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Pelvic floor muscle

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https://www.readbyqxmd.com/read/28812109/vibratory-perineal-stimulation-for-the-treatment-of-female-stress-urinary-incontinence-a-systematic-review
#1
Marina Petter Rodrigues, Luciana Laureano Paiva, José Geraldo Lopes Ramos, Lia Ferla
INTRODUCTION AND HYPOTHESIS: The pelvic floor muscles (PFM) play an important part in the urinary continence mechanism. Changes in their structure and functionality may lead to a predisposition to pelvic floor dysfunction such as urinary incontinence (UI), which is the involuntary loss of urine. Some techniques for conservative treatment of UI are already well documented. However, new approaches have been found that require scientific proof of their effectiveness, such as vibratory stimulation (VS)...
August 15, 2017: International Urogynecology Journal
https://www.readbyqxmd.com/read/28807359/physical-therapy-for-fecal-incontinence-in-children-with-pelvic-floor-dyssynergia
#2
Swathi Muddasani, Amanda Moe, Caitlin Semmelrock, Caroyl Luan Gilbert, Valentine Enemuo, Eric Howard Chiou, Bruno Pedro Chumpitazi
OBJECTIVES: To determine the efficacy of physical therapy (PT) for fecal incontinence in children with pelvic floor dyssynergia (PFD). STUDY DESIGN: Retrospective chart review of children with PFD completing >1 PT session for fecal incontinence at a quaternary children's hospital. The frequency of fecal incontinence (primary outcome), constipation-related medication use, number of bowel movements (in those with <3 per week at baseline) and pelvic floor muscle (PFM) function were captured at baseline and at the final PT visit...
August 11, 2017: Journal of Pediatrics
https://www.readbyqxmd.com/read/28801034/impact-of-pelvic-floor-muscle-training-on-sexual-function-of-women-with-urinary-incontinence-and-a-comparison-of-electrical-stimulation-versus-standard-treatment-ipsu-trial-a-randomised-controlled-trial
#3
Swati Jha, Stephen J Walters, Oscar Bortolami, Simon Dixon, Abualbishr Alshreef
AIMS: To evaluate the clinical and cost-effectiveness of electric stimulation plus standard pelvic floor muscle training compared to standard pelvic floor muscle training alone in women with urinary incontinence and sexual dysfunction. METHODS: Single centre two arm parallel group randomised controlled trial conducted in a Teaching hospital in England. Participants were women presenting with urinary incontinence and sexual dysfunction. The interventions compared were electric stimulation versus standard pelvic floor muscle training...
June 23, 2017: Physiotherapy
https://www.readbyqxmd.com/read/28791223/overactive-pelvic-floor-muscles-opfm-improving-diagnostic-accuracy-with-clinical-examination-and-functional-studies
#4
Hau Choong Aw, Weranja Ranasinghe, Philip Huang Min Tan, Helen E O'Connell
BACKGROUND: To identify the functional correlation of overactive pelvic floor muscles (OPFM) with cystoscopic and fluoroscopic urodynamic studies (FUDS), including urethral pressure measurements. METHODS: Patients refractory to conservative therapy including bladder retraining, medications and pelvic muscle exercises for a variety of gamut of storage and voiding disorders were evaluated. Prospective data for 201 patients across both genders who underwent flexible cystoscopy and urodynamics for lower urinary tract symptoms (LUTS) refractory to conservative management between 01 Jan 2014 and 01 Jan 2016 was collected...
July 2017: Translational Andrology and Urology
https://www.readbyqxmd.com/read/28762694/pelvic-organ-prolapse
#5
REVIEW
Cheryl B Iglesia, Katelyn R Smithling
Pelvic organ prolapse is the descent of one or more of the anterior vaginal wall, posterior vaginal wall, the uterus (cervix), or the apex of the vagina (vaginal vault or cuff scar after hysterectomy). Prevalence increases with age. The cause of prolapse is multifactorial but is primarily associated with pregnancy and vaginal delivery, which lead to direct pelvic floor muscle and connective tissue injury. Hysterectomy, pelvic surgery, and conditions associated with sustained episodes of increased intra-abdominal pressure, including obesity, chronic cough, constipation, and repeated heavy lifting, also contribute to prolapse...
