Our study aimed to compare the effectiveness of adding Basic Body Awareness Therapy (BBAT) to Therapeutic Exercises (TE) and TE alone on pain and pain coping strategies in postmenopausal women (PmW).
Methods
A total of 54 PmW with chronic musculoskeletal pain (cMSP) were randomly assigned to three groups. The first group underwent a combined intervention of BBAT and TE and the second group participated in a TE program 3 times a week for 12 weeks. The control group didn’t receive any treatment. Number of pain dimensions and pain severity of the participants were assessed with the McGill Pain Questionnaire-Short Form (MG-SF), body awareness levels were assessed with Body Awareness Questionnaire (BAQ) and pain coping strategies were assessed with the Pain Coping Inventory (PCI).
Results
In this study significant differences were found in pain intensity, number of pain dimensions, and PCI scores between the BBAT + TE and TE groups compared to the Control group, while the BBAT + TE group showed significant results in BAQ scores compared to the TE group.
Conclusion
For PmW, participating in BBAT combined with TE program can be beneficial for pain parameters and body awareness. BBAT seems to be an equivalent and effective option for enhancing body awareness.
KalpakjianCZLequericaA. Quality of life and menopause in women with physical disabilities. J Women s Health2006; 15: 1014–1027.
2.
OgwumikeOOFatai AdeniyiAOrogbemiOO. Musculoskeletal pain among postmenopausal women in Nigeria: association with overall and central obesity. Hong Kong Physiother J2016; 34: 41–46.
3.
FrangeCHachulHHirotsuC, et al.Insomnia with musculoskeletal pain in postmenopause: associations with symptoms, mood, and quality of life. J Menopausal Med2018; 24: 17–17.
4.
El-SherifHEKamalRMoawyahO. Hand osteoarthritis and bone mineral density in postmenopausal women; clinical relevance to hand function, pain and disability. Osteoarthritis and Cartilage2008; 16: 12–17.
5.
De CastroJBPLimaVPDos SantosAOB, et al.Correlation analysis between biochemical markers, pain perception, low back functional disability, and muscle strength in postmenopausal women with low back pain. J Phys Educ Sport2020; 20: 24–30.
6.
CaneiroJPBunzliSO’SullivanP. Beliefs about the body and pain: the critical role in musculoskeletal pain management. Braz J Phys Ther2021; 25: 17–29.
7.
Gilbertson-WhiteSCampbellGWardS, et al.Coping with pain severity, distress, and consequences in women with ovarian cancer. Cancer Nurs2017; 40: 117–123.
8.
Belgen KaygısızBElibolNAcaröz CandanS. Pain coping strategies and related factors including demographics, pain characteristics, functional mobility in postmenopausal women with chronic musculoskeletal pain. Women Health2022; 62: 245–253.
9.
RoxendalG. Body awareness therapy and the body awareness scale: treatment and evaluation in psychiatric physiotherapy. Psychiatric Physiotherapy Graduate Thesis1985: 30–49.
10.
GardG. Body awareness therapy for patients with fibromyalgia and chronic pain. Disabil Rehabil2005; 27: 725–728.
GyllenstenALHanssonLEkdahlC. Outcome of basic body awareness therapy. A randomized controlled study of patients in psychiatric outpatient care. Adv Physiother2003; 5: 179–190.
13.
O'RiordanCCliffordADeV, et al.Chronic neck pain and exercise interventions: frequency, intensity, time, and type principle. Arch Phys Med Rehabil2014; 95: 770–783.
14.
DanielssonLRosbergS. Opening toward life: experiences of basicbody awareness therapy in persons with major depression. Int J Qual Stud Health Well-BEing2015; 10: 27069.
15.
ShieldsSAMalloryMESimonA. The body awareness questionnaire: reliability and validity. J Pers Assess1989; 53: 802–815.
MelzackR. The short-form McGill pain questionnaire. Pain1987; 30: 191–197.
18.
