Efeito da cinesioterapia pélvica sobre a função sexual em mulheres com endometriose: protocolo para um ensaio clínico randomizado
Bibliographic record
Abstract
Introduction: Endometriosis is a chronic and progressive disease, characterized by the growth of endometrial tissue outside the uterine cavity, which can cause various symptoms in patients with this disease. Changes in the sexual function of these women are one of them. Objectives: To evaluate the effects of pelvic kinesiotherapy on sexual function, functionality, intensity of chronic pelvic pain, quality of life and strength parameters of the Pelvic Floor Muscles (PFM) in women with endometriosis. Methods: Randomized clinical trial, including women aged between 18 and 40 years old, sexually active and not undergoing any other type of treatment for changes in sexual function related to endometriosis. The 64 participants will be randomized into 2 groups: Control Group (CG=32, will follow the pharmacological treatment prescribed by the responsible doctor) and Experimental Group (GE=32, will participate in a pelvic kinesiotherapy program and pharmacological treatment). A self-assessment questionnaire will be applied, Female Sexual Function Index (FSFI), World Health Organization Disability Assessment Schedule (WHODAS), Visual Analogue Scale (VAS), McGill Pain Questionnaire, The World Health Organization Quality of Life (WHOQOL-BREF) and PERFECT at 3 moments (before the intervention, 4 and 8 weeks after intervention). For data analysis, analysis of variance (ANOVA - 2 groups x 3 measurement moments) and intention-to-treat analysis will be used. A p<0.05 will be adopted. Final considerations: Based on the physiological plausibility of pelvic kinesiotherapy in other chronic disease conditions and the scarcity of studies on this resource in the treatment of sexual dysfunctions in women with endometriosis, it is necessary to investigate the topic.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.019 | 0.018 |
| Meta-epidemiology (narrow) | 0.003 | 0.001 |
| Meta-epidemiology (broad) | 0.009 | 0.004 |
| Bibliometrics | 0.002 | 0.002 |
| Science and technology studies | 0.002 | 0.002 |
| Scholarly communication | 0.002 | 0.002 |
| Open science | 0.002 | 0.002 |
| Research integrity | 0.005 | 0.002 |
| Insufficient payload (model declined to judge) | 0.029 | 0.003 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".