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Pelvic floor muscle

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https://www.readbyqxmd.com/read/28624919/physical-activity-and-pelvic-floor-muscle-training-in-patients-with-pelvic-organ-prolapse-a-pilot-study
#1
Mifuka Ouchi, Kumiko Kato, Momokazu Gotoh, Shigeyuki Suzuki
INTRODUCTION AND HYPOTHESIS: The details of the physical activity in patients with mild to moderate pelvic organ prolapse (Pmoderate pelvic organ prolapse (POP) remain under-studied. The purpose of the present study was to investigate objective physical activity levels and the changes in pelvic floor muscle(PFM) strength, symptoms and quality of life (QOL) between before and after PFM training (PFMT) in patients with POP. METHODS: In a prospective pilot study, 29 patients with stage II or III POP completed approximately 16 weeks of PFMT...
June 17, 2017: International Urogynecology Journal
https://www.readbyqxmd.com/read/28624916/interethnic-variation-in-pelvic-floor-morphology-in-women-with-symptomatic-pelvic-organ-prolapse
#2
Zeelha Abdool, Hans Peter Dietz, Barend Gerhardus Lindeque
INTRODUCTION AND HYPOTHESIS: There is a lack of epidemiological studies evaluating female pelvic organ prolapse in developing countries. Current studies have largely focused on women of white ethnicity. This study was designed to determine interethnic variation in pelvic floor functional anatomy, namely, levator hiatal distensibility and pelvic organ descent, in women with symptomatic pelvic organ prolapse in a multi-ethnic South African population. METHODS: This prospective observational study included 258 consecutive women referred for pelvic organ prolapse assessment and management at a tertiary urogynaecological clinic...
June 17, 2017: International Urogynecology Journal
https://www.readbyqxmd.com/read/28620795/levator-ani-defects-and-the-severity-of-symptoms-in-women-with-anterior-compartment-pelvic-organ-prolapse
#3
Sissel H Oversand, Anne C Staff, Leiv Sandvik, Ingrid Volløyhaug, Rune Svenningsen
INTRODUCTION AND HYPOTHESIS: The aims of this study were to evaluate the prevalence of levator ani muscle (LAM) avulsions in a selected cohort of patients with primary anterior compartment pelvic organ prolapse (POP) and to assess whether LAM avulsions, as an independent factor, affect the degree of POP symptoms and sexual dysfunction. Additionally, clinical and demographic variables of women with and those without avulsions were compared. METHODS: We carried out a cross-sectional analysis of a prospective cohort study including 197 women scheduled for anterior compartment POP surgery...
June 15, 2017: International Urogynecology Journal
https://www.readbyqxmd.com/read/28616109/the-management-of-mixed-urinary-incontinence-in-women
#4
REVIEW
Blayne Welk, Richard J Baverstock
Mixed urinary incontinence is a common diagnosis among women with urinary leakage and is often present in women who are unable to characterize their incontinence. Research and optimized clinical treatment of these patients is limited by the challenges in objectively defining and stratifying this population. The evaluation of these patients should follow the same general principles as any assessment of any women with incontinence; however, it is essential to define whether urge or stress incontinence is the predominant symptom...
June 2017: Canadian Urological Association Journal, Journal de L'Association des Urologues du Canada
https://www.readbyqxmd.com/read/28616108/advances-in-basic-science-methodologies-for-clinical-diagnosis-in-female-stress-urinary-incontinence
#5
REVIEW
Marwa Abdulaziz, Emily G Deegan, Alex Kavanagh, Lynn Stothers, Denise Pugash, Andrew Macnab
We provide an overview of advanced imaging techniques currently being explored to gain greater understanding of the complexity of stress urinary incontinence (SUI) through better definition of structural anatomic data. Two methods of imaging and analysis are detailed for SUI with or without prolapse: 1) open magnetic resonance imaging (MRI) with or without the use of reference lines; and 2) 3D reconstruction of the pelvis using MRI. An additional innovative method of assessment includes the use of near infrared spectroscopy (NIRS), which uses non-invasive photonics in a vaginal speculum to objectively evaluate pelvic floor muscle (PFM) function as it relates to SUI pathology...
