Efektifitas Latihan Otot Dasar Panggul dalam Meningkatkan Fungsi Seksual pada Pasien Kanker Ginekologi
Abstract
This study aims to determine the effectiveness of pelvic floor muscle exercise in improving sexual function in gynecological cancer patients. The method used in this study uses a systematic review using the procedures recommended in the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). The author uses several databases, namely PubMed, Cochrane Library, ProQuest, EbscoHost, Sage Journal, Clinical Key Nursing and Google Scholar. The results of this study contained 12 articles consisting of 6 RCTs, 2 Cohort Studies, 1 single arm, 1 Crossectional, 1 clinical report study, 1 mixed method. The conclusion of this study provides data and evidence that pelvic floor muscle exercise not only affects the improvement of sexual function but also affects the improvement of quality of life, changes in anxiety, depression, and pain of gynecological cancer patients.
Keywords: Gynecological Cancer, Pelvic Floor Muscle Exercise, Sexual Function
References
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Barcellini, A., Dominoni, M., Dal Mas, F., Biancuzzi, H., Venturini, S. C., Gardella, B., Orlandi, E., & Bø, K. (2022). Sexual Health Dysfunction After Radiotherapy for Gynecological Cancer: Role of Physical Rehabilitation Including Pelvic Floor Muscle Training. Frontiers in Medicine, 8, 1–13. https://doi.org/10.3389/fmed.2021.813352
Barker, T. H., Stone, J. C., Sears, K., Klugar, M., Tufanaru, C., Leonardi-Bee, J., Aromataris, E., & Munn, Z. (2023). The Revised JBI Critical Appraisal Tool for the Assessment of Risk of Bias for Randomized Controlled Trials. JBI Evidence Synthesis, 21(3), 494–506. https://doi.org/10.11124/JBIES-22-00430
Bernard, S., Wiebe, E., Waters, A., Selmani, S., Turner, J., Dufour, S., Tandon, P., Pepin, D., & Mcneely, M. L. (2024). Figure it Out on Your Own : A Mixed ‑ Method Study on Pelvic Health Survivorship Care After Gynecologic Cancer Treatments. Journal of Cancer Survivorship, 0123456789. https://doi.org/10.1007/s11764-024-01565-8
Cyr, M. P., Dostie, R., Camden, C., Dumoulin, C., Bessette, P., Pina, A., Gotlieb, W. H., Lapointe-Milot, K., Mayrand, M. H., & Morin, M. (2022). Improvements Following Multimodal Pelvic Floor Physical Therapy in Gynecological Cancer Survivors Suffering from Pain During Sexual Intercourse: Results from a One-Year Followup Mixed-Method Study. PLoS ONE, 17(1 1), 1–20. https://doi.org/10.1371/journal.pone.0262844
Cyr, M. P., Dumoulin, C., Bessette, P., Pina, A., Gotlieb, W. H., Lapointe-Milot, K., Mayrand, M. H., & Morin, M. (2021). A Prospective Single-Arm Study Evaluating the Effects of a Multimodal Physical Therapy Intervention on Psychosexual Outcomes in Women with Dyspareunia After Gynecologic Cancer. Journal of Sexual Medicine, 18(5), 946–954. https://doi.org/10.1016/j.jsxm.2021.02.014
Del Forno, S., Arena, A., Pellizzone, V., Lenzi, J., Raimondo, D., Cocchi, L., Paradisi, R., Youssef, A., Casadio, P., & Seracchioli, R. (2021). Assessment of Levator Hiatal Area Using 3D/4D Transperineal Ultrasound in Women with Deep Infiltrating Endometriosis and Superficial Dyspareunia Treated with Pelvic Floor Muscle Physiotherapy: Randomized Controlled Trial. Ultrasound in Obstetrics and Gynecology, 57(5), 726–732. https://doi.org/10.1002/uog.23590
Deshmukh, V., Sontakke, ; Bharat, Muthiyan, ; Kirubhanand C; Gayatri, Patil, ; Ashlesh, & Dan, ; Akanksha. (2023). The Enigma of the Sexual Brain : A Comprehensive Review of Neurobiological Perspectives. 9(2). https://austinpublishinggroup.com/psychiatry-behavioral-sciences/fulltext/ajpbs-v9-id1093.pdf
