keyword
https://read.qxmd.com/read/38427780/primary-health-care-nurses-role-in-treating-lower-urinary-tract-dysfunction
#21
JOURNAL ARTICLE
Gisela Maria Assis, Nayara Dos Santos Rodrigues, Franciele de Freitas de Oliveira, Camilla Pinheiro Cristaldi da Silva, Drielle Fernanda Arruda, Ana Carolina Silvy Nunes, Gisele Martins
OBJECTIVE: To understand Primary Health Care nurses' role in treating Lower Urinary Tract Dysfunction. METHOD: Cross-sectional multi-methodological research, composed of quantitative and qualitative steps, independently and sequentially. Data collected remotely, through a questionnaire and focus group, analyzed using descriptive statistics and thematic analysis by Braun and Clarke, respectively. The project was approved under Opinion 22691119.0.0000.0030. RESULTS: A total of 145 nurses participated in the study in the quantitative step and 20 in the qualitative step, working in Primary Health Care in Brazil...
2024: Revista da Escola de Enfermagem da U S P
https://read.qxmd.com/read/38426725/effect-of-transcranial-direct-current-stimulation-combined-with-pelvic-muscle-training-in-women-randomized-controlled-double-blind-and-clinical-trial
#22
JOURNAL ARTICLE
Fernanda Ishida Corrêa, Ângela Cristina Ledur, Laura Uehara, Michele Lacerda de Andrade, João Carlos Ferrari Corrêa, Felipe Fregni
BACKGROUND: Pelvic floor muscle training (PFMT) is widely used for pelvic floor muscle (PFM) weakness in women; however, it has no prolonged effects. OBJECTIVE: To evaluate the effect of Transcranial Direct Current Stimulation (tDCS) associated with PFMT on PFM contraction, sexual function and quality of life (QoL) in healthy women. STUDY DESIGN: 32 nulliparous women, aged 22.7 ± 0.42 years, were randomized into two groups: G1 (active tDCS combined with PFMT) and G2 (sham tDCS combined with PFMT)...
March 1, 2024: Neurourology and Urodynamics
https://read.qxmd.com/read/38422805/obstetric-risk-factors-for-levator-ani-muscle-avulsion-a-systematic-review-and-meta-analysis
#23
JOURNAL ARTICLE
Ka Woon Wong, Nicola Okeahialam, Ranee Thakar, Abdul H Sultan
OBJECTIVES: Women have a 11% lifetime risk of undergoing surgery for vaginal prolapse. Levator ani muscle (LAM) avulsion is one etiological factor associated with primary and recurrent pelvic organ prolapse. Pelvic organ prolapse has been shown to greatly affect the quality of life and well-being of women. Conduct a meta-analysis identifying risk factors associated with LAM avulsion recognised on transperineal ultrasound (TPUS) or magnetic resonance imaging (MRI) in primiparous women after vaginal birth...
February 24, 2024: European Journal of Obstetrics, Gynecology, and Reproductive Biology
https://read.qxmd.com/read/38418867/hard-flaccid-syndrome-symptoms-comorbidities-and-self-reported-efficacy-and-satisfaction-of-treatments-a-cross-sectional-survey
#24
JOURNAL ARTICLE
Jenny Niedenfuehr, David M Stevens
Hard flaccid syndrome (HFS) is a poorly understood condition with no formal consensus on its definition. We aimed to advance the understanding of HFS by evaluating symptom prevalence, cause of symptom onset, comorbidities, and self-reported efficacy and satisfaction with current treatments. An online, open, 42-question survey on Qualtrics with purposive and convenience sampling methods was conducted between May 9 and June 9, 2023 on participants self-identifying as having HFS. Participants were recruited through social media platforms...
February 28, 2024: International Journal of Impotence Research
https://read.qxmd.com/read/38413133/pelvic-floor-muscle-training-in-female-functional-fitness-exercisers-an-assessor-blinded-randomised-controlled-trial
#25
JOURNAL ARTICLE
Kristina Lindquist Skaug, Marie Ellström Engh, Kari Bø
OBJECTIVE: Stress urinary incontinence (SUI) is common among females during functional fitness training, such as CrossFit. The aim of this study was to assess the effect of pelvic floor muscle training (PFMT) on SUI in female functional fitness exercisers. METHODS: This was an assessor-blinded randomised controlled trial with a PFMT group (n=22) and a control group (n=25). The PFMT group followed a 16-week home-training programme with 3 sets of 8-12 maximum pelvic floor muscle (PFM) contractions daily and weekly follow-up/reminders by phone...
