Cristin-prosjekt-ID: 682377
Sist endret: 28. juni 2023, 13:36

Cristin-prosjekt-ID: 682377
Sist endret: 28. juni 2023, 13:36
Prosjekt

Treatment of endometriosis-associated symptoms. A randomized controlled trial with a multimodal interdisciplinary group approach.

prosjektleder

Merete Kolberg Tennfjord
ved Akershus universitetssykehus HF

prosjekteier / koordinerende forskningsansvarlig enhet

  • Akershus universitetssykehus HF

Finansiering

  • TotalbudsjettNOK 3.360.000
  • Fond til etter- og videreutdanning av fysioterapeuter 
    Prosjektkode: 139512

Tidsramme

Aktivt
Start: 16. oktober 2019 Slutt: 1. april 2026

Beskrivelse Beskrivelse

Tittel

Treatment of endometriosis-associated symptoms. A randomized controlled trial with a multimodal interdisciplinary group approach.

Vitenskapelig sammendrag

Endometriosis is a benign gynecological disease where the uterine endometrium is located outside the uterus (1). It is found in approximately 10 % of women in reproductive age (1). The condition is primarily associated with pain during menstruation (dysmenorrhea), pain during intercourse (dyspareunia) and chronic pelvic pain. Other frequently observed conditions include bleeding disorders, irritable bowel syndrome, painful bladder syndrome, abdominal pain, threatening miscarriage, fatigue and infertility (2).

On average, it takes eight years to diagnose endometriosis (3). During this period, musculoskeletal disorders secondary to endometriosis and psychological disorders may develop (4,5). This may lead to severe suffering for the affected women, reduced work- capacity and increased use of health-care services (4,6).

There is currently no cure for the disease and the treatment has primarily been aimed at surgically removing the endometrial tissue with varying results (7). Physical activity and exercise has been proposed as a possible option for prevention and treatment of the disease and associated symptoms, but so far the results are inconclusive (8). The theory behind this is that physical activity and exercise may trigger anti-inflammatory processes that will impede the development of endometriosis. International clinical guidelines recommend interdisciplinary, multimodal treatment approaches including physical activity and exercise and pain education (9). The efficacy of these recommendations has not been tested in randomized controlled trials (RCT) of high methodological and interventional quality.

The Norwegian Women ́s Public Health Association together with the Norwegian Endometriosis Association has highlighted the need to focus on research into the best management of patients with endometriosis-associated symptoms (dysmenorrhea, dyspareunia and chronic pelvic pain). This is also reflected in The Norwegian Women ́s Public Health Association ́s research strategy for 2018-2024 “Kvinnehelse – fra vugge til grav”. As part of the re-organization of the treatment offered at Akershus University Hospital, physiotherapy is being introduced as a central part of the treatment package. We aim to conduct a RCT to study the effect of group-based physical activity and exercise and pain education in patients with endometriosis-associated symptoms. This may be a potentially beneficial and cost-effective alternative for these women and the society at large.

prosjektdeltakere

prosjektleder
Aktiv cristin-person

Merete Kolberg Tennfjord

  • Tilknyttet:
    Prosjektleder
    ved Akershus universitetssykehus HF
  • Tilknyttet:
    Prosjektdeltaker
    ved Høyskolen Kristiania

Kari Bø

  • Tilknyttet:
    Prosjektdeltaker
    ved Norges idrettshøgskole
  • Tilknyttet:
    Prosjektdeltaker
    ved Akershus universitetssykehus HF

Anna Marie Ellström Engh

  • Tilknyttet:
    Lokalt ansvarlig
    ved Akershus universitetssykehus HF

Adnan Kisa

  • Tilknyttet:
    Prosjektdeltaker
    ved Universitetet i Oslo ved Universitetet i Oslo
  • Tilknyttet:
    Prosjektdeltaker
    ved Høyskolen Kristiania

Cristine Homsi Jorge Ferreira

  • Tilknyttet:
    Prosjektdeltaker
    ved Universidade de São Paulo
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Resultater Resultater

Women’s health physiotherapists clinical practice and endometriosis patients views of general exercise – a mixed-methods study.

Tennfjord, Merete Kolberg; Bø, Kari; Engh, Marie Ellström; Gabrielsen, Rakel. 2023, World Congress on Endometriosis. HK, AHUS, NIHVitenskapelig foredrag

Effect of physical activity and exercise on endometriosis-associated symptoms: a systematic review.

Tennfjord, Merete Kolberg; Gabrielsen, Rakel; Tellum, Tina. 2021, BMC Women's Health. HK, AHUS, OUS, ANDREINSTVitenskapelig oversiktsartikkel/review

En systematisk oversikt over fysisk aktivitet og endometriose.

Tennfjord, Merete Kolberg; Tellum, Tina. 2021, På stødig bunn - det siste innen forskning på inkontinens og bekkenbunnssykdom i Norge. HK, AHUS, OUSVitenskapelig foredrag

Fysisk aktivitet og trening ved endometriose – en kartlegging av fysioterapipraksis.

Tennfjord, Merete Kolberg. 2021, På stødig bunn - det siste innen forskning på inkontinens og bekkenbunnssykdom i Norge. . HK, AHUSVitenskapelig foredrag

Ny endomtriosestudie: Kanskje blir det nye behandlingsretningslinjer.

Tennfjord, Merete Kolberg; Gabrielsen, Rakel. 2021, HKIntervju
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