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https://www.readbyqxmd.com/read/29753829/the-role-of-pelvic-floor-muscle-training-in-the-conservative-and-surgical-management-of-female-stress-urinary-incontinence-does-the-strength-of-the-pelvic-floor-muscles-matter
#1
REVIEW
Anna Maria Lasak, Marjorie Jean-Michel, Phuong Uyen Le, Roshni Durgam, Jessica Harroche
The purpose of this review is to provide an in-depth overview of the role of pelvic floor muscle training (PFMT) in the management of stress urinary incontinence (SUI). The definition, epidemiology, and pathogenesis of SUI are described. We review the anatomy of the pelvic floor muscles (PFM) and the importance of pelvic floor muscle strength in maintaining urinary continence and establishing normal voiding function. A brief description of the surgical options currently available for SUI and the existing data regarding the role of perioperative PFMT for SUI are included...
May 10, 2018: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/29746185/an-argument-for-competency-based-training-in-pelvic-floor-physiotherapy-practice
#2
Helena C Frawley, Patricia Neumann, Clare Delany
Pelvic floor dysfunction has been described as "a silent epidemic," affecting many people in the community yet under-recognized and insufficiently managed. There is evidence that pelvic floor physiotherapy can manage many of these disorders, however a competency framework to guide and inform pelvic floor physiotherapy training and practice is lacking. The assessment and management of the pelvic floor complex is not addressed as a core component of most entry-to-practice physiotherapy programs despite being within the scope of physiotherapy practice which is in contrast with the knowledge and skills that physiotherapists graduate with in core areas of clinical practice...
May 10, 2018: Physiotherapy Theory and Practice
https://www.readbyqxmd.com/read/29733699/ankle-positions-potentially-facilitating-greater-maximal-contraction-of-pelvic-floor-muscles-a-systematic-review-and-meta-analysis
#3
Priya Kannan, Stanley Winser, Ravindra Goonetilleke, Gladys Cheing
OBJECTIVES: To evaluate the effect of ankle positions on pelvic floor muscles in women. METHODS: Multiple databases were searched from inception-July 2017. Study quality was rated using the grading of recommendations, assessment, development, and evaluation system and the "threats to validity tool". RESULTS: Four studies were eligible for inclusion. Meta-analysis revealed significantly greater resting activity of pelvic floor muscles in neutral ankle position (-1...
May 7, 2018: Disability and Rehabilitation
https://www.readbyqxmd.com/read/29727372/the-effect-of-commonly-performed-exercises-on-the-levator-hiatus-area-and-the-length-and-strength-of-pelvic-floor-muscles-in-postpartum-women
#4
Lauren N Siff, Audra J Hill, Samantha J Walters, Ginny Walters, Mark D Walters
OBJECTIVE: The aim oft his study was to compare the effects of 10 common exercises to traditional pelvic floor muscle (PFM) contractions (Kegel) on levator hiatus (LH) area and PFM length and strength. METHODS: This is a cross-sectional study of 15 healthy postpartum women. Ten exercises were studied. These were common variations of leg, core, and back exercises used in yoga, Pilates, strength training, and physical therapy. Each participant performed all 10 exercises at a single visit in 2 examination settings: transperineal ultrasound and perineometry...
May 2, 2018: Female Pelvic Medicine & Reconstructive Surgery
https://www.readbyqxmd.com/read/29706703/influence-of-adequate-pelvic-floor-muscle-contraction-on-the-movement-of-the-coccyx-during-pelvic-floor-muscle-training
#5
Akiko Fujisaki, Miwa Shigeta, Misa Shimoinaba, Yasukuni Yoshimura
[Purpose] Pelvic floor muscle training is a first-line therapy for female stress urinary incontinence. Previous studies have suggested that the coccyx tip moves ventrally and cranially during pelvic floor muscle contraction. The study aimed to elucidate the influence of adequate pelvic floor muscle contraction on coccyx movement. [Subjects and Methods] Sixty-three females (57 patients with stress urinary incontinence and additional 6 healthy volunteers) were enrolled. Using magnetic resonance imaging, coccyx movement was evaluated during pelvic floor muscle contraction and strain...
