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Effectiveness of virtual reality technology combined with conventional pelvic floor rehabilitation training in postpartum myofascial pelvic pain syndrome: A randomized controlled trial

Liu L, Lin Z, Chen X, Hou Y, Liu Y, Wang X, Hou M

PloS one, 2026

30 participants

Abstract

Objective: The aim of this study was to compare the therapeutic efficacy of integrating virtual reality technology with conventional pelvic floor rehabilitation therapy versus conventional therapy alone in postpartum women with myofascial pelvic pain syndrome.

Methods: Fifty-seven postpartum women diagnosed with myofascial pelvic pain syndrome were recruited for this study between March 1, 2023, and December 29, 2023. All participants were randomly assigned to two groups. The experimental group (n = 27) underwent virtual reality training combined with conventional pelvic floor rehabilitation therapy, while the control group (n = 30) received only conventional pelvic floor rehabilitation therapy. Both groups completed ten treatment sessions. Changes in pelvic floor muscle contraction function were assessed using pelvic floor surface electromyography. Musculoskeletal ultrasound was employed to measure muscle thickness and Young's modulus of the pelvic floor muscles. The Visual Analog Scale was used to evaluate the degree of pain experienced during palpation of the pelvic floor muscles.

Results: The experimental group demonstrated a significant reduction in relaxation time during the fast muscle contraction stage of the pelvic floor muscle's Glazer S-EMG (P 0.05).

Conclusion: The integration of virtual reality technology with conventional pelvic floor rehabilitation therapy has the potential to improve the relaxation capacity of fast-twitch muscle fibers within the pelvic floor…

How strong is the evidence?

Evidence Hub reads this as a randomized trial, done in people. Its evidence level is 2 of 5 (High · randomized trial). Randomized trials of a reasonable size are the strongest single-study design. Reported size: 30 participants or records.

How the five levels of evidence work. The level is assigned automatically from the abstract and can be wrong, so check the paper.

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