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https://www.readbyqxmd.com/read/27875777/does-pelvic-floor-muscle-contraction-early-after-delivery-cause-perineal-pain-in-postpartum-women
#1
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...
November 11, 2016: European Journal of Obstetrics, Gynecology, and Reproductive Biology
https://www.readbyqxmd.com/read/27819750/female-urinary-incontinence-and-sexuality
#2
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
#3
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
#4
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
#5
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
#6
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-constipation-compared-with-standard-medical-care
#7
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...
September 17, 2016: Gastroenterology
https://www.readbyqxmd.com/read/27636211/efficacy-of-femiscan-pelvic-floor-therapy-for-the-treatment-of-urinary-incontinence
#8
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/27634090/effects-of-achilles-tendon-vibration-surface-and-visual-conditions-on-lower-leg-electromyography-in-young-adults-with-and-without-recurrent-ankle-sprains
#9
Anat V Lubetzky, Robert Price, Sarah W McCoy
Functional ankle instability is associated with decreased ankle muscle function. Compliant surfaces and eyes-closed training are commonly used for rehabilitation and prevention of ankle sprains. Brief Achilles tendon vibration is commonly used in the study of postural control. To test the level of activation of tibialis anterior (TIB) and fibularis longus (FIB), bilateral Achilles tendon vibration was applied for the middle 20 s in a series of 60-s trials, when 10 healthy young adults and 10 adults with history of repeated ankle sprains were standing bipedal: on floor, on memory foam, or on a Both Sides Up (BOSU) ball, with eyes open, and on floor and foam with eyes closed...
July 2016: Journal of Bodywork and Movement Therapies
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
#10
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
#11
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
#12
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/a-movement-system-impairment-guided-approach-to-the-physical-therapy-management-of-a-patient-with-postpartum-pelvic-organ-prolapse-and-mixed-urinary-incontinence-a-case-report
#13
Jenny Kurz, Diane Borello-France
BACKGROUND AND PURPOSE: Postpartum women with pelvic organ prolapse (POP) and urinary incontinence (UI) are often managed by physical therapists specializing in women's health. Movement system impairments often co-exist in this patient population. The purpose of this case study was to describe the physical therapy management of a post-partum female with POP complicated by additional pelvic symptoms. CASE DESCRIPTION: A 31-year-old post-partum female presented with POP, diastasis recti, UI, 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
#14
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
#15
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
#16
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...
July 27, 2016: 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
#17
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
https://www.readbyqxmd.com/read/27498209/physical-therapy-in-the-treatment-of-central-pain-mechanisms-for-female-sexual-pain
#18
Carolyn Vandyken, Sandra Hilton
INTRODUCTION: The complexity of female sexual pain requires an interdisciplinary approach. Physical therapists trained in pelvic health conditions are well positioned to be active members of an interdisciplinary team addressing the assessment and treatment of female sexual pain. Changes within physical therapy practice in the last ten years have resulted in significant utilization of pelvic floor muscle relaxation and manual therapy techniques to address a variety of pelvic pain conditions, including female sexual pain...
August 3, 2016: Sexual Medicine Reviews
https://www.readbyqxmd.com/read/27453154/improving-biofeedback-for-the-treatment-of-fecal-incontinence-in-women-implementation-of-a-standardized-multi-site-manometric-biofeedback-protocol
#19
A D Markland, J E Jelovsek, W E Whitehead, D K Newman, U U Andy, K Dyer, I Harm-Ernandes, S Cichowski, J McCormick, C Rardin, G Sutkin, A Shaffer, S Meikle
BACKGROUND: Standardized training and clinical protocols using biofeedback for the treatment of fecal incontinence (FI) are important for clinical care. Our primary aims were to develop, implement, and evaluate adherence to a standardized protocol for manometric biofeedback to treat FI. METHODS: In a Pelvic Floor Disorders Network (PFDN) trial, participants were enrolled from eight PFDN clinical centers across the United States. A team of clinical and equipment experts developed biofeedback software on a novel tablet computer platform for conducting standardized anorectal manometry with separate manometric biofeedback protocols for improving anorectal muscle strength, sensation, and urge resistance...
July 24, 2016: Neurogastroenterology and Motility: the Official Journal of the European Gastrointestinal Motility Society
https://www.readbyqxmd.com/read/27437716/the-effects-of-training-by-virtual-reality-or-gym-ball-on-pelvic-floor-muscle-strength-in-postmenopausal-women-a-randomized-controlled-trial
#20
Natalia M Martinho, Valéria R Silva, Joseane Marques, Leonardo C Carvalho, Denise H Iunes, Simone Botelho
OBJECTIVE: To evaluate the effectiveness of abdominopelvic training by virtual reality compared to pelvic floor muscle training (PFMT) using a gym ball (a previously tested and efficient protocol) on postmenopausal women's pelvic floor muscle (PFM) strength. METHOD: A randomized controlled trial was conducted with 60 postmenopausal women, randomly allocated into two groups: Abdominopelvic training by virtual reality - APT_VR (n=30) and PFMT using a gym ball - PFMT_GB (n=30)...
March 22, 2016: Brazilian Journal of Physical Therapy
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