetrics and Gynaecology

SN - 0167-482X

IS - 2

ER -