June 2017: Canadian Urological Association Journal, Journal de L'Association des Urologues du Canada
https://www.readbyqxmd.com/read/28602038/a-meta-analysis-of-pelvic-floor-muscle-training-for-the-treatment-of-urinary-incontinence
#6
REVIEW
Xiao-Fei Nie, Yan-Qiong Ouyang, Lan Wang, Sharon R Redding
BACKGROUND: Symptoms associated with urinary incontinence (UI) frequently affect quality of life. OBJECTIVES: To assess the effects of pelvic floor muscle training (PFMT) among women with UI. SEARCH STRATEGY: The Cochrane Library, PubMed, and Web of Science databases were searched using relevant terms for all English-language studies published up to August 15, 2016. SELECTION CRITERIA: Studies that evaluated the effects of PFMT on UI symptoms, PFM function, and quality of life were included...
June 11, 2017: International Journal of Gynaecology and Obstetrics
https://www.readbyqxmd.com/read/28601565/gait-analysis-of-young-male-patients-diagnosed-with-primary-bladder-neck-obstruction
#7
Matteo Zago, Tommaso Ciro Camerota, Stefano Pisu, Daniela Ciprandi, Chiarella Sforza
Primary bladder neck obstruction (PBNO) represents an inappropriate or inadequate relaxation of the bladder neck during micturition. Based on the observation of an increased rate of postural imbalances in male patients with PBNO, we hypothesized a possible role of an unbalanced biomechanics of the pelvis on urethral sphincters activity. Our aim was to identify kinematic imbalances, usually disregarded in PBNO patients, and which could eventually be involved in the etiopathogenesis of the disease. Seven male adult patients (39...
August 2017: Journal of Electromyography and Kinesiology
https://www.readbyqxmd.com/read/28600995/high-spatial-resolution-pressure-distribution-of-the-vaginal-canal-in-pompoir-practitioners-a-biomechanical-approach-for-assessing-the-pelvic-floor
#8
Licia P Cacciari, Anice C Pássaro, Amanda C Amorim, Isabel C N Sacco
BACKGROUND: Pompoir is a technique poorly studied in the literature that claims to improve pelvic floor strength and coordination. This study aims to investigate the pelvic floor muscles' coordination throughout the vaginal canal among Pompoir practitioners and non-practitioners by describing a high resolution map of pressure distribution. METHODS: This cross-sectional, study included 40 healthy women in two groups: control and Pompoir. While these women performed both sustained and "waveform" pelvic floor muscle contractions, the spatiotemporal pressure distribution in their vaginal canals was evaluated by a non-deformable probe fully instrumented with a 10×10 matrix of capacitive transducers...
June 1, 2017: Clinical Biomechanics
https://www.readbyqxmd.com/read/28585105/physical-complementary-and-alternative-medicine-in-the-treatment-of-pelvic-floor-disorders
#9
REVIEW
Alex Arnouk, Elise De, Alexandra Rehfuss, Carin Cappadocia, Samantha Dickson, Fei Lian
PURPOSE OF REVIEW: The purpose of the study was to catalog the most recent available literature regarding the use of conservative measures in treatment of pelvic floor disorders. RECENT FINDINGS: Pelvic floor disorders encompass abnormalities of urination, defecation, sexual function, pelvic organ prolapse, and chronic pain, and can have significant quality of life implications for patients. Current guidelines recommend behavioral modifications and conservative treatments as first-line therapy for pelvic floor disorders...
June 2017: Current Urology Reports
https://www.readbyqxmd.com/read/28557012/four-dimensional-ultrasound-guidance-for-pelvic-floor-botulinum-toxin-a-injection-in-chronic-pelvic-pain-a-novel-technique
#10
Erin Margaret Nesbitt-Hawes, Hans Peter Dietz, Jason Anthony Abbott
OBJECTIVES: Botulinum toxin A (BoNT-A) is used in the treatment of pelvic floor muscle overactivity associated with chronic pelvic pain (CPP) when conservative methods such as physiotherapy are not effective or appropriate. Traditional injection techniques require finger-guided palpation of pelvic floor muscles with concurrent insertion of the needle. This paper describes a novel technique for the injection of BoNT-A into the pelvic floor musculature using four-dimensional ultrasound (4D US) guidance...