August 1, 2017: American Family Physician
https://www.readbyqxmd.com/read/28762553/evaluation-of-pelvic-floor-muscle-strength-and-its-correlation-with-sexual-function-in-primigravid-and-non-pregnant-women-a-cross-sectional-study
#6
Marília Duarte Santos, Vanessa Pinho Palmezoni, Luiza Torelli, Vanessa Santos Pereira Baldon, Marair Gracio Ferreira Sartori, Ana Paula Magalhães Resende
AIMS: We aimed to compare pelvic floor muscle (PFM) strength and sexual function in primigravid and non-pregnant women and compare PFM strength between those who exhibited and did not exhibit sexual dysfunction. METHODS: A cross-sectional observational study was conducted. The sample consisted of 154 women, including 76 primigravid and 78 non-pregnant women. The inclusion criteria were as follows: non-pregnant nulliparous women or primigravid women who were pregnant with a single foetus at least 14 weeks of gestational age and reported having sexual intercourse at least once during the last 4 weeks...
August 1, 2017: Neurourology and Urodynamics
https://www.readbyqxmd.com/read/28745804/postprostatectomy-incontinence-is-related-to-pelvic-floor-displacements-observed-with-trans-perineal-ultrasound-imaging
#7
Ryan E Stafford, Wolbert van den Hoorn, Geoff Coughlin, Paul W Hodges
AIMS: To investigate the relationship between post-prostatectomy incontinence and dynamic features of activation of specific pelvic floor muscles in addition to anatomical parameters of the urethra. METHODS: Forty-two men aged 66 (7) years (incontinent [N = 19] and continent [N = 23]) who had undergone prostatectomy participated. Transperineal ultrasound imaging was used to record sagittal images of pelvic structures during involuntary coughing and sustained maximal voluntary contractions...
July 26, 2017: Neurourology and Urodynamics
https://www.readbyqxmd.com/read/28744060/effects-of-physiotherapy-treatment-for-urinary-incontinence-in-patient-with-multiple-sclerosis
#8
Carla Maria de Abreu Pereira, Mariane Castiglione, Karina Tamy Kasawara
[Purpose] The aim of the study was to evaluate the benefits of physical therapy for urinary incontinence in patients with multiple sclerosis and to verify the impact of urinary incontinence on the patient's quality of life. [Subject and Methods] A case study of a 55-year-old female patient diagnosed with multiple sclerosis and mixed urinary incontinence was conducted. Physical therapy sessions were conducted once a week, in total 15 sessions, making use of targeted functional electrical vaginal stimulation, along with active exercises for the pelvic floor muscles and electrical stimulation of the posterior tibial nerve, behavioral rehabilitation and exercise at home...
July 2017: Journal of Physical Therapy Science
https://www.readbyqxmd.com/read/28738443/urethral-injection-therapy-for-urinary-incontinence-in-women
#9
REVIEW
Vivienne Kirchin, Tobias Page, Phil E Keegan, Kofi Om Atiemo, June D Cody, Samuel McClinton, Patricia Aluko
BACKGROUND: Urinary incontinence imposes a significant health and economic burden to society. Periurethral or transurethral injection of bulking agents is a minimally invasive surgical procedure used as one the surgical treatments of stress urinary incontinence (SUI) in adult women. OBJECTIVES: To assess the effects of periurethral or transurethral injection therapy on the cure or improvement of urinary incontinence in women. SEARCH METHODS: We searched the Cochrane Incontinence Group Specialised Trials Register (searched 8 November 2010) and the reference lists of relevant articles...
July 25, 2017: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/28730167/the-clinical-characteristics-of-patients-with-chronic-idiopathic-anal-pain
#10
Weiming Mao, Xiujun Liao, Wenjing Wu, Yanyan Yu, Guangen Yang
The aim of this study was to investigate the clinical characteristics, treatment outcomes and psychological distress in patients with chronic idiopathic anal pain. The study was conducted on patients referred to Hangzhou Third Hospital for chronic anal pain from January, 2010 to December, 2014. Patient demographics, clinical history, anorectal physiology, and radiological imaging data were recorded for all patients. The treatment outcome was noted for patients treated and followed up for more than 6 month at the present unit...