February 27, 2024: British Journal of Sports Medicine
https://read.qxmd.com/read/38405133/total-pelvic-floor-lifting-a-new-approach-for-the-anatomic-repair-of-pelvic-floor-hypermobility-and-vaginal-laxity-in-parous-women
#26
JOURNAL ARTICLE
Dimitrios I Bolovis, Cosima V M Brucker
Recent years have seen a steady increase in the information available regarding pelvic floor changes after childbirth. Obstetric trauma, to which all structures of the urogenital sphere are subjected, can affect different anatomical areas, including the vagina, perineum, deep pelvic floor muscles, and sphincter. Main complaints of parous women with regard to their pelvic floor are vaginal laxity, a wide introitus, and increased mobility of the uterus. Unilateral pectineal suspension is a novel method for surgical correction of the sequelae of vaginal birth-giving such as uterine hypermobility and perception of loose tissue, restoring a natural anatomy when conservative therapy has failed...
February 2024: Plastic and Reconstructive Surgery. Global Open
https://read.qxmd.com/read/38399611/relationship-between-female-sexual-dysfunction-and-trunk-stability-post-stroke-a-cross-sectional-study
#27
JOURNAL ARTICLE
Irene Del Mar Robledo-Resina, Carlos Romero-Morales, Patricia Martín-Casas, Jorge Hugo Villafañe, Vanesa Abuín-Porras
Background and Objectives : Stroke can lead to a variety of consequences, the severity and nature of which are contingent upon the affected brain region or lesion type. These consequences manifest with distinct clinical presentations and recovery trajectories. This study aims to investigate the potential correlation between feminine sexual dysfunction and trunk stability among stroke survivors. Materials and Methods : Thirty-eight women (stroke group n = 19 and control group n = 19) were recruited. A cross-sectional observational study was designed...
February 14, 2024: Medicina
https://read.qxmd.com/read/38387036/a-treatment-algorithm-for-high-tone-pelvic-floor-dysfunction
#28
JOURNAL ARTICLE
Michele Torosis, Erin Carey, Kristin Christensen, Melissa R Kaufman, Kimberly Kenton, Rhonda Kotarinos, H Henry Lai, Una Lee, Jerry L Lowder, Melanie Meister, Theresa Spitznagle, Kelly Wright, A Lenore Ackerman
OBJECTIVE: To develop evidence- and consensus-based clinical practice guidelines for management of high-tone pelvic floor dysfunction (HTPFD). HTPFD is a neuromuscular disorder of the pelvic floor characterized by non-relaxing pelvic floor muscles, resulting in lower urinary tract and defecatory symptoms, sexual dysfunction, and pelvic pain. Despite affecting 80% of women with chronic pelvic pain, there are no uniformly accepted guidelines to direct the management of these patients. METHODS: A Delphi method of consensus development was used, comprising three survey rounds administered anonymously via web-based platform (Qualtrics XM) to national experts in the field of HTPFD recruited through targeted invitation between September and December 2021...
February 22, 2024: Obstetrics and Gynecology
https://read.qxmd.com/read/38377645/do-pelvic-floor-muscle-function-parameters-differ-in-women-according-to-continence-status-a-systematic-review
#29
JOURNAL ARTICLE
Albane Audrain, Jean Nicolas Cornu, Gaëtan Kerdelhue, Yann Combret, Benoit Steenstrup
BACKGROUND: Current literature highlights the difficulty in identifying which pelvic floor muscle (PFM) functions are correlated with urinary incontinence (UI). AIM: In this study, we compared parameters of PFM function (strength, endurance, tone, control, reaction, and/or coordination) according to continence status in women (presence or absence, type and/or severity of urinary incontinence). EVIDENCE ACQUISITION: A systematic review was conducted following the 2020 PRISMA guidelines...
February 19, 2024: Fr J Urol
https://read.qxmd.com/read/38376549/comparison-of-cross-sectional-area-of-pubovisceral-muscle-in-nulliparous-and-primiparous-women
#30
JOURNAL ARTICLE
Alexandra Regendova, Adela Samesova, Katerina Zapletalova, Sabina Horejskova, Zuzana Svata, Monika Hrdouskova, Jan Zapletal, Ladislav Krofta, Lucie Hajkova Hympanova
INTRODUCTION AND HYPOTHESIS: The main risk factor for pelvic floor disorders is vaginal delivery, which may cause levator ani muscle (LAM) injury and denervation. LAM includes pubovisceral muscle (PVM, pubococcygeus), puborectalis muscle (PRM), and iliococcygeus muscle. We hypothesize that primiparous women with low pelvic floor muscle contraction have a reduced PVM cross-sectional area (CSA) compared to nulliparous women. METHODS (SAMPLE SIZE AND STATISTICAL APPROACHES): This single-centre prospective observational study compared healthy nulliparous (n = 40) to primiparous (n = 40) women after vaginal delivery without LAM avulsion and Oxford score ≤ 3...
