A Randomized Comparison Of Hands-on Versus Video-based Training Program Designed To Enhance Pelvic Floor Examination In Patients Presenting With Chronic Pelvic Pain
CANSAGE ePoster Library. Giroux M. 09/27/19; 275242; eP-109
Dr. Maria Giroux
Dr. Maria Giroux
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Abstract
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Objective:The purpose of this study was to compare the effectiveness of hands-on vs video-based training of a comprehensive assessment of the pelvic floor musculature on a pelvic model.Methods:A randomized single-blinded trial was conducted between January 16 and November 19, 2018. 46 participants were enrolled and randomized to video (n=23) and hands-on (n=23) groups. Both groups underwent pre- training assessment that consisted of a written examination and an Objective Structured Clinical Examination (OSCE). Both groups had a didactic session. The video group then viewed instructional video and the hands-on group underwent hands-on training session with a pelvic floor physiotherapist. Both groups then underwent a post-training assessment. Primary outcome measure was the change in assessment scores from pre- to post-training. Secondary outcome measure was usefulness of the training program for clinical practice.Results:The mean written assessment and OSCE scores improved significantly pre- and post-training in both hands- on and video-based training groups (p<0.001). There was no statistically significant difference in the degree of improvement of the mean written assessment scores (p=0.19), OSCE scores (p=0.10), and comfort level (p=0.19) between groups. The training program was useful for clinical practice.Conclusions:Both video and hands-on are effective training methods. There is no difference in degree of improvement of assessment scores between both methods. This study presents a new effective multidisciplinary training program for teaching the assessment of the pelvic floor musculature to identify a possible muscular cause or contribution to chronic pelvic pain and provide early referral for appropriate treatment.
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