2017: Open Medicine (Warsaw, Poland)
https://www.readbyqxmd.com/read/28727649/variables-affecting-intra-abdominal-pressure-during-lifting-in-the-early-postpartum-period
#11
Yvonne Hsu, Robert Hitchcock, Stefan Niederauer, Ingrid E Nygaard, Janet M Shaw, Xiaoming Sheng
OBJECTIVES: Intra-abdominal pressure (IAP) may contribute to pelvic floor health, although the direction and magnitude of such an effect, if any, are not yet known. Identifying individual characteristics, and in particular modifiable factors, associated with higher IAP during recovery from vaginal childbirth might serve to mitigate early pelvic floor dysfunction. The aim of this study was to identify characteristics associated with maximal IAP during lifting in postpartum primiparous women who delivered vaginally...
July 20, 2017: Female Pelvic Medicine & Reconstructive Surgery
https://www.readbyqxmd.com/read/28725596/utility-of-trigger-point-injection-as-an-adjunct-to-physical-therapy-in-men-with-chronic-prostatitis-chronic-pelvic-pain-syndrome
#12
Nicholas N Tadros, Anup B Shah, Daniel A Shoskes
BACKGROUND: Chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS) is often associated with pelvic floor muscle spasm. While pelvic floor physical therapy (PFPT) is effective, some men are unable to resolve their symptoms and have residual trigger points (TPs). TP injection has been used for treatment in several neuromuscular pain syndromes. The objective of this study was to examine the efficacy and side effects of TP injection in men with CP/CPPS and pelvic floor spasm refractory to PT...
June 2017: Translational Andrology and Urology
https://www.readbyqxmd.com/read/28723370/evaluation-and-management-of-postprostatectomy-incontinence-a-systematic-review-of-current-literature
#13
REVIEW
Alexander Kretschmer, Wilhelm Hübner, Jaspreet S Sandhu, Ricarda M Bauer
CONTEXT: Radical prostatectomy is the most common reason for male stress urinary incontinence. There is still uncertainty about its diagnostic and therapeutic management. OBJECTIVE: To evaluate current evidence regarding the diagnosis and therapy of postprostatectomy incontinence (PPI). EVIDENCE ACQUISITION: A systematic review of the literature was performed in October 2015 using the Medline database. EVIDENCE SYNTHESIS: Diagnosis and conservative treatment of PPI are currently mostly based on expert opinions...
August 2016: European Urology Focus
https://www.readbyqxmd.com/read/28718223/self-management-of-stress-urinary-incontinence-via-a-mobile-app-2-year-follow-up-of-a-randomized-controlled-trial
#14
Victoria Hoffman, Lars Söderström, Eva Samuelsson
We investigated the long-term effects of using a mobile app to treat stress urinary incontinence with a focus on pelvic floor muscle training (PFMT) MATERIAL AND METHODS: A previous randomized controlled trial of 123 women aged 27-72 years found that 3 months of self-managing stress urinary incontinence with support from the Tät(®) app was effective. We followed-up the women in the app group (n=62) two years after the initial trial with the same primary outcomes for symptom severity (International Consultation on Incontinence Questionnaire Short Form [ICIQ-UI SF]) and condition-specific quality of life (ICIQ-Lower Urinary Tract Symptom Quality of Life [ICIQ-LUTSqol]) and compared the scores with those at baseline RESULTS: Of the 62 women, 61 and 46 (75...
July 17, 2017: Acta Obstetricia et Gynecologica Scandinavica
https://www.readbyqxmd.com/read/28716538/reliability-of-pelvic-floor-muscle-electromyography-tested-on-healthy-women-and-women-with-pelvic-floor-muscle-dysfunction
#15
Irene Koenig, Helena Luginbuehl, Lorenz Radlinger
OBJECTIVES: Electromyography (EMG) is a well-established method to quantify the relative pelvic floor muscle (PFM) activity. PFM EMG has shown good reliability in healthy women. However, its reliability has not been tested in women with PFM dysfunction. The reliability of EMG analysis methods concerning EMG normalization needs to be determined to assess specific therapeutic interventions. Therefore, the aim of this study was to investigate the intra-session reliability of PFM EMG variables by using 3 different analysis methods in women with PFM dysfunction...