April 2018: Journal of Physical Therapy Science
https://www.readbyqxmd.com/read/29705985/systematic-review-of-pelvic-floor-interventions-during-pregnancy
#6
REVIEW
Lucas Schreiner, Isabel Crivelatti, Julia M de Oliveira, Christiana C Nygaard, Thais G Dos Santos
BACKGROUND: Pelvic floor interventions during pregnancy could reduce the impact of pregnancy and delivery on the pelvic floor. OBJECTIVE: To determine the effects of pelvic floor interventions during pregnancy on childbirth-related and pelvic floor parameters. SEARCH STRATEGY: PubMed, Embase, and LILACS were searched for reports published during between 1990 and 2016 in English, Spanish, or Portuguese. The search terms were "pregnancy," "pelvic floor muscle training," and related terms...
April 28, 2018: International Journal of Gynaecology and Obstetrics
https://www.readbyqxmd.com/read/29702450/medium-term-follow-up-after-supervised-pelvic-floor-muscle-training-for-patients-with-anterior-vaginal-wall-prolapse
#7
Mifuka Ouchi, Takeya Kitta, Yukiko Kanno, Kimihiko Moriya, Shigeyuki Suzuki, Nobuo Shinohara, Kumiko Kato
OBJECTIVE: The objective of this study was to determine changes in quality of life, urogenital symptoms, and adherence to pelvic floor muscle training (PFMT) for pelvic organ prolapse (POP) in the medium term. STUDY DESIGN: The present study conducted a pretest-posttest quasi-experimental study design. Of 29 participants in 4-month supervised PFMT, 27 completed all assessments in a follow-up study. Twenty subjects were included in final analysis except 7 participants who underwent surgery during follow-up...
April 12, 2018: European Journal of Obstetrics, Gynecology, and Reproductive Biology
https://www.readbyqxmd.com/read/29696209/supervised-pelvic-floor-muscle-training-versus-attention-control-massage-treatment-in-patients-with-faecal-incontinence-statistical-analysis-plan-for-a-randomised-controlled-trial
#8
Anja Ussing, Inge Dahn, Ulla Due, Michael Sørensen, Janne Petersen, Thomas Bandholm
Introduction: Faecal incontinence affects approximately 8-9% of the adult population. The condition is surrounded by taboo; it can have a devastating impact on quality of life and lead to major limitations in daily life. Pelvic floor muscle training in combination with information and fibre supplements is recommended as first-line treatment for faecal incontinence. Despite this, the effect of pelvic floor muscle training for faecal incontinence is unclear. No previous trials have investigated the efficacy of supervised pelvic floor muscle training in combination with conservative treatment and compared this to an attention-control massage treatment including conservative treatment...
December 2017: Contemporary Clinical Trials Communications
https://www.readbyqxmd.com/read/29687914/design-of-programs-to-train-pelvic-floor-muscles-in-men-with-urinary-dysfunction-systematic-review
#9
REVIEW
Leanne M Hall, Rafeef Aljuraifani, Paul W Hodges
AIMS: Pelvic floor muscle training (PFMT) is a first line conservative treatment for men with urinary dysfunction, but reports of its efficacy are variable. This study aimed to systematically review the content of PFMT programs used for urinary dysfunction in men. METHODS: Electronic databases (PubMed, CINAHL, EMBASE, Cochrane, PEDro) were searched for studies that used PFMT in the treatment of adult men with urinary dysfunction. Details of PFMT treatment sessions and home exercise protocols were extracted...
