Lara Ramos, AnaÁlvarez Salvago, FranciscoFernández Lao, CarolinaGaliano Castillo, NoeliaOcón Hernández, OlgaMazheika, MarinaSalinas Asensio, MarMundo López, AntonioArroyo Morales, ManuelCantarero Villanueva, IreneArtacho Cordón, Francisco2021-09-212021-09-212021Lara-Ramos, A., Álvarez-Salvago, F., Fernández-Lao, C., Galiano-Castillo, N., Ocón-Hernández, O., Mazheika, M., Salinas-Asensio, M. M., Mundo-López, A., Arroyo-Morales, M., Cantarero Villanueva, I., & Artacho Cordón, F. (2021). Widespread Pain Hypersensitivity and Lumbopelvic Impairments in Women Diagnosed with Endometriosis. Pain Medicine, 22(9), 1970-1981. https://doi.org/10.1093/pm/pnaa4631526-23751526-4637http://hdl.handle.net/11268/10373Objective: To explore hypersensitivity to pain and musculoskeletal impairments in the lumbopelvic area in women with and without endometriosis. Methods: This cross-sectional study included 66 women (41 women with endometriosis and 25 healthy women). Pain and related catastrophizing thoughts were assessed through a numeric rating scale, pressure pain thresholds (PPTs), the slump test, and the Pain Catastrophizing Scale. Lumbopelvic muscles were evaluated through ultrasound imaging, flexor/extensor resistance tests, and the lumbopelvic stability test. Results: Women with endometriosis showed increased self-reported intensity of current pelvic pain (CuPP), reduced local PPTs (42.8-64.7% in the affected area, P-value <.001) and higher prevalence of lumbar nerve root impingement/irritation pain and catastrophizing thoughts (P-value ≤.002). Moreover, affected women showed decreased thickness of transversus abdominis, reduced resistance of flexor and extensor trunk muscles and lower lumbopelvic stability (P-values <.030). Endometriosis stage and severity of CuPP were related to worse results in these parameters. Conclusions: The presence of pain sensitization signs and lumbopelvic impairments, more pronounced in patients with stage IV endometriosis and moderate/severe CuPP, warrants the development of rehabilitation interventions targeting pain and lumbopelvic impairments in women with endometriosis.engEndometriosisVértebras lumbaresPelvisjournal article10.1093/pm/pnaa463restricted accessCiencias médicasSalud de la mujer