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Pelvic floor muscle training

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https://www.readbyqxmd.com/read/28042624/literature-review-of-factors-affecting-continence-after-radical-prostatectomy
#1
Dalibor Pacik, Michal Fedorko
Radical prostatectomy (RP) is the most common cause of stress urinary incontinence (UI) in men. Several anatomic structures affect or may affect urinary continence - urethral sphincter, levator ani muscle, puboprostatic ligaments, bladder neck, endopelvic fascia, neurovascular bundle - and understanding of the anatomy of pelvic floor and urethra is crucial for satisfactory functional outcome of the procedure. Surgical techniques implemented to improve continence rates include nerve-sparing procedure, bladder neck preservation/plication, urethral length preservation, musculofascial reconstruction, puboprostatic ligaments preservation or seminal vesicle preservation...
January 2017: Saudi Medical Journal
https://www.readbyqxmd.com/read/28029383/pilot-results-from-a-randomized-trial-in-men-comparing-alpha-adrenergic-antagonist-versus-behavior-and-exercise-for-nocturia-and-sleep
#2
Theodore M Johnson, Camille P Vaughan, Patricia S Goode, Donald L Bliwise, Alayne D Markland, Carrie Huisingh, David T Redden, Gerald McGwin, Rina Eisenstein, Joseph G Ouslander, Muta Issa, Kathryn L Burgio
PURPOSE: Nocturia and sleep problems are common in older adults. We developed and tested a novel intervention, multicomponent behavioral treatment and exercise therapy (M-BET), that may reduce nocturia and improve sleep in men. We compared reductions in nocturia and improvement in sleep in men with M-BET versus an active drug comparator (α-blocker) used alone or in combination (M-BET + α-blocker) METHODS: This randomized, controlled trial was conducted in the ambulatory setting in 2 US Department of Veterans Affairs medical centers in men at least 40 years of age with nocturia (defined as ≥2 nightly episodes)...
October 28, 2016: Clinical Therapeutics
https://www.readbyqxmd.com/read/28010994/pelvic-floor-muscle-training-for-secondary-prevention-of-pelvic-organ-prolapse-prevprol-a-multicentre-randomised-controlled-trial
#3
Suzanne Hagen, Cathryn Glazener, Doreen McClurg, Christine Macarthur, Andrew Elders, Peter Herbison, Don Wilson, Philip Toozs-Hobson, Christine Hemming, Jean Hay-Smith, Marissa Collins, Sylvia Dickson, Janet Logan
BACKGROUND: Pelvic floor muscle training can reduce prolapse severity and symptoms in women seeking treatment. We aimed to assess whether this intervention could also be effective in secondary prevention of prolapse and the need for future treatment. METHODS: We did this multicentre, parallel-group, randomised controlled trial at three centres in New Zealand and the UK. Women from a longitudinal study of pelvic floor function after childbirth were potentially eligible for inclusion...
December 20, 2016: Lancet
https://www.readbyqxmd.com/read/27935011/electrical-stimulation-with-non-implanted-electrodes-for-overactive-bladder-in-adults
#4
REVIEW
Fiona Stewart, Luis F Gameiro, Regina El Dib, Monica O Gameiro, Anil Kapoor, Joao L Amaro
BACKGROUND: Several options exist for managing overactive bladder (OAB), including electrical stimulation (ES) with non-implanted devices, conservative treatment and drugs. Electrical stimulation with non-implanted devices aims to inhibit contractions of the detrusor muscle, potentially reducing urinary frequency and urgency. OBJECTIVES: To assess the effects of ES with non-implanted electrodes for OAB, with or without urgency urinary incontinence, compared with: placebo or any other active treatment; ES added to another intervention compared with the other intervention alone; different methods of ES compared with each other...
December 9, 2016: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/27875777/does-pelvic-floor-muscle-contraction-early-after-delivery-cause-perineal-pain-in-postpartum-women
#5
Hedwig Neels, Stefan De Wachter, Jean-Jacques Wyndaele, Michel Wyndaele, Alexandra Vermandel
OBJECTIVE: Pelvic floor muscle training is effective and necessary in the prevention and treatment of pelvic floor dysfunction during pregnancy and after childbirth. But because of the high prevalence of perineal pain observed in women after childbirth, many women and caregivers fear to start pelvic floor muscle training immediately after childbirth. However, it is unknown whether pelvic floor muscle contractions (PFMC) provoke perineal pain in women shortly after childbirth. Therefore, the main objective is to study whether PFMC performed immediately after childbirth is painful or not...