April 24, 2018: Neurourology and Urodynamics
https://www.readbyqxmd.com/read/29677302/effect-of-uterosacral-ligament-suspension-vs-sacrospinous-ligament-fixation-with-or-without-perioperative-behavioral-therapy-for-pelvic-organ-vaginal-prolapse-on-surgical-outcomes-and-prolapse-symptoms-at-5-years-in-the-optimal-randomized-clinical-trial
#10
RANDOMIZED CONTROLLED TRIAL
J Eric Jelovsek, Matthew D Barber, Linda Brubaker, Peggy Norton, Marie Gantz, Holly E Richter, Alison Weidner, Shawn Menefee, Joseph Schaffer, Norma Pugh, Susan Meikle
Importance: Uterosacral ligament suspension (ULS) and sacrospinous ligament fixation (SSLF) are commonly performed pelvic organ prolapse procedures despite a lack of long-term efficacy data. Objective: To compare outcomes in women randomized to (1) ULS or SSLF and (2) usual care or perioperative behavioral therapy and pelvic floor muscle training (BPMT) for vaginal apical prolapse. Design, Setting, and Participants: This 2 × 2 factorial randomized clinical trial was conducted at 9 US medical centers...
April 17, 2018: JAMA: the Journal of the American Medical Association
https://www.readbyqxmd.com/read/29672906/do-brain-structural-abnormalities-differentiate-separate-forms-of-urgency-urinary-incontinence
#11
Becky D Clarkson, Derek Griffiths, Neil M Resnick
AIMS: Urgency urinary incontinence (UUI) is a major problem for seniors. The underlying mechanisms of disease and therapy are unknown. We sought structural brain abnormalities that might underlie the functional differences previously observed by functional Magnetic Resonance Imaging in UUI patients versus controls, or among UUI responders versus non-responders to therapy-and thereby reveal potential disease mechanisms and therapeutic targets. METHODS: Secondary study of a trial of biofeedback-assisted pelvic floor muscle training (BFB) in 60 women (>60 yrs) with UUI, plus 11 age-matched continent controls...
April 19, 2018: Neurourology and Urodynamics
https://www.readbyqxmd.com/read/29672306/effects-of-bladder-training-and-pelvic-floor-muscle-training-in-female-patients-with-overactive-bladder-syndrome-a-randomized-controlled-trial
#12
Raheela Mohsin Rizvi, Novera Ghayoor Chughtai, Naheed Kapadia
OBJECTIVE: The purpose of our study was to see the efficacy of 3 different modes of treatment for overactive bladder (OAB) in symptoms reduction and quality of life improvement. METHODS: We conducted a 12-week single-blinded randomized controlled trial of women aged 22-65 years with clinical diagnosis of OAB. Arm A (n = 47) received bladder training, arm B (n = 50) received pelvic floor muscle training (PFMT), and arm C (n = 50) received PFMT with biofeedback. Bladder diary was used to assess the difference in urinary frequency, urgency, and leak accidents before and after treatment...
April 19, 2018: Urologia Internationalis
https://www.readbyqxmd.com/read/29651517/national-survey-of-urogynecological-practice-patterns-among-united-states-ob-gyn-oral-board-examinees-in-different-practice-settings
#13
Andrey Petrikovets, Abigail Davenport, Sherif A El-Nashar, David Sheyn, Jeffrey Mangel, Sangeeta T Mahajan
INTRODUCTION AND HYPOTHESIS: The current urogynecological surgical experience of recent OB/GYN graduates in different practice settings is unclear. The aim of this study was to evaluate differences in urogynecological surgical care between private practitioners (PPs) and other generalist OB/GYN oral board examinees. METHODS: A total of 699 OB/GYN oral board examination examinees were administered a survey during board preparatory courses with a 70.7% response rate...
April 13, 2018: International Urogynecology Journal
https://www.readbyqxmd.com/read/29644384/efficacy-of-pelvic-floor-muscle-training-in-women-with-overactive-bladder-syndrome-a-systematic-review
#14
REVIEW
Silvia Monteiro, Cassio Riccetto, Angélica Araújo, Laryssa Galo, Nathália Brito, Simone Botelho
INTRODUCTION AND HYPOTHESIS: Our objective was to evaluate the effectiveness of pelvic floor muscle training (PFMT) in reducing overactive bladder (OAB) symptoms in women. METHODS: Searches were performed at MEDLINE, PubMed, Physiotherapy Evidence Database (PEDro), Scielo, and Central Cochrane Library PubMed until January 2017. Controlled trials were researched by two independent reviewers. Eligible studies were restricted to random and controlled clinical trials that investigated the effectiveness of PFMT in decreasing OAB symptoms...
