<rdf:RDF xmlns:rdf="http://www.openarchives.org/OAI/2.0/rdf/" xmlns:ow="http://www.ontoweb.org/ontology/1#" xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:ds="http://dspace.org/ds/elements/1.1/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:doc="http://www.lyncode.com/xoai" xsi:schemaLocation="http://www.openarchives.org/OAI/2.0/rdf/ http://www.openarchives.org/OAI/2.0/rdf.xsd">
   <ow:Publication rdf:about="oai:digibug.ugr.es:10481/108236">
      <dc:title>Impact of Physical Rehabilitation on Endometriosis and Adenomyosis-Related Symptoms: A Systematic Review and Meta-Analysis</dc:title>
      <dc:creator>Rodríguez-Ruiz, Ángel</dc:creator>
      <dc:creator>Sierra-Artal, Beatriz</dc:creator>
      <dc:creator>Lozano-Lozano, Mario</dc:creator>
      <dc:creator>Artacho-Cordón, Francisco</dc:creator>
      <dc:subject>Endometriosis</dc:subject>
      <dc:subject>Adenomyosis</dc:subject>
      <dc:subject>Physical rehabilitation</dc:subject>
      <dc:description>Objectives: The aim of this study is to summarize recent evidence of the effectiveness of rehabilitation interventions in managing symptoms related to endometriosis and adenomyosis.&#xd;
Methods: The review protocol was registered previously (CRD42022236516). A systematic&#xd;
search was conducted in the Medline, Web of Science, and Scopus databases for studies published up to 23 July 2025 that reported the effects of any rehabilitation intervention in women&#xd;
diagnosed with endometriosis or adenomyosis. Risk of bias was assessed, and meta-analyses&#xd;
were performed. Results: A total of 970 studies were identified, of which 19 reports from 17&#xd;
trials met the inclusion criteria. Approximately one-third of the trials focused on electrophysical agents, another third on exercise programs, and the remaining studies included manual&#xd;
therapy-based interventions—such as pelvic floor physiotherapy (PFP), or Swedish massage—as well as other modalities. Most trials assessed changes in pain, quality of life (QoL),&#xd;
and mental health, showing consistent improvements following intervention. Additional outcomes evaluated included lumbopelvic impairments, sexual function, and bone mineral density. Meta-analyses of eleven studies on pain and five on QoL revealed significant effects, favoring the intervention groups. Conclusions: This review highlights promising benefits of&#xd;
physical rehabilitation, particularly in patients with endometriosis. A range of approaches—&#xd;
including therapeutic exercise, electrophysical agents, and PFP—may contribute to improvements in endometriosis-related clinical outcomes, especially pain and QoL.</dc:description>
      <dc:date>2025-11-24T08:43:54Z</dc:date>
      <dc:date>2025-11-24T08:43:54Z</dc:date>
      <dc:date>2025-11-21</dc:date>
      <dc:type>journal article</dc:type>
      <dc:identifier>Rodríguez-Ruiz, Á.; Sierra-Artal, B.; Lozano-Lozano, M.; Artacho-Cordón, F. Impact of Physical Rehabilitation on Endometriosis and Adenomyosis-Related Symptoms: A Systematic Review and Meta-analysis. J. Clin. Med. 2025, 14, 8284. https://doi.org/10.3390/jcm14238284</dc:identifier>
      <dc:identifier>https://hdl.handle.net/10481/108236</dc:identifier>
      <dc:identifier>10.3390/jcm14238284</dc:identifier>
      <dc:language>eng</dc:language>
      <dc:rights>http://creativecommons.org/licenses/by/4.0/</dc:rights>
      <dc:rights>open access</dc:rights>
      <dc:rights>Atribución 4.0 Internacional</dc:rights>
      <dc:publisher>MDPI</dc:publisher>
   </ow:Publication>
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