Dillon, E. C., Chopra, V., Mesghina, E., Milki, A., Chan, A., Reddy, R., Kapp, D. S., Silver, B. A., & Chan, J. K. (2022). The Healthcare Journey of Women with Advanced Gynecological Cancer from Diagnosis Through Terminal Illness: Qualitative Analysis of Progress Note Data. American Journal of Hospice and Palliative Medicine, 39(9), 1090–1097. https://doi.org/10.1177/10499091211064242
Franco, M. M., Pena, C. C., de Freitas, L. M., Antônio, F. I., Lara, L. A. S., & Ferreira, C. H. J. (2021). Pelvic Floor Muscle Training Effect in Sexual Function in Postmenopausal Women: A Randomized Controlled Trial. Journal of Sexual Medicine, 18(7), 1236–1244. https://doi.org/10.1016/j.jsxm.2021.05.005
Ghaderi, F., Bastani, P., Hajebrahimi, S., Jafarabadi, M. A., & Berghmans, B. (2019). Pelvic Floor Rehabilitation in the Treatment of Women with Dyspareunia: A Randomized Controlled Clinical Trial. International Urogynecology Journal, 30(11), 1849–1855. https://doi.org/10.1007/s00192-019-04019-3
Globocan. (2020). Cancer Incident in Indonesia. International Agency for Research on Cancer, 858, 1–2. https://gco.iarc.fr/today/data/factsheets/populations/360-indonesia-fact-sheets.pdf
Lindgren, A. (2020). Incontinence, Physical Activity, and Pelvic Floor Muscle Training in Female Pelvic Cancer Survivors After Radiotherapy (Issue 1745) [Lingkoping University].https://www.divaportal.org/smash/get/diva2:1471159/FULLTEXT01.pdf
Ma’rifah, A. R., Afiyanti, Y., Huda, M. H., Chipojola, R., Putri, Y. R., & Nasution, M. A. T. (2022). Effectiveness of Psychoeducation Intervention Among Women with Gynecological Cancer: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. Supportive Care in Cancer, 30(10), 8271–8285. https://doi.org/10.1007/s00520-022-07277-y
Morin, M., Dumoulin, C., Bergeron, S., Mayrand, M. H., Khalifé, S., Waddell, G., Dubois, M. F., Girard, I., Bureau, Y. A., Ouellet, S., Reichetzer, B., Simard-Émond, L., & Brochu, I. (2021). Multimodal Physical Therapy Versus Topical Lidocaine for Provoked Vestibulodynia: A Multicenter, Randomized Trial. American Journal of Obstetrics and Gynecology, 224(2), 189.e1-189.e12. https://doi.org/10.1016/j.ajog.2020.08.038
Munn, Z., Stone, J. C., Aromataris, E., Klugar, M., Sears, K., Leonardi-Bee, J., & Barker, T. H. (2023). Assessing the Risk of Bias of Quantitative Analytical Studies: Introducing the Vision for Critical Appraisal within JBI Systematic Reviews. JBI Evidence Synthesis, 21(3), 467–471. https://doi.org/10.11124/JBIES-22-00224
Piechocki, M., Koziołek, W., Sroka, D., Matrejek, A., Miziołek, P., Saiuk, N., Sledzik, M., Jaworska, A., Bereza, K., Pluta, E., & Banas, T. (2022). Trends in Incidence and Mortality of Gynecological and Breast Cancers in Poland (1980–2018). Clinical Epidemiology,14(December 2021), 95–114. https://doi.org/10.2147/CLEP.S330081
Sun, S., Lian, X., Liu, X., Ma, J., Hou, X., Zhang, F., & Hu, K. (2020). Multimodal Therapy is A Better Choice for Patients with Brain Metastasis from Cervical Cancer. Cancer Management and Research, 12, 12395–12402. https://doi.org/10.2147/CMAR.S283673
Sung, H., Ferlay, J., Siegel, R. L., Laversanne, M., Soerjomataram, I., Jemal, A., & Bray, F. (2021). Global Cancer Statistics 2020: GLOBOCAN Estimates of Incidence and Mortality Worldwide for 36 Cancers in 185 Countries. CA: A Cancer Journal for Clinicians, 71(3), 209–249. https://doi.org/10.3322/caac.21660
Zachariou, A., Zikopoulos, A., Sapouna, V., Skentou, C., Kaltsas, A., Giannakis, I., Zachariou, D., Dimitriadis, F., Mamoulakis, C., Mai, D. B. T., Phuoc, N. H. V., Takenaka, A., & Sofikitis, N. (2024). Supervised Pelvic Floor Muscle Training Improves Sexual Function and Diminishes Sexual Distress in Women with Relapsing–Remitting Multiple Sclerosis: A Randomised Controlled Study. Journal of Personalized Medicine, 14(1), 1–10. https://doi.org/10.3390/jpm14010088