February 20, 2024: International Urogynecology Journal
https://read.qxmd.com/read/38375767/volumetric-segmentation-analysis-of-the-levator-ani-muscle-using-magnetic-resonance-imaging-in-pelvic-floor-function-assessment
#31
JOURNAL ARTICLE
Ayşenur Buz Yaşar, Rüveyde Begüm Yüzok, Emine Dağıstan
PURPOSE: In this case-control study, we aimed to evaluate how muscle volume affects pelvic floor function by analyzing the levator ani muscle (LAM) using volumetric segmentation in addition to standard magnetic resonance (MR) defecography assessments. METHODS: We enrolled 85 patients with varying degrees of pelvic floor dysfunction (PFD) and 85 age- and gender-matched controls in this retrospective study. All patients had MR defecography images, while all controls had pelvic MR images obtained for other reasons...
February 20, 2024: Diagnostic and Interventional Radiology: Official Journal of the Turkish Society of Radiology
https://read.qxmd.com/read/38364602/quality-of-life-and-anxiety-12-and-36%C3%A2-months-after-surgical-sui-treatment-in-postmenopausal-women
#32
JOURNAL ARTICLE
Maciej Zalewski, Gabriela Kołodyńska, Krzysztof Nowak, Aleksandra Piątek, Felicja Fink-Lwow, Anna Mucha, Waldemar Andrzejewski
BACKGROUND: Stress urinary incontinence (SUI) is a common condition that affects a significant group of postmenopausal women, lowering quality of life, leading to embarrassment, social isolation, and decreased physical activity. SUI can be treated with medication, behavioral changes, pelvic floor muscle exercises, or surgical intervention. This study aimed to assess the changes in quality of life, acceptance of illness, and impact on physical activity, in patients after the transobturator tape (TOT) procedure following long-term assessment...
February 10, 2024: European Journal of Obstetrics, Gynecology, and Reproductive Biology
https://read.qxmd.com/read/38357075/comprehensive-rehabilitation-of-a-patient-with-foot-drop-secondary-to-lumbar-canal-stenosis-a-case-report
#33
Mahek R Mohani, Neha Arya, Grisha Ratnani, Pallavi Harjpal, Pratik Phansopkar
One of the most prevalent degenerative musculoskeletal conditions is lumbar spinal canal stenosis (LSS), which is characterized by narrowing of the lumbar spinal canal that pressures the nerve roots and cauda equine. LSS, when treated surgically, usually presents with foot drop as its major complication. Foot drop is a common presentation of several clinical diseases, traditionally characterized as severe weakening of ankle and toe dorsiflexion. Foot drop has a great impact on patients' lives, lowering their quality of life and affecting their activities of daily living...
January 2024: Curēus
https://read.qxmd.com/read/38355503/minimum-important-difference-of-the-iciq-ui-sf-score-after-self-management-of-urinary-incontinence
#34
JOURNAL ARTICLE
Emma Nyström, Ina Asklund, Anna Lindam, Eva Samuelsson
BACKGROUND: This study aimed to evaluate clinically relevant improvement after conservative self-management of urinary incontinence via a mobile app. It further aimed to establish Minimum Important Differences (MIDs) based on the severity and type of urinary incontinence. METHODS: Data was collected in a prospective cohort study that evaluated the freely available app Tät®. The app provided pelvic floor muscle training (PFMT) and life-style advice. Non-pregnant, non-postpartum women (≥ 18 years) who downloaded the app to treat urinary incontinence were included, if they completed the Patient Global Impression of Improvement (PGI-I) question at the 3-month follow-up (n = 1,733)...
February 14, 2024: BMC Women's Health
https://read.qxmd.com/read/38341841/pelvic-floor-disorders-among-amateur-runners
#35
JOURNAL ARTICLE
Shanny Sade, Inbar Naor, Reut Rotem, Lauren Waichenberg, Dana Zilberman Kravits, Adi Y Weintraub
BACKGROUND: Sports and physical activity are known risk factors for pelvic floor dysfunction (PFD). The aim of this study is to examine the impact of amateur running on PFD, quality of life (QoL), and sexual function. METHODS: Amateur runners were contacted through social media. Their PFD, sexual function, and QoL were evaluated by self-reporting validated questionnaires (PFDI-20, PISQ-12, IIQ-7). They were divided by degree of effort into two categories, 'High effort' and 'Moderate effort'...
