Impact of integrated neuromuscular inhibition technique versus electro-acupuncture stimulation of posterior tibial nerve in males with chronic pelvic pain of myofascial origin

Abstract

The aim of the study was toexamine theimpactof the integrated neuromuscular inhibition technique and electro-acupuncture stimulation of posterior tibial nerve in malesdiagnosed with chronic pelvic pain of myofascial origin.Sixty male patientswithchronic pelvic painparticipated in this randomized, single-blind, active-controlled trial andthey were randomly dividedinto 3 groups of equal size.The groupA(20 patients)received integrated neuromuscular inhibitiontechnique (INIT) and pelvic floor exercise, the groupB(20 patients) received posterior tibial nerve electroacupuncture using TENS acupuncture as a noninvasive pelvic floor muscle neuromodulation technique and pelvic floor exercise, and the controlgroupC(20 patients)received pelvic floor exercise only. Serum cortisol level(SCL) measurementwas done,and the National Institute of Health Chronic Prostatitis Symptom Index (NIH-CPSI) questionnairescore was usedto assess the severity of symptoms of chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS).The measurementswere doneat baseline and after the next two months.Comparing the threegroups post treatment,our results show that there arestatistically significant differencesinserum cortisol leveland inthe National Institute The aim of the study was toexamine theimpactof the integrated neuromuscular inhibition technique and electro-acupuncture stimulation of posterior tibial nerve in malesdiagnosed with chronic pelvic pain of myofascial origin.Sixty male patientswithchronic pelvic painparticipated in this randomized, single-blind, active-controlled trial andthey were randomly dividedinto 3 groups of equal size.The groupA(20 patients)received integrated neuromuscular inhibitiontechnique (INIT) and pelvic floor exercise, the groupB(20 patients) received posterior tibial nerve electroacupuncture using TENS acupuncture as a noninvasive pelvic floor muscle neuromodulation technique and pelvic floor exercise, and the controlgroupC(20 patients)received pelvic floor exercise only. Serum cortisol level(SCL) measurementwas done,and the National Institute of Health Chronic Prostatitis Symptom Index (NIH-CPSI) questionnairescore was usedto assess the severity of symptoms of chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS).The measurementswere doneat baseline and after the next two months.Comparing the threegroups post treatment,our results show that there arestatistically significant differencesinserum cortisol leveland inthe National Institute The aim of the study was toexamine theimpactof the integrated neuromuscular inhibition technique and electro-acupuncture stimulation of posterior tibial nerve in malesdiagnosed with chronic pelvic pain of myofascial origin.Sixty male patientswithchronic pelvic painparticipated in this randomized, single-blind, active-controlled trial andthey were randomly dividedinto 3 groups of equal size.The groupA(20 patients)received integrated neuromuscular inhibitiontechnique (INIT) and pelvic floor exercise, the groupB(20 patients) received posterior tibial nerve electroacupuncture using TENS acupuncture as a noninvasive pelvic floor muscle neuromodulation technique and pelvic floor exercise, and the controlgroupC(20 patients)received pelvic floor exercise only. Serum cortisol level(SCL) measurementwas done,and the National Institute of Health Chronic Prostatitis Symptom Index (NIH-CPSI) questionnairescore was usedto assess the severity of symptoms of chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS).The measurementswere doneat baseline and after the next two months.Comparing the threegroups post treatment,our results show that there arestatistically significant differencesinserum cortisol leveland inthe National Institute of Health Chronic Prostatitis Symptom Index (NIH-CPSI) questionnairescorein both group A and B(p<0.05).There are no statistically significant differencesin the control group C (p>0.05).The findings of this research showed a significant reduction ofblood cortisol level and improvementofNIH CPSI questionnaire total valuein men with chronic pelvic pain who used an integrated neuromuscular inhibition technique and percutaneous posterior tibial nerve stimulation, and a non-significant difference in the control groupC.The INIT has superiority overelectro-acupuncture stimulation of the posterior tibial nerve inreducing painand improvingquality of life