OBJECTIVES: This study aimed to analyze the results in productivity gain and loss in a sample of a population with chronic pelvic pain (CPP) after mindfulness, pelvic floor physical therapy (PFPT) and hypopressive exercises.

METHODS: The controlled clinical trial included women with chronic pelvic pain who were separated into two groups. Each group initially underwent a health promotion protocol based on mindfulness or pelvic floor physical therapy (a structured protocol with electrotherapy, biofeedback, trigger point massage, and basic pelvic kinesiotherapy guidance). After the first intervention, each group underwent the other type of therapy, so that all participants underwent both interventions. In the hypopressive exercise group, given the irregularity of the sample and adhesion, we had difficulties in the material, but assertiveness of gains reported.

RESULTS: Of the 49 women included, 38 participated in both interventions and were evaluated in 4 moments. Sociodemographic and clinical characteristics did not differ significantly between groups. Some results have suggested that performing physical therapy first is more effective, while others have suggested the opposite. Some showed similar gains, regardless of the initial therapy, and still others showed that the sum of the interventions provided progressive improvement and significant. On the follow-up, gains were sustained in more than 85% of the 29 domains. In the hypopressive group, the data need to be refined, although favorable results have been obtained.

CONCLUSIONS: Our results suggest that multidisciplinary treatment consisting of: mindfulness, pelvic floor physiotherapy (PFPT) and hypopressive exercises are safe and effective for CPD, as it improves pain, plus daily productivity gain as a consequence. As a limitation of the study, we identified , quantitative in terms of comparative scores and suggestions for future research, leaving here the recommendation for larger prospective multicenter studies, with or without simultaneous interventions to optimize results.