This randomized controlled trial aims to investigate the effects of Pain Neuroscience Education and Basic Body Awareness Therapy, when added to standard physiotherapy and rehabilitation, on pain, autonomic nervous system responses, and pelvic floor muscle activity in women with chronic pelvic pain. A total of 45 women diagnosed with chronic pelvic pain will be randomly allocated into three groups: (1) standard physiotherapy and rehabilitation, (2) standard physiotherapy plus Pain Neuroscience Education, and (3) standard physiotherapy plus Basic Body Awareness Therapy. The study will assess pain intensity (algometry, NRS, SF-MPQ), pain catastrophizing, autonomic responses (electrodermal activity), pelvic floor muscle activation (EMG), and related psychological, cognitive, and body awareness parameters. Secondary outcomes will include sexual function, quality of life, and patient satisfaction. The aim is to compare two awareness-based interventions-one primarily mind-to-body (Pain Neuroscience Education) and the other body-to-mind (Basic Body Awareness Therapy)-to determine their relative and complementary effects on pain perception and physiological regulation in women with chronic pelvic pain.
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Pressure Pain Threshold and Pain Tolerance
Timeframe: Baseline and up to 8 weeks
Pain Intensity and Characteristics (Short Form McGill Pain Questionnaire)
Timeframe: Baseline and up to 8 weeks
Pain Catastrophizing (Pain Catastrophizing Scale)
Timeframe: Baseline and up to 8 weeks
Autonomic Nervous System Responses - Tonic Skin Conductance Level (SCL)
Timeframe: Baseline and up to 8 weeks
Autonomic Nervous System Responses- Phasic Skin Conductance Response (SCR) Amplitude
Timeframe: Baseline and up to 8 weeks
Autonomic Nervous System Responses- Skin Conductance Response Frequency
Timeframe: Baseline and up to 8 weeks
Autonomic Nervous System Responses- Skin Conductance Response Latency
Timeframe: Baseline and up to 8 weeks
Resting Pelvic Floor Muscle Activity (Resting sEMG) (Surface Electromyography)
Timeframe: Baseline and up to 8 weeks
Minimum Pelvic Floor Muscle Activation (Minimum sEMG) (Surface Electromyography)
Timeframe: Baseline and up to 8 weeks
Maximum Voluntary Contraction of Pelvic Floor Muscles (MVC) (Surface Electromyography)
Timeframe: Baseline and up to 8 weeks
Pelvic Floor Muscle Relaxation Time (Surface Electromyography)
Timeframe: Baseline and up to 8 weeks