Zegeye, B., Woldeamanuel, G. G., Negash, W., & Shibre, G. (2020). Sexual Satisfaction and Its Associated Factors among Married Women in Northern Ethiopia. Ethiopian Journal of Health Sciences, 30(2), 169–178. https://doi.org/10.4314/ejhs.v30i2.4
Arring, N., Barton, D. L., & Reese, J. B. (2023). Clinical Practice Strategies to Address Sexual Health in Female Cancer Survivors. Journal of Clinical Oncology, 41(31). https://doi.org/doi: 10.1200/JCO.23.00523
Barcellini, A., Dominoni, M., Dal Mas, F., Biancuzzi, H., Venturini, S. C., Gardella, B., Orlandi, E., & Bø, K. (2022). Sexual Health Dysfunction After Radiotherapy for Gynecological Cancer: Role of Physical Rehabilitation Including Pelvic Floor Muscle Training. Frontiers in Medicine, 8, 1–13. https://doi.org/10.3389/fmed.2021.813352
Barker, T. H., Stone, J. C., Sears, K., Klugar, M., Tufanaru, C., Leonardi-Bee, J., Aromataris, E., & Munn, Z. (2023). The Revised JBI Critical Appraisal Tool for the Assessment of Risk of Bias for Randomized Controlled Trials. JBI Evidence Synthesis, 21(3), 494–506. https://doi.org/10.11124/JBIES-22-00430
Bernard, S., Wiebe, E., Waters, A., Selmani, S., Turner, J., Dufour, S., Tandon, P., Pepin, D., & Mcneely, M. L. (2024). Figure it Out on Your Own : A Mixed ‑ Method Study on Pelvic Health Survivorship Care After Gynecologic Cancer Treatments. Journal of Cancer Survivorship, 0123456789. https://doi.org/10.1007/s11764-024-01565-8
Cyr, M. P., Dostie, R., Camden, C., Dumoulin, C., Bessette, P., Pina, A., Gotlieb, W. H., Lapointe-Milot, K., Mayrand, M. H., & Morin, M. (2022). Improvements Following Multimodal Pelvic Floor Physical Therapy in Gynecological Cancer Survivors Suffering from Pain During Sexual Intercourse: Results from a One-Year Followup Mixed-Method Study. PLoS ONE, 17(1 1), 1–20. https://doi.org/10.1371/journal.pone.0262844
Cyr, M. P., Dumoulin, C., Bessette, P., Pina, A., Gotlieb, W. H., Lapointe-Milot, K., Mayrand, M. H., & Morin, M. (2021). A Prospective Single-Arm Study Evaluating the Effects of a Multimodal Physical Therapy Intervention on Psychosexual Outcomes in Women with Dyspareunia After Gynecologic Cancer. Journal of Sexual Medicine, 18(5), 946–954. https://doi.org/10.1016/j.jsxm.2021.02.014
Del Forno, S., Arena, A., Pellizzone, V., Lenzi, J., Raimondo, D., Cocchi, L., Paradisi, R., Youssef, A., Casadio, P., & Seracchioli, R. (2021). Assessment of Levator Hiatal Area Using 3D/4D Transperineal Ultrasound in Women with Deep Infiltrating Endometriosis and Superficial Dyspareunia Treated with Pelvic Floor Muscle Physiotherapy: Randomized Controlled Trial. Ultrasound in Obstetrics and Gynecology, 57(5), 726–732. https://doi.org/10.1002/uog.23590
Deshmukh, V., Sontakke, ; Bharat, Muthiyan, ; Kirubhanand C; Gayatri, Patil, ; Ashlesh, & Dan, ; Akanksha. (2023). The Enigma of the Sexual Brain : A Comprehensive Review of Neurobiological Perspectives. 9(2). https://austinpublishinggroup.com/psychiatry-behavioral-sciences/fulltext/ajpbs-v9-id1093.pdf
Dillon, E. C., Chopra, V., Mesghina, E., Milki, A., Chan, A., Reddy, R., Kapp, D. S., Silver, B. A., & Chan, J. K. (2022). The Healthcare Journey of Women with Advanced Gynecological Cancer from Diagnosis Through Terminal Illness: Qualitative Analysis of Progress Note Data. American Journal of Hospice and Palliative Medicine, 39(9), 1090–1097. https://doi.org/10.1177/10499091211064242
