Physical activity delivered by videoconference and symptoms management in endometriosis: a case series
DOI:
https://doi.org/10.51224/SRXIV.454Keywords:
adapted physical activity, pelvic pain, wellbeing, Fatigue, acute measure, case-seriesAbstract
Background: In addition to medical treatments, patients with endometriosis are currently using self-management strategies such as physical activity (PA) or exercise to manage their symptoms. While these approaches may contribute to symptom improvement, the findings are not yet conclusive. The aims of the present study were to investigate the evolution of pain, fatigue, and wellbeing during an adapted PA (APA) program, and to assess its acceptability and feasibility.
Methods: Ten volunteers suffering from endometriosis took part in a 3-month APA program via videoconference, for one to two hours a week. The APA proposed could be grouped by type: (1) mobility and stretching sessions, (2) gentle gym, (3) cardio sessions, and (4) mixed muscle-strengthening and cardio sessions. Participants were asked to complete a questionnaire measuring pain, fatigue and well-being perceived, measured using the visual analogue scale (0-10) before and after each session. They completed another pre- and post-program questionnaire allowing the measurement of socio-demographic variables, global mean pain, quality of life, PA, motivational variables related to PA and self-concept. Two open ended questions regarding expectations and experience about the program were asked. After the program, an optional semi structured interview was also proposed. A statistical analysis using methods such as goodness-of-fit test, autocorrelation estimation and conditional probabilities representation, were performed to determine the evolution of pain, fatigue and wellbeing.
Results: Of the 10 volunteers, six took part in the program. They had high expectations in terms of coaching, advice and symptoms reduction, particularly pain. They completed 87 out of 120 (M=14.5, range: 7-19). Results showed that pain tended to decrease or remain stable between the beginning and end of the sessions, but large variations were observed. No additional or cumulative change was observed from one session to the next. The graphical analysis showed that stretching and vigorous PA intensity (perceived) had the most beneficial change for pain. Light PA has no negative effect on pain. Results from the interviews revealed that the program was perceived as effective on symptoms and was appreciated. Participants also emphasized the importance of social dimension. In terms of feasibility, the video conference was adapted, and difficulties were noted with certain APA. Targeted educational workshops were suggested for improvement.
Conclusion: A videoconferencing APA program seems feasible, beneficial for the pain and not detrimental to the symptoms. This program was seen as effective, and it is important to offer supervised sessions dedicated to endometriosis with professionals trained in this health condition.
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Copyright (c) 2024 Marie-Anne Jean, Lionel Lenôtre, Charles-André Philip, Emilie Faller, Ulysse Herbach, Sophie Warembourg, Patricia Branche, Tracy Milane, Géraldine Escriva-Boulley (Author)
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