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Study aim: The effect of dry needling on pain and central sensitization (including the Central Sensitization Inventory, electroencephalography, conditional pain modulation, salivary cortisol concentration, and psychosocial variables (7-item general anxiety disorder scale, pain catastrophizing scale, and SF-36 questionnaire) in women with chronic pelvic pain. Design: Single-blind randomized, parallel-group controlled clinical trial, on 36 patients. Randomization will be performed using a computerized Internet-based central randomization service (www.sealedenvelope.com). Assignments and allocation concealment will be sealed in sequentially numbered opaque envelopes by a person who had no direct role in the study. Settings and conduct: Women will be recruited based on the definition of CPP and recognition by an expert in female pelvic floor physicians. All assessments and interventions will conduct in the Research Center of the Faculty of Rehabilitation Sciences of Shiraz University of Medical Sciences. Participants/Inclusion and exclusion criteria: 1. Non-pregnant women in an age range of 20-50 years who are not menopausal, and feel recurrent or constant pain in the pelvis, perineum, anterior abdominal wall below the umbilicus, or in the lower back, pelvic pain unrelated to menstruation, intercourse, or pregnancy lasting for at least 6months. 2. Presence of tenderness/pain when touched in at least one pelvic floor muscle including the levator ani , obturator internus, piriformis, rectus abdominis and external obliqus muscles, and gluteal muscles 3. Score 40-59 in CSI questionnaire (moderate to severe central sensitization level) Intervention groups: dry needling group (DNG), placebo needling group (PNG), control group (CG) Main outcome variables: -short-form McGill pain questionnaire -Central Sensitization Inventory -electroencephalography -conditional pain modulation -salivary cortisol concentration
IRCTID: IRCT20211114053057N1
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  2. comparative evaluation of electromyographic activation pattern of core and lower extremity muscles to external perturbation between patients with patellofemoral pain syndrome and healthy subjects
  3. A comparative study of stabilization exercise focusing pelvic floor muscles training and routine physiotherapy on pain, disability and muscles thickness in females with low back pain following pregnancy
  4. The effect of combined pelvic floor treatments on sexual function, pelvic floor muscle strength and endurance in women with chronic low back pain at two different levels of fear of pain
  5. Investigating the effect of rotator cuff trigger points dry needling on the stability and function of the upper limb in people with shoulder pain
  6. Comparison of the effects of heat controlled radiofrequency with physiotherapy on chronic pelvic pain in women
  7. Comparison of the effects of heat controlled radiofrequency with physiotherapy on chronic pelvic pain in women
  8. Extraction of Muscle Synergies to Investigate Changes in Biomechanical Parameters after the Addition of Abdominal Hypopressive Technique to Pelvic Floor Muscle Training in Women with Urinary Incontinence
  9. The effect of pelvic floor muscle exercises on pelvic girdle pain and quality of life in pregnant women
  10. The effect of dry needling on pain intensity, pressure pain threshold, remote muscle performance and disability in subjects with fibromyalgia and chronic nonspecific low back pain
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