YakutYYakutEBayarK, et al.Reliability and validity of the Turkish version short-form McGill pain questionnaire in patients with rheumatoid arthritis. Clin Rheumatol2006; 26: 1083–1087.
19.
KraaimaatFWEversWM. Pain-coping strategies in chronic pain patients: psychometric characteristics of the pain-coping inventory (PCI). Int J Behav Med2003; 10: 343–363.
20.
HocaoğluA. The study of reliability and validity of the pain coping inventory. Ağrı. J Turk Soc Algology2018; 31: 32–41.
21.
BingelUTraceyI. Imaging CNS modulation of pain in humans. Physiology2008; 23: 371–380.
22.
Ribera d'AlcalàCWebsterDGEstevesJE. Interoception, body awareness and chronic pain: results from a case–control study. Int J Osteopath Med2015; 18: 22–32.
23.
GinzburgKTsurNKarminC, et al.Body awareness and pain habituation: the role of orientation towards somatic signals. J Behav Med2015; 38: 876–885.
24.
Malmgren-OlssonE-BArmeliusB-AArmeliusK. A comparative outcome study of body awareness therapy, feldenkrais, and conventional physiotherapy for patients with nonspecific musculoskeletal disorders: changes in psychological symptoms, pain, and self-image. Physiother Theory Pract2001; 17: 77–95.
25.
AlpayKSahinM. Effects of basic body awareness therapy on pain, balance, muscle strength and functionality in knee osteoarthritis: a randomised preliminary trial. Disabil Rehabil2022; 45: 4373–4380.
26.
deMArmfieldNRMcAuleyJH, et al.Comparative effectiveness of physical exercise interventions for chronic non-specific neck pain: a systematic review with network meta-analysis of 40 randomised controlled trials. Br J Sports Med2020; 55: 730–742.
27.
SeferiadisAOhlinPBillhultA, et al.Basic body awareness therapy or exercise therapy for the treatment of chronic whiplash associated disorders: a randomized comparative clinical trial. Disabil Rehabil2016; 38: 442–451.
28.
WandBMCatleyMJRabeyMI, et al.Disrupted self-perception in people with chronic low back pain. Further evaluation of the fremantle back awareness questionnaire. Journal of Pain2016; 17: 1001–1012.
29.
DuymazTYagciNGayefA, et al.Study on the relationship between low back pain and emotional state, sleep and quality of life in postmenopausal women. J Back Musculoskelet Rehabil2020; 33: 989–994.
30.
ErdenAAltuFCavlakU. Investigation of relationship between body awareness, pain, emotional status and quality of life with healthy people. Southern Clin Istanbul Eurasia2024; 24: 145–150.
31.
FrangeCHachulHHirotsuC, et al.Temporal analysis of chronic musculoskeletal pain and sleep in postmenopausal women. J Clin Sleep Med2019; 15: 223–234.
32.
BlackDSO’ReillyGAOlmsteadR, et al.Mindfulness meditation and improvement in sleep quality and daytime impairment among older adults with sleep disturbances. JAMA Intern Med2015; 175: 494–494.
33.
TulYUnruhADickBD. Yoga for chronic pain management: a qualitative exploration. Scand J Caring Sci2010; 25: 435–443.
34.
BlaauwendraatCLevy BergAGyllenstenAL. One-year follow-up of basic body awareness therapy in patients with posttraumatic stress disorder. A small intervention study of effects on movement quality, PTSD symptoms, and movement experiences. Physiother Theory Pract2017; 33: 515–526.
35.
LundwallARymanASelliusAB, et al.Pain requires processing – how the experience of pain is influenced by basic body awareness therapy in patients with long-term pain. J Bodyw Mov Ther2019; 23: 701–707.
36.
SertelMBakarYSimsekTT. The effect of body awareness therapy and aerobic exercises on pain and quality of life in the patients with tension type headache. Afr J Traditional Complement Altern Med2017; 14: 288–310.
37.
HoLYW. A concept analysis of coping with chronic pain in older adults. Pain Manag Nurs2019; 20: 563–571.