May 29, 2017: Ultrasound in Obstetrics & Gynecology
https://www.readbyqxmd.com/read/28556806/quality-of-life-in-women-with-stage-1-stress-urinary-incontinence-after-application-of-conservative-treatment-a-randomized-trial
#11
Magdalena Ptak, Agnieszka Brodowska, Sylwester Ciećwież, Iwona Rotter
Stress urinary incontinence (SUI) influences quality of life in female patients. In this study, we used ICIQ LUTS QoL (The International Consultation Incontinence Questionnaire Lower Urinary Tract Symptoms quality of life) to determine the quality of life (QoL) in various domains in patients with stage 1 SUI. The study included 140 perimenopausal women subjected to urodynamic tests at the Department of Gynaecology, Endocrinology and Gynaecologic Oncology, Pomeranian Medical University, Police (Poland) in 2013-2015...
May 30, 2017: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/28545267/-influence-of-postoperative-pelvic-floor-function-on-different-surgical-procedures-of-hysterectomy
#12
A L Tan, L Hong, Y Z Zhao, L Jiang
Objective: To compare the influence of postoperative pelvic floor function after different surgical procedures of hysterectomy. Methods: A total of 260 patients who underwent hysterectomy in Renmin hospital of Wuhan University from January 2012 to January 2014 were enrolled in the study, and divided into 5 groups by different surgical procedures, which were total abdominal hysterectomy (A-TH; 46 cases), total laparoscopic hysterectomy (L-TH; 59 cases), total vaginal hysterectomy (V-TH; 42 cases), abdominal intrafascial hysterectomy (A-CISH; 78 cases), laparoscopic intrafascial hysterectomy (L-CISH; 35 cases)...
May 25, 2017: Zhonghua Fu Chan Ke za Zhi
https://www.readbyqxmd.com/read/28545163/coccygeal-body-revisited-an-immunohistochemical-study-using-donated-elderly-cadavers
#13
Zhe Wu Jin, Kwang Ho Cho, Hyung Suk Jang, Gen Murakami, Jose Francisco Rodríguez-Vázquez, Masahito Yamamoto, Shin-Ichi Abe
To describe the normal anatomy and histology of the adult coccygeal body (CB) and to discuss about the origin and function. Using immunohistochemistry, we examined 29 CBs found in 32 elderly donated cadavers without macroscopic pathology in the pelvis. The CB was usually located in or near the anococcygeal ligaments. It was almost always composed of multiple masses or nodules of round glomus cells (smooth muscle actin, or SMA++). However, the CB sometimes contained abundant dilated veins with scattered glomus cells...
May 25, 2017: Anatomical Record: Advances in Integrative Anatomy and Evolutionary Biology
https://www.readbyqxmd.com/read/28543751/a-pilates-exercise-program-with-pelvic-floor-muscle-contraction-is-it-effective-for-pregnant-women-a-randomized-controlled-trial
#14
Naiara T Dias, Letícia R Ferreira, Mariana G Fernandes, Ana Paula M Resende, Vanessa S Pereira-Baldon
AIMS: The aim of this study was to evaluate the effectiveness of a Pilates exercise program with pelvic floor muscle (PFM) contraction compared to a conventional intervention in pregnant women. METHODS: Fifty primiparous women, without gestational alterations, were randomized to the Pilates group (n = 25) and control group (n = 25). Interventions for both groups consisted of twice-weekly sessions of 1 h each during the period between the 14-16th and 32-34th gestational weeks...
May 23, 2017: Neurourology and Urodynamics
https://www.readbyqxmd.com/read/28542276/effect-of-combined-actions-of-hip-adduction-abduction-on-the-force-generation-and-maintenance-of-pelvic-floor-muscles-in-healthy-women
#15
Amanda C Amorim, Licia P Cacciari, Anice C Passaro, Simone R B Silveira, Cesar F Amorim, Jefferson F Loss, Isabel C N Sacco
Pelvic floor muscle (PFM) force and coordination are related to urinary incontinence severity and to sexual satisfaction. Health professionals frequently combine classic PFM exercises with hip adduction/abduction contraction to treat these disorders, but the real benefits of this practice are still unknown. Based on a theoretical anatomy approach whereby the levator ani muscle is inserted into the obturator internus myofascia and in which force generated by hip movements should increase the contraction quality of PFMs, our aim was to investigate the effects of isometric hip adduction and abduction on PFM force generation...
