Banca de QUALIFICAÇÃO: HÉGILA DA SILVA DANTAS

Uma banca de QUALIFICAÇÃO de MESTRADO foi cadastrada pelo programa.
STUDENT : HÉGILA DA SILVA DANTAS
DATE: 11/09/2024
TIME: 14:00
LOCAL: Sala de Reuniões GEP/MEJC
TITLE:

Effectiveness of Non-Pharmacological Therapies for Chronic Pelvic Pain in Endometriosis

KEY WORDS:

Pelvic pain; Endometriosis; Quality of life; Non-pharmacological therapies.

PAGES: 47
BIG AREA: Ciências da Saúde
AREA: Fisioterapia e Terapia Ocupacional
SUMMARY:

Endometriosis is a complex condition characterized by significant symptoms and complications, such as chronic pelvic pain and infertility. Current therapeutic options, including medications and surgical procedures, often do not provide complete relief and may be associated with unwanted side effects. Objectives: 1) To evaluate the effectiveness of non-pharmacological methods in relieving chronic pelvic pain compared to placebo therapies in women with endometriosis. 2) To assess the effectiveness of transcranial direct current stimulation (tDCS) for pain relief in women with endometriosis. Methods: 1) A systematic review with meta-analysis was conducted. Searches were performed in the databases Web of Science, PubMed, Scielo, Embase, and Pedro. Randomized controlled trials using non-pharmacological therapies and assessing chronic pelvic pain as a primary outcome were included. The risk of bias was evaluated using the Cochrane Risk of Bias 2 (RoB 2) tool. 2) Ten sessions of tDCS were applied to 10 women, with 10 active and 10 sham treatments in the M1 area. Visual analog scale for pain and functional tests were applied before and after the intervention. Descriptive statistics and 2x2 ANOVA were used. Results: Nine studies were included, comprising 432 women aged 13 to 50 years. The analyzed interventions included acupuncture, yoga, integrative psychotherapy, aerobic training, cardiorespiratory training, telerehabilitation, and virtual reality. All studies reported a reduction in pain after the interventions compared to baseline. The intervention group demonstrated greater effectiveness in pain reduction compared to the control group, except in one study. Five studies showed a high risk of bias, while four showed a low risk. Secondary outcome analysis and meta-analysis will be conducted during the defense phase. In the clinical trial, there were no differences in sociodemographic data between groups. No differences were observed in pain levels or functional assessments before and after the intervention. Conclusions: The systematic review and meta- analysis will aid in understanding the most effective non-pharmacological therapies for pain relief in women with endometriosis, supporting the development of new research and public policies to ensure access to evidence-based therapies. The clinical trial remains preliminary and requires a larger sample size for more conclusive results.

COMMITTEE MEMBERS:
Externa ao Programa - 1242804 - ADRIANA GOMES MAGALHAES - nullExterna à Instituição - GABRIELA MARINI PRATA - UNISAGRADO
Presidente - 2786809 - MARIA THEREZA ALBUQUERQUE BARBOSA CABRAL MICUSSI