January 2017: European Journal of Obstetrics, Gynecology, and Reproductive Biology
https://www.readbyqxmd.com/read/27819750/female-urinary-incontinence-and-sexuality
#6
Renato Lains Mota
Urinary incontinence is a common problem among women and it is estimated that between 15 and 55% of them complain of lower urinary symptoms. The most preva¬lent form of urinary incontinence is associated with stress, followed by mixed urinary incontinence and urge urinary incontinence. It is a symptom with several effects on quality of life of women mainly in their social, familiar and sexual domains. Female reproductive and urinary systems share anatomical structures, which promotes that urinary problems interfere with sexual function in females...
November 2, 2016: International Braz J Urol: Official Journal of the Brazilian Society of Urology
https://www.readbyqxmd.com/read/27802008/percutaneous-tibial-nerve-stimulation-versus-electrical-stimulation-with-pelvic-floor-muscle-training-for-overactive-bladder-syndrome-in-women-results-of-a-randomized-controlled-study
#7
Carlo Vecchioli Scaldazza, Carolina Morosetti, Rosita Giampieretti, Rossana Lorenzetti, Marinella Baroni
INTRODUCTION: This study compared percutaneous tibial nerve stimulation (PTNS) versus electrical stimulation with pelvic floor muscle training (ES + PFMT) in women with overactive bladder syndrome (OAB). MATERIALS AND METHODS: 60 women with OAB were enrolled. Patients were randomized into two groups. In group A, women underwent ES with PFMT, in group B women underwent PTNS. RESULTS: A statistically significant reduction in the number of daily micturitions, episo¬des of nocturia and urge incontinence was found in the two groups but the difference was more substantial in women treated with PTNS; voided volume increased in both groups...
November 2, 2016: International Braz J Urol: Official Journal of the Brazilian Society of Urology
https://www.readbyqxmd.com/read/27794169/evaluation-of-pelvic-floor-muscle-activity-during-running-in-continent-and-incontinent-women-an-exploratory-study
#8
Monika Leitner, Helene Moser, Patric Eichelberger, Annette Kuhn, Lorenz Radlinger
AIMS: Impact activities like running are known to elicit symptoms of stress urinary incontinence (SUI). The aim of this study was to investigate and compare pelvic floor muscle activity in continent and SUI women during running at three different speeds and thereby elucidate contraction characteristics of the pelvic floor during impact. METHODS: Surface electromyographic (EMG) activity from the pelvic floor muscles during running on a treadmill was recorded with a tripolar vaginal probe...
October 29, 2016: Neurourology and Urodynamics
https://www.readbyqxmd.com/read/27787476/determining-the-posture-and-vibration-frequency-that-maximize-pelvic-floor-muscle-activity-during-whole-body-vibration
#9
Juhyun Lee, Kyeongjin Lee, Changho Song
BACKGROUND The aim of this study was to investigate the electromyogram (EMG) response of pelvic floor muscle (PFM) to whole-body vibration (WBV) while using different body posture and vibration frequencies. MATERIAL AND METHODS Thirteen healthy adults (7 men, 6 women) voluntarily participated in this cross-sectional study in which EMG data from PFM were collected in a total of 12 trials for each subject (4 body postures, 3 vibration frequencies). Pelvic floor EMG activity was recorded using an anal probe. The rating of perceived exertion (RPE) was assessed with a modified Borg scale...
October 27, 2016: Medical Science Monitor: International Medical Journal of Experimental and Clinical Research
https://www.readbyqxmd.com/read/27742879/exercise-behaviors-and-health-conditions-of-runners-after-childbirth
#10
Liga Blyholder, Elizabeth Chumanov, Kathleen Carr, Bryan Heiderscheit
BACKGROUND: With a recent increase in running popularity, more women choose to run during and after pregnancy. Little research has examined exercise behaviors and postpartum health conditions of runners. HYPOTHESIS: Antenatal and postpartum exercise is beneficial in reducing certain postpartum health conditions. STUDY DESIGN: Cross-sectional study. LEVEL OF EVIDENCE: Level 5. METHODS: A self-administered, online survey was developed that consisted of questions regarding antenatal and postpartum exercise behaviors, maternal history, and postpartum health conditions...