2017: PloS One
https://www.readbyqxmd.com/read/28539690/myotonometry-reliably-measures-muscle-stiffness-in-the-thenar-and-perineal-muscles
#16
Melissa J Davidson, Adam L Bryant, Wendy F Bower, Helena C Frawley
Purpose: The authors investigated the reliability of myotonometry-measured muscle tone in the thenar and perineal muscles. Methods: Participants were women aged 18-50 years who were asymptomatic for thumb and pelvic floor dysfunction (interrater study n=20; intrarater study n=43) or who were symptomatic for vulvodynia (interrater study n=14; intrarater study n=32). Mechanical properties (stiffness, frequency, decrement, relaxation time, and creep) of the muscles were measured using a myotonometer (MyotonPRO) while the muscles were in a relaxed state...
2017: Physiotherapy Canada. Physiothérapie Canada
https://www.readbyqxmd.com/read/28508398/effect-of-electromyographic-biofeedback-as-an-add-on-to-pelvic-floor-muscle-exercises-on-neuromuscular-outcomes-and-quality-of-life-in-postmenopausal-women-with-stress-urinary-incontinence-a-randomized-controlled-trial
#17
Adriane Bertotto, Renata Schvartzman, Silvana Uchôa, Maria Celeste Osório Wender
AIMS: To compare the efficacy of pelvic floor muscle exercises (PFME) with and without electromyographic biofeedback (BF) in increasing muscle strength, improving myoelectric activity, and improving pre-contraction and quality of life in postmenopausal women with stress urinary incontinence. METHODS: Randomized controlled trial of 49 postmenopausal women with stress urinary incontinence. Participants were allocated across three groups: control, PFME alone, and PFME + BF...
May 16, 2017: Neurourology and Urodynamics
https://www.readbyqxmd.com/read/28503766/editorial-comment-to-pelvic-floor-muscle-therapy-or-alpha-blocking-agents-for-treatment-of-men-with-lower-urinary-tract-symptoms-an-exploratory-randomized-controlled-trial
#18
Katsumi Shigemura, Masato Fujisawa
No abstract text is available yet for this article.
June 2017: International Journal of Urology: Official Journal of the Japanese Urological Association
https://www.readbyqxmd.com/read/28499536/recognizing-and-managing-common-urogynecologic-disorders
#19
REVIEW
Denise M Elser
Many women experience urogynecologic or pelvic floor disorders, especially urinary incontinence and pelvic organ prolapse. The obstetrician/gynecologist is often the first health care professional to evaluate and treat these disorders. Treatments include pelvic floor muscle training, behavioral therapies, oral medications, neuromodulation, intradetrusor medications, and surgery. When approaching the woman with symptomatic prolapse, familiarity with pessaries and various surgical procedures aid in counseling...
June 2017: Obstetrics and Gynecology Clinics of North America
https://www.readbyqxmd.com/read/28499001/is-pelvic-floor-muscle-training-a-physical-therapy-or-a-behavioral-therapy-a-call-to-name-and-report-the-physical-cognitive-and-behavioral-elements
#20
Helena C Frawley, Sarah G Dean, Susan C Slade, E Jean C Hay-Smith
This perspective article explores whether pelvic-floor muscle training (PFMT) for the management of female urinary incontinence and prolapse is a physical therapy or a behavioral therapy. The primary aim is to demonstrate that it is both. A secondary aim is to show that the plethora of terms used for PFMT is potentially confusing and that current terminology inadequately represents the full intent, content, and delivery of this complex intervention. While physical therapists may be familiar with exercise terms, the details are often incompletely reported; furthermore, physical therapists are less familiar with the terminology used in accurately representing cognitive and behavioral therapy interventions, which results in these elements being even less well reported...
April 1, 2017: Physical Therapy
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