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Virtual reality training added to pelvic floor rehab improves muscle relaxation in postpartum myofascial painCan virtual reality help new mothers with pelvic pain? A small study offers a clue

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Key Takeaway
Consider that VR training may improve muscle relaxation but not pain or structure in postpartum pelvic pain.

This randomized controlled trial evaluated whether adding virtual reality training to conventional pelvic floor rehabilitation therapy provided additional benefit for 57 postpartum women diagnosed with myofascial pelvic pain syndrome. Participants were randomized to receive either the combination therapy or conventional rehabilitation alone, though the specific primary outcome was not reported.

The study found that the experimental group showed a statistically significant improvement in one secondary outcome: relaxation time during the fast muscle contraction stage of pelvic floor muscle electromyography (P < 0.05). However, there were no statistically significant differences between groups for Visual Analog Scale pain scores during palpation (P > 0.05), pelvic floor muscle thickness during resting or maximum contraction states (P > 0.05), or Young's modulus measurements of muscle stiffness during resting or maximum contraction states (P > 0.05).

Safety and tolerability data were not reported. Key limitations include the absence of a specified primary outcome, lack of effect size or absolute number reporting, and no information about follow-up duration. The study did not report funding sources or conflicts of interest.

For clinical practice, this evidence suggests that while virtual reality training may enhance specific aspects of muscle relaxation when combined with conventional pelvic floor rehabilitation, it does not appear to offer additional benefits for reducing pain or altering muscle structure in postpartum women with myofascial pelvic pain syndrome. The findings should be interpreted cautiously given the study's methodological limitations and focus on secondary outcomes.

Imagine the deep, persistent pain some new mothers face in their pelvic muscles—a condition that can make everyday life a challenge. Researchers wanted to see if adding virtual reality training to standard pelvic floor physical therapy could help. They studied 57 postpartum women with this specific pain syndrome, splitting them into two groups: one got the standard therapy alone, and the other got the standard therapy plus sessions in a virtual reality environment designed for rehabilitation.

The main finding was mixed. The group using virtual reality showed a significant improvement in one specific measure: their pelvic floor muscles relaxed more quickly after a fast contraction. This suggests the training might help retrain how those muscles work. However, when it came to what matters most to patients—the actual pain they feel—there was no statistically significant difference between the groups. The virtual reality add-on didn't make the pain go away. It also didn't change the thickness or stiffness of the muscles.

It's important to remember this was a small study, and the researchers didn't report on safety issues or how long the effects might last. They also didn't specify a primary outcome—the main thing they were most interested in measuring—which makes the results harder to interpret. The improvement in muscle relaxation is a signal worth noting, but with no change in pain, it's a preliminary clue, not a solution. More research is needed to understand if and how virtual reality can truly help women manage this complex condition.

What this means for you:
VR helped muscles relax faster in a small study, but it didn't reduce the pain new mothers felt.

Study Details

Study typeRct
EvidenceLevel 2
PublishedJan 2026
View Original Abstract ↓
OBJECTIVE: The aim of this study was to compare the therapeutic efficacy of integrating virtual reality technology with conventional pelvic floor rehabilitation therapy versus conventional therapy alone in postpartum women with myofascial pelvic pain syndrome. METHODS: Fifty-seven postpartum women diagnosed with myofascial pelvic pain syndrome were recruited for this study between March 1, 2023, and December 29, 2023. All participants were randomly assigned to two groups. The experimental group (n = 27) underwent virtual reality training combined with conventional pelvic floor rehabilitation therapy, while the control group (n = 30) received only conventional pelvic floor rehabilitation therapy. Both groups completed ten treatment sessions. Changes in pelvic floor muscle contraction function were assessed using pelvic floor surface electromyography. Musculoskeletal ultrasound was employed to measure muscle thickness and Young's modulus of the pelvic floor muscles. The Visual Analog Scale was used to evaluate the degree of pain experienced during palpation of the pelvic floor muscles. RESULTS: The experimental group demonstrated a significant reduction in relaxation time during the fast muscle contraction stage of the pelvic floor muscle's Glazer S-EMG (P < 0.05). No statistically significant differences were observed in the Visual Analog Scale, pelvic floor muscle thickness, or Young's modulus of the pelvic floor muscle during resting and maximum contraction states (P > 0.05). CONCLUSION: The integration of virtual reality technology with conventional pelvic floor rehabilitation therapy has the potential to improve the relaxation capacity of fast-twitch muscle fibers within the pelvic floor muscles. However, it does not seem to offer any benefits in increasing pelvic floor muscle thickness or in alleviating myofascial pelvic pain. TRIAL REGISTRY: The registry and the registration number: Chinese Clinical Trial Registry (number ChiCTR2300069517).
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