October 14, 2016: Sports Health
https://www.readbyqxmd.com/read/27650174/effectiveness-of-pelvic-physiotherapy-in-children-with-functional%C3%A2-constipation-compared-with-standard-medical-care
#11
Marieke L van Engelenburg-van Lonkhuyzen, Esther M J Bols, Marc A Benninga, Wim A Verwijs, Rob A de Bie
BACKGROUND & AIMS: Functional constipation (FC) is a common childhood problem often related to pelvic floor muscle dysfunction. We compared the effectiveness of pelvic physiotherapy (PPT) vs standard medical care (SMC) in children with FC. METHODS: We performed a multicenter randomized controlled trial of 53 children (age, 5-16 y) with FC according to the Rome III criteria, at hospitals in The Netherlands from December 2009 to May 2014. Group allocation was concealed using a central computer system...
January 2017: Gastroenterology
https://www.readbyqxmd.com/read/27636211/efficacy-of-femiscan-pelvic-floor-therapy-for-the-treatment-of-urinary-incontinence
#12
Shimon Segal, Abraham Morse, Purnima Sangal, Nathan Hirsch, Neeraj Kohli
OBJECTIVES: Pelvic floor muscle training can be effective in alleviating urinary incontinence; however, women need instruction, motivation, and feedback to gain optimal benefit from pelvic rehabilitation. The Food and Drug Administration-approved FemiScan Pelvic Floor Therapy System uses office electromyography and an in-home programmable device to provide training, motivation, and feedback between office visits. This study was undertaken to document the outcomes of women who completed an MD-supervised program using the FemiScan Pelvic Floor Therapy System...
September 16, 2016: Female Pelvic Medicine & Reconstructive Surgery
https://www.readbyqxmd.com/read/27613622/pelvic-floor-muscle-training-in-groups-versus-individual-or-home-treatment-of-women-with-urinary-incontinence-systematic-review-and-meta-analysis
#13
Luciana Laureano Paiva, Lia Ferla, Caroline Darski, Bruna Maciel Catarino, José Geraldo Lopes Ramos
INTRODUCTION AND HYPOTHESIS: Urinary Incontinence (UI) in women is a condition that becomes more common with age. Pelvic floor muscle training (PFMT) is recommended as a first option of treatment for women with symptoms of stress urinary incontinence (SUI), mixed urinary incontinence (MUI), and for some with symptoms of urge urinary incontinence (UUI). PFMT can be performed in groups, individually, and at home, and there is no consensus as to which of the approaches is more efficient for the conservative treatment of UI...
September 9, 2016: International Urogynecology Journal
https://www.readbyqxmd.com/read/27611958/mobile-app-for-treatment-of-stress-urinary-incontinence-a-randomized-controlled-trial
#14
Ina Asklund, Emma Nyström, Malin Sjöström, Göran Umefjord, Hans Stenlund, Eva Samuelsson
AIMS: To evaluate the effect of a mobile app treatment for stress urinary incontinence (SUI) in women. METHODS: Randomized controlled trial, conducted 2013-2014 in Sweden. Community-dwelling adult women with ≥1 SUI episode/week recruited through our website and randomized to app treatment (n = 62) or control group (postponed treatment, n = 61). One participant from each group was lost to follow-up. Intervention was the mobile app Tät(®) with a treatment program focused on pelvic floor muscle training (PFMT), and information about SUI and lifestyle factors...
September 9, 2016: Neurourology and Urodynamics
https://www.readbyqxmd.com/read/27596267/experiences-of-incontinence-and-pelvic-floor-muscle-training-after-gynaecologic-cancer-treatment
#15
Anna Lindgren, G Dunberger, A Enblom
PURPOSE: The purpose of the present study is to describe how gynaecological cancer survivors (GCS) experience incontinence in relation to quality of life, their possibilities for physical activity and exercise and their perceptions and experiences of pelvic floor muscle training. METHOD: This qualitative interview content analysis study included 13 women (48-82 age) with urinary (n = 10) or faecal (n = 3) incontinence after radiation therapy (n = 2), surgery (n = 5) and surgery and radiation therapy (n = 6) for gynaecological cancer, 0...
