Impact of physical activity delivered by videoconference on the management of endometriosis symptoms
a pilot study
DOI:
https://doi.org/10.51224/SRXIV.454Keywords:
adapted physical activity, pelvic pain, wellbeing, Fatigue, interval training, Stretching, psychological variablesAbstract
Background: Endometriosis symptoms are pervasive and affect all areas of life. Thus, instead of or complementary to the medical treatments, patients currently use self-management strategies such as physical activity (PA) or exercise to deal with their symptoms. Results from several studies which have investigated the effect of PA in endometriosis context showed improvement in symptoms, however these results are inconsistent. Despite the potential benefit of PA, women with endometriosis generally adopt more sedentary behaviours and have difficulties to engage in or maintain PA because of their symptoms.
Objectives: The first aim of the present pilot study was to investigate the effect of an adapted PA program delivered via videoconferencing on perceived pain and fatigue and well-being. The second aim was to identify the most effective types of PA.
Methods: Ten volunteers who suffer from endometriosis were recruited for a 3-month PA program delivered by videoconference consisting of 1 up to 2 hours per week. The PA proposed could be grouped by type: (1) mobility and stretching sessions, (2) muscle-strengthening sessions, (3) interval cardio training sessions, and (4) mixed muscle-strengthening and cardio sessions. Participants were asked to complete a questionnaire measuring perceived pain, perceived fatigue and perceived well-being were 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 during a week and crisis, quality of life (EHP-30), level of PA (IPAQ), motivational variables related to physical activity (EMAPS) and self-concept. Chi-squared goodness-of-fit tests and autocorrelations were performed to determine the effects of PA sessions on the variables, and to study the cumulative effect of sessions on these parameters over time, respectively.
Results: Six volunteers participated in the PA sessions and only 4 responded to the post-intervention questionnaire. Our results showed a significant difference in the delta pain score before and after the sessions (p < .01) and autocorrelation of delta pain scores indicated that there are no additional effects on pain during the intervention, or that more time is needed to see an effect. These results showed that the intervention had an immediate effect on perceived pain. Differences in delta fatigue and delta well-being were not significant for most participants, the evidence is not sufficient to conclude on the effectiveness of the intervention on perceived fatigue and well-being. The graphical representation of the delta scores showed that stretching, mixed and vigorous sessions tend to have more positive effects on pain and well-being while the mixed and vigorous sessions tend to have more effect on fatigue. Post-intervention data were not analysed because of the small sample size but were presented.
Conclusion: Stretching, mobility, mixed and vigorous perceived sessions, seemed relevant for reducing pain and fatigue. The results from the first pilot study which investigated the impact of PA on the most important symptoms of endometriosis, distinguishing different types of PA are discussed.
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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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