February 11, 2024: Archives of Gynecology and Obstetrics
https://read.qxmd.com/read/38340172/diastasis-recti-abdominis-rehabilitation-in-the-postpartum-period-a-scoping-review-of-current-clinical-practice
#36
REVIEW
Anastasia Skoura, Evdokia Billis, Dimitra Tania Papanikolaou, Sofia Xergia, Charis Tsarbou, Maria Tsekoura, Eleni Kortianou, Ioannis Maroulis
INTRODUCTION AND HYPOTHESIS: Despite exercise being the standard approach to diastasis recti abdominis (DRA) rehabilitation, there is no consensus on the most effective exercise routine and adjunct modalities for reducing DRA and improving functional parameters. The present study is aimed at investigating evidence for DRA rehabilitation in postpartum women, as well as knowledge gaps and areas for future research. METHODS: For this scoping review a systematic search was conducted in MEDLINE, AMED, CINAHL, Embase, ScienceDirect, Scopus, and PEDro up to November 2022...
February 10, 2024: International Urogynecology Journal
https://read.qxmd.com/read/38340157/pelvic-floor-muscle-training-in-telerehabilitation-a-systematic-review-and-meta-analysis
#37
REVIEW
Jie Hao, Zixuan Yao, Andréas Remis, Biying Huang, Yanfei Li, Xin Yu
PURPOSE: This systematic review aims to identify, critically appraise, and summarize current evidence regarding the feasibility and efficacy of pelvic floor muscle training in telerehabilitation. METHODS: Three bibliographic databases, PubMed, Embase, and Scopus were searched from inception to October 1, 2023. Clinical trials assessing the feasibility and efficacy of pelvic floor muscle training in telerehabilitation were eligible for inclusion. The Physiotherapy Evidence Database scale and National Institutes of Health Study Quality Assessment Tool were used for methodological quality assessment...
February 10, 2024: Archives of Gynecology and Obstetrics
https://read.qxmd.com/read/38337602/is-the-elite-female-athlete-s-pelvic-floor-stronger
#38
JOURNAL ARTICLE
María Barbaño Acevedo-Gómez, Elena Sonsoles Rodríguez-López, Ángel Oliva-Pascual-Vaca, Tomás Fernández-Rodríguez, Ángel Basas-García, Cristina Ojedo-Martín
Background : Exercise can stress the pelvic floor muscles (PFMs). This study sought to assess the strength of the PFMs according to the level of physical exercise. Methods : An analytical observational study was carried out using digital palpation and dynamometry measurements to assess PF strength. Healthy nulliparous women were stratified according to physical exercise (physically active and sedentary) and level of physical exercise (elite, amateur, and sedentary). Results : Fifty-four women were analyzed, with a mean age of 25...
February 4, 2024: Journal of Clinical Medicine
https://read.qxmd.com/read/38329494/assessment-of-involuntary-pfm-contractions-in-comparison-with-existing-literature-and-iuga-ics-terminology-reports
#39
JOURNAL ARTICLE
J de Jong, F Burkhard, M Zwahlen, B Junginger, C Dumoulin
INTRODUCTION AND HYPOTHESIS: Involuntary pelvic floor muscle (PFM) contractions are thought to occur during an increase in intra-abdominal pressure (IAP). Although no studies have assessed their presence in women with normal pelvic floor (PF) function, existing literature links the absence of involuntary PFM contractions to various PF dysfunctions. This study rectifies this lacuna by evaluating involuntary PFM contractions during IAP in healthy nulliparous women with no PF dysfunction, using visual observation and vaginal palpation...
February 8, 2024: International Urogynecology Journal
https://read.qxmd.com/read/38328552/randomized-trial-of-mechanotherapy-for-the-treatment-of-stress-urinary-incontinence-in-women
#40
JOURNAL ARTICLE
Nissrine Nakib, Suzette Sutherland, Kevin Hallman, Marcus Mianulli, David R Boulware
BACKGROUND: Stress urinary incontinence (SUI) presents as unintentional urine leakage associated with activities. It significantly affects quality of life (QoL) and is the most common type of incontinence in women. Current treatment options, particularly non-surgical therapies, are lacking. OBJECTIVE: To assess the efficacy of mechanotherapy provided by the Flyte® intra-vaginal device during pelvic floor muscle training (PFMT). DESIGN: This was a randomized, controlled, double-blinded trial...
2024: Therapeutic Advances in Urology
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