January 2017: Supportive Care in Cancer: Official Journal of the Multinational Association of Supportive Care in Cancer
https://www.readbyqxmd.com/read/27587802/movement-system-impairment-guided-approach-to-the-physical-therapist-treatment-of-a-patient-with-postpartum-pelvic-organ-prolapse-and-mixed-urinary-incontinence-case-report
#16
Jenny Kurz, Diane Borello-France
BACKGROUND AND PURPOSE: Women with postpartum pelvic organ prolapse (POP) and urinary incontinence are often treated by physical therapists specializing in women's health. Movement system impairments often coexist in this patient population. The purpose of this case report is to describe the physical therapist treatment of a woman with postpartum POP complicated by additional pelvic symptoms. CASE DESCRIPTION: A 31-year-old woman presented with postpartum POP, diastasis recti, urinary incontinence, and constipation...
September 1, 2016: Physical Therapy
https://www.readbyqxmd.com/read/27564290/training-through-gametherapy-promotes-coactivation-of-the-pelvic-floor-and-abdominal-muscles-in-young-women-nulliparous-and-continents
#17
Valeria Regina Silva, Cássio Luis Zanettini Riccetto, Natalia Miguel Martinho, Joseane Marques, Leonardo Cesar Carvalho, Simone Botelho
INTRODUCTION AND OBJECTIVES: several studies have been investigated co-activation can enhance the effectveness of PFM training protocols allowing preventive and therapeutic goals in pelvic floor dysfunctions. The objective of the present study was to investigate if an abdominal-pelvic protocol of training (APT) using gametherapy would allow co-activation of PFM and transversus abdominis/oblique internal (TrA/OI) muscles. PATIENTS AND METHODS: Twenty-five nulliparous, continent, young females, with median age 24...
July 2016: International Braz J Urol: Official Journal of the Brazilian Society of Urology
https://www.readbyqxmd.com/read/27557074/-incontinence-etiology-diagnostics-and-therapy
#18
Thomas Frieling
Fecal incontinence is defined by the unintentional loss of solid or liquid stool, and anal incontinence includes leakage of gas and / or fecal incontinence. Anal-fecal incontinence is not a diagnosis but a symptom. Many patients hide the problem from their families, friends, and even their doctors. Epidemiologic studies indicate a prevalence between 7-15 %, up to 30 % in hospitals and up to 70 % in longterm care settings. Anal-fecal incontinence causes a significant socio-economic burden. There is no widely accepted approach for classifying anal-fecal incontinence available...
August 2016: Deutsche Medizinische Wochenschrift
https://www.readbyqxmd.com/read/27524737/a-comparative-study-of-transcutaneous-interferential-electrical-stimulation-plus-behavioral-therapy-and-behavioral-therapy-alone-on-constipation-in-postoperative-hirschsprung-disease-children
#19
Seyedeh-Sanam Ladi-Seyedian, Lida Sharifi-Rad, Navid Manouchehri, Bahar Ashjaei
PURPOSE: We assessed the effectiveness of transcutaneous interferential (IF) electrical stimulation on constipation in postoperative Hirschsprung's disease (HD) patients. METHODS: Thirty HD children (18 boys and 12 girls) with constipation who had no surgical complication were enrolled and then randomly divided into two treatment groups. The control group underwent only behavioral therapy comprising high fiber diet, hydration, toilet training and pelvic floor muscles exercises while; the IF group underwent behavioral therapy plus IF electrical stimulation...
January 2017: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/27504918/effectiveness-and-cost-effectiveness-of-pessary-treatment-compared-with-pelvic-floor-muscle-training-in-older-women-with-pelvic-organ-prolapse-2-year-follow-up-of-a-randomized-controlled-trial-in-primary-care
#20
Chantal M C R Panman, Marian Wiegersma, Boudewijn J Kollen, Marjolein Y Berger, Yvonne Lisman-van Leeuwen, Karin M Vermeulen, Janny H Dekker
OBJECTIVE: We investigated the effectiveness and cost-effectiveness of pessary treatment compared with pelvic floor muscle training (PFMT) in women with pelvic organ prolapse over a 2-year period. METHODS: Randomized controlled trial with women (≥55 y) with symptomatic pelvic organ prolapse, identified by screening. Participants were recruited from 20 primary care practices (October 2009-December 2012). Primary outcome was the difference in change of pelvic floor symptoms (PFDI-20 score) between groups over 24 months...
December 2016: Menopause: the Journal of the North American Menopause Society
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