A randomized comparison of training programs using a pelvic model designed to enhance pelvic floor examination in patien
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ORIGINAL ARTICLE
A randomized comparison of training programs using a pelvic model designed to enhance pelvic floor examination in patients presenting with chronic pelvic pain Maria Giroux 1
&
Suzanne Funk 1 & Erwin Karreman 2 & Huse Kamencic 1 & Rashmi Bhargava 1
Received: 20 March 2020 / Accepted: 30 July 2020 # The International Urogynecological Association 2020
Abstract Introduction Pelvic floor myalgia is a common cause and contributor to chronic pelvic pain [Neurourol Urodyn 4:984–1008 (2017)]. The purpose of this study was to compare in-person versus video-based teaching methods of a comprehensive assessment of the pelvic floor musculature on a pelvic model. Methods A randomized controlled trial of 46 participants was conducted. The participants were randomized into two groups. Both groups were taught by the same pelvic floor physiotherapist using two different teaching methods on a pelvic model. Group 1 watched an instructional video, whereas group 2 had in-person training. Both groups underwent pre- and post-training assessments consisting of a written examination and an Objective Structured Clinical Examination (OSCE). Primary outcome measure was the change in participants’ pre- and post-training assessment scores. Secondary outcome measures were perceived changes in both participants’ comfort level in performing pelvic floor examination and applicability of the training program to clinical practice. Results There was no statistically significant difference between the teaching methods in the degree of improvement of the participants’ mean written assessment scores (p = 0.58), OSCE scores (p = 0.15), and perceived comfort level (p = 0.19). Participants’ mean pre- and post-assessment scores improved significantly (p < 0.001). Participants reported the training program to be applicable towards their clinical practice. Conclusions This study demonstrates that learners’ assessment of pelvic floor musculature can be enhanced using varied teaching methods on a pelvic model. Keywords Chronic pelvic pain . Pelvic model . Pelvic floor musculature . Teaching methods . Video-based teaching . In-person teaching
Electronic Supplementary Material The video is available on https:// obgynacademy.com/chronic-pelvic-pain/. This video has been published as the monthly e-lecture at the IUGA Academy in August 2019. * Maria Giroux [email protected] 1
Department of Obstetrics and Gynecology, University of Saskatchewan, 1440 14th Avenue, Regina, Saskatchewan S4P 0W5, Canada
2
Research and Performance Support, Saskatchewan Health Authority, Regina, Saskatchewan, Canada
Abbreviations ANOVA Analysis of variance OSCE Objective structured clinical examination PFM Pelvic floor myalgia
Introduction Chronic pelvic pain is a complex multi-faceted problem that places a substantial burden on healthcare resources [1]. It is common and affects women of all ages and backgrounds. Kavvadias et al. reported that 15–20% of women have chronic pelvic pain lasting for more than 1 year [2].
Int Urogynecol J
Pelvic floor myalgia (PFM)
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