背景:子宫内膜异位症是育龄妇女慢性盆腔疼痛的主要原因,对生活质量有衰弱影响,但没有治愈方法。运动产生了为女性提供非侵入性,症状控制的非药物方法。
目的:介绍运动如何有助于子宫内膜异位症相关症状的治疗的最新知识。
目的:讨论:1.运动和子宫内膜异位症的病理生理学。2.运动在子宫内膜异位症症状控制中的作用。
背景:科学文献提到运动是治疗子宫内膜异位症相关症状的有利因素。此外,目前的子宫内膜异位症临床指南未能反映运动的上述益处.
方法:使用术语“子宫内膜异位症”的搜索策略,\'子宫内膜瘤\',\'练习\',并设计了“身体活动”。Pubmed,Medline,Cochrane评论,和Embase进行了审查。
方法:介入研究,学科内研究,随机对照试验,系统评价,荟萃分析,队列研究,自2000年出版。
方法:非英文出版物,非人类研究。
结果:许多研究表明,仅进行运动或与其他疗法联合进行运动的子宫内膜异位症患者具有积极作用。疼痛水平的改善,生活质量,焦虑,并注意到抑郁症。
结论:目前的研究概述了运动处方对子宫内膜异位症患者的潜在益处以及运动和激素治疗对子宫内膜异位症相关症状的协同作用。然而,目前缺乏调查子宫内膜异位症治疗这些方面的高质量稳健研究,这明显阻碍了该领域的进展.
结论:对于临床医生来说,将运动纳入子宫内膜异位症的治疗,需要关于建议和好处的明确建议。
BACKGROUND: Endometriosis is the leading cause of chronic pelvic pain in women of reproductive age with debilitating effects on quality of life, yet no cure exists. Exercise yields the potential in providing women with a non-invasive, non-pharmacological method of symptom control.
OBJECTIVE: Present up-to-date knowledge regarding how exercise may contribute to the management of endometriosis-related symptoms.
OBJECTIVE: Discuss: 1. The pathophysiology surrounding exercise and endometriosis. 2. The role of exercise in endometriosis symptom control.
BACKGROUND: Scientific literature has alluded to exercise being a favourable factor in the management of endometriosis-related symptoms. Moreover, current clinical guidelines for endometriosis fail to reflect the aforementioned benefits of exercise.
METHODS: A search strategy using the terms \'endometriosis\', \'endometriomas\', \'exercise\', and \'physical activity\' was devised. Pubmed, Medline, Cochrane reviews, and Embase were reviewed.
METHODS: Interventional studies, within-subjects studies, randomised-control trials, systematic reviews, meta-analysis, cohort studies, publication since 2000.
METHODS: Non-English publications, non-human studies.
RESULTS: Numerous studies have suggested positive effects for endometriosis patients who performed exercise exclusively or in conjunction with other therapies. Improvements in pain levels, quality of life, anxiety, and depression were noted.
CONCLUSIONS: Current research outlines promise regarding the potential benefit of exercise prescribing in patients with endometriosis as well as a synergy between exercise and hormonal therapies for the management of endometriosis-related symptoms. However, the current paucity of high-quality robust studies investigating these aspects of endometriosis management is an apparent obstacle to progression in this area.
CONCLUSIONS: For clinicians to incorporate exercise in managing endometriosis, clear recommendations regarding advice and benefits are needed.