July 14, 2017: Annals of Physical and Rehabilitation Medicine
https://www.readbyqxmd.com/read/28702446/comparison-of-abdominal-muscle-activity-during-abdominal-drawing-in-maneuver-combined-with-irradiation-variations
#16
Young-In Hwang, Du-Jin Park
Many experts have used an indirect method for enhancing strength and performance of muscles in clinical practice. The indirect method, which called an irradiation is a basic procedure of proprioceptive neuromuscular facilitation, there is little research related the effects of irradiation. This study investigated abdominal muscle activity during abdominal drawing-in maneuver (ADIM) combined with irradiation variations. The study recruited 42 healthy, young adults who were divided randomly into three groups according to which intervention they received...
June 2017: Journal of Exercise Rehabilitation
https://www.readbyqxmd.com/read/28700456/obesity-and-pelvic-organ-prolapse
#17
Una J Lee, Manon H Kerkhof, Sanne A van Leijsen, John P Heesakkers
PURPOSE OF REVIEW: The purpose of this review is to review the data on the relationship of obesity and pelvic organ prolapse (POP). This review is timely and relevant as the prevalence of obesity is increasing worldwide, and it is an important risk factor to consider in counseling women on management of prolapse symptoms and outcomes for surgical treatment. RECENT FINDINGS: The main findings in the literature include: Obesity is increasing worldwide and impacts health, social life, work and healthcare costs...
September 2017: Current Opinion in Urology
https://www.readbyqxmd.com/read/28699402/the-management-of-episiotomy-technique-and-its-effect-on-pelvic-floor-muscles-during-a-malposition-childbirth
#18
Dulce A Oliveira, Marco P L Parente, Begoña Calvo, Teresa Mascarenhas, Renato M Natal Jorge
Vaginal childbirth is the leading cause of pelvic floor muscles injury, which contributes to pelvic floor dysfunction, being enhanced by fetal malposition. Therefore, the aim of the present study is to verify the influence of mediolateral episiotomies in the mechanics of the pelvic floor with the fetus in occiput posterior position when compared to the occiput anterior position. Numerical simulations of vaginal deliveries, with and without episiotomy, are performed based on the Finite Element Method. The biomechanical model includes the pelvic floor muscles, a surface to delimit the anterior region of the birth canal and a fetus...
August 2017: Computer Methods in Biomechanics and Biomedical Engineering
https://www.readbyqxmd.com/read/28696484/vaginal-changes-due-to-varying-degrees-of-rectocele-prolapse-a-computational-study
#19
Arnab Chanda, Isuzu Meyer, Holly E Richter, Mark E Lockhart, Fabia R D Moraes, Vinu U Unnikrishnan
Pelvic organ prolapse (POP), downward descent of the pelvic organs resulting in a protrusion of the vagina, is a highly prevalent condition, responsible for 300,000 surgeries in the United States annually. Rectocele, a posterior vaginal wall prolapse of the rectum is the second most common type of POP after cystocele. A rectocele usually manifests itself along with other types of prolapse with multi-compartment pelvic floor defects. To date, the specific mechanics of rectocele formation are poorly understood, which does not allow its early stage detection and progression prediction over time...
July 11, 2017: Journal of Biomechanical Engineering
https://www.readbyqxmd.com/read/28686982/efficacy-of-biofeedback-on-quality-of-life-in-stages-i-and-ii-pelvic-organ-prolapse-a-pilot-study
#20
Tannaz Ahadi, Neda Taghvadoost, Soheila Aminimoghaddam, Bijan Forogh, Roxana Bazazbehbahani, Gholam Reza Raissi
OBJECTIVES: Pelvic organ prolapse (POP) is a prevalent disorder which seriously affects the sufferer's quality of life. The main goal of this study was to evaluate biofeedback impact on quality of life in women with mild to moderate POP. STUDY DESIGN: 40 females in stages I and II POP were allocated into 2 groups. One group received pelvic floor muscle exercise and lifestyle advice in addition to biofeedback twice a week for 4 weeks, while the other received a lifestyle advice sheet and pelvic floor muscle exercise without biofeedback...
June 16, 2017: European Journal of Obstetrics, Gynecology, and Reproductive Biology
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