Franco, M. M., Pena, C. C., de Freitas, L. M., Antônio, F. I., Lara, L. A. S., & Ferreira, C. H. J. (2021). Pelvic Floor Muscle Training Effect in Sexual Function in Postmenopausal Women: A Randomized Controlled Trial. Journal of Sexual Medicine, 18(7), 1236–1244. https://doi.org/10.1016/j.jsxm.2021.05.005
Ghaderi, F., Bastani, P., Hajebrahimi, S., Jafarabadi, M. A., & Berghmans, B. (2019). Pelvic Floor Rehabilitation in the Treatment of Women with Dyspareunia: A Randomized Controlled Clinical Trial. International Urogynecology Journal, 30(11), 1849–1855. https://doi.org/10.1007/s00192-019-04019-3
Globocan. (2020). Cancer Incident in Indonesia. International Agency for Research on Cancer, 858, 1–2. https://gco.iarc.fr/today/data/factsheets/populations/360-indonesia-fact-sheets.pdf
Lindgren, A. (2020). Incontinence, Physical Activity, and Pelvic Floor Muscle Training in Female Pelvic Cancer Survivors After Radiotherapy (Issue 1745) [Lingkoping University].https://www.divaportal.org/smash/get/diva2:1471159/FULLTEXT01.pdf
Ma’rifah, A. R., Afiyanti, Y., Huda, M. H., Chipojola, R., Putri, Y. R., & Nasution, M. A. T. (2022). Effectiveness of Psychoeducation Intervention Among Women with Gynecological Cancer: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. Supportive Care in Cancer, 30(10), 8271–8285. https://doi.org/10.1007/s00520-022-07277-y
Morin, M., Dumoulin, C., Bergeron, S., Mayrand, M. H., Khalifé, S., Waddell, G., Dubois, M. F., Girard, I., Bureau, Y. A., Ouellet, S., Reichetzer, B., Simard-Émond, L., & Brochu, I. (2021). Multimodal Physical Therapy Versus Topical Lidocaine for Provoked Vestibulodynia: A Multicenter, Randomized Trial. American Journal of Obstetrics and Gynecology, 224(2), 189.e1-189.e12. https://doi.org/10.1016/j.ajog.2020.08.038
Munn, Z., Stone, J. C., Aromataris, E., Klugar, M., Sears, K., Leonardi-Bee, J., & Barker, T. H. (2023). Assessing the Risk of Bias of Quantitative Analytical Studies: Introducing the Vision for Critical Appraisal within JBI Systematic Reviews. JBI Evidence Synthesis, 21(3), 467–471. https://doi.org/10.11124/JBIES-22-00224
Piechocki, M., Koziołek, W., Sroka, D., Matrejek, A., Miziołek, P., Saiuk, N., Sledzik, M., Jaworska, A., Bereza, K., Pluta, E., & Banas, T. (2022). Trends in Incidence and Mortality of Gynecological and Breast Cancers in Poland (1980–2018). Clinical Epidemiology,14(December 2021), 95–114. https://doi.org/10.2147/CLEP.S330081
Sun, S., Lian, X., Liu, X., Ma, J., Hou, X., Zhang, F., & Hu, K. (2020). Multimodal Therapy is A Better Choice for Patients with Brain Metastasis from Cervical Cancer. Cancer Management and Research, 12, 12395–12402. https://doi.org/10.2147/CMAR.S283673
Sung, H., Ferlay, J., Siegel, R. L., Laversanne, M., Soerjomataram, I., Jemal, A., & Bray, F. (2021). Global Cancer Statistics 2020: GLOBOCAN Estimates of Incidence and Mortality Worldwide for 36 Cancers in 185 Countries. CA: A Cancer Journal for Clinicians, 71(3), 209–249. https://doi.org/10.3322/caac.21660
Zachariou, A., Zikopoulos, A., Sapouna, V., Skentou, C., Kaltsas, A., Giannakis, I., Zachariou, D., Dimitriadis, F., Mamoulakis, C., Mai, D. B. T., Phuoc, N. H. V., Takenaka, A., & Sofikitis, N. (2024). Supervised Pelvic Floor Muscle Training Improves Sexual Function and Diminishes Sexual Distress in Women with Relapsing–Remitting Multiple Sclerosis: A Randomised Controlled Study. Journal of Personalized Medicine, 14(1), 1–10. https://doi.org/10.3390/jpm14010088
Zegeye, B., Woldeamanuel, G. G., Negash, W., & Shibre, G. (2020). Sexual Satisfaction and Its Associated Factors among Married Women in Northern Ethiopia. Ethiopian Journal of Health Sciences, 30(2), 169–178. https://doi.org/10.4314/ejhs.v30i2.4
Published
2024-04-02
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