April 11, 2018: International Urogynecology Journal
https://www.readbyqxmd.com/read/29590247/what-do-cochrane-systematic-reviews-say-about-non-surgical-interventions-for-urinary-incontinence-in-women
#15
Anderson Adriano Leal Freitas da Costa, Igor Martins Vasconcellos, Rafael Leite Pacheco, Zsuzsanna Ilona Katalin de Jármy Di Bella, Rachel Riera
BACKGROUND: Urinary incontinence is a highly prevalent condition that impacts self-esteem and overall quality of life. Many non-surgical treatment options are available, ranging from pharmacological approaches to pelvic exercises. We aimed to summarize the available evidence regarding these non-surgical interventions. DESIGN AND SETTING: Review of systematic reviews, conducted in the Discipline of Evidence-Based Medicine, Escola Paulista de Medicina, Universidade Federal de São Paulo (EPM-UNIFESP)...
January 2018: São Paulo Medical Journal, Revista Paulista de Medicina
https://www.readbyqxmd.com/read/29577777/factors-associated-with-spontaneous-perineal-lacerations-in-deliveries-without-episiotomy-in-a-university-maternity-hospital-in-the-city-of-recife-brazil-a-cohort-study
#16
Vanessa Maria Laranjeiras Lins, Fernanda Barros Lima Vasconcelos, Leila Katz, Isabela Coutinho, Melania Amorim
OBJECTIVES: To determine factors associated with spontaneous perineal laceration in low-risk pregnant women who delivered vaginally without episiotomy in a university maternity hospital in Recife, Pernambuco, Brazil. METHODS: A prospective cohort study was conducted with 222 low-risk, full-term pregnant women admitted in labor with a single fetus in cephalic presentation. Women with malformed fetuses were excluded from the study. The variables analyzed were: the frequency and severity of lacerations, the women's biological, sociodemographic, clinical and obstetrical characteristics, neonatal characteristics and data on their deliveries and procedures...
March 25, 2018: Journal of Maternal-fetal & Neonatal Medicine
https://www.readbyqxmd.com/read/29574482/the-effect-of-pelvic-floor-muscle-training-and-intravaginal-electrical-stimulation-on-urinary-incontinence-in-women-with-incomplete-spinal-cord-injury-an-investigator-blinded-parallel-randomized-clinical-trial
#17
Marlene Elmelund, Fin Biering-Sørensen, Ulla Due, Niels Klarskov
INTRODUCTION AND HYPOTHESIS: Urinary incontinence is a prevalent problem in women with spinal cord injury. The aim of this study was to examine the effect of pelvic floor muscle training (PFMT) alone and combined with intravaginal electrical stimulation (IVES) on urinary incontinence in women with incomplete spinal cord injury. METHODS: In this investigator-blinded randomized clinical trial, we recruited women aged 18-75 with incomplete spinal cord injury and urinary incontinence from a single spinal cord injury clinic in Denmark...
March 24, 2018: International Urogynecology Journal
https://www.readbyqxmd.com/read/29572913/correlation-between-electromyography-and-perineometry-in-evaluating-pelvic-floor-muscle-function-in-nulligravidas-a-cross-sectional-study
#18
Lorena C Macêdo, Andrea Lemos, Danilo A Vasconcelos, Leila Katz, Melania M R Amorim
OBJECTIVE: To correlate the results of electromyography and perineometry in the assessment of PFM function in nulligravidas. METHODS: The cross-sectional observational study was approved by the internal review board of the Instituto de Medicina Integral Prof. Fernando Figueira (IMIP) and was conducted in the Instituto Paraibano de Pesquisa Professor Joaquim Amorim Neto (IPESQ). Thirty-eight nulligravidas aged 18-39 years of age, who had already initiated their sexual life, participated in the study...
March 23, 2018: Neurourology and Urodynamics
https://www.readbyqxmd.com/read/29556827/female-pelvic-medicine-and-reconstructive-surgery-what-does-certification-mean
#19
REVIEW
Steven J Weissbart, Alan J Wein, Ariana L Smith
PURPOSE OF REVIEW: There are advantages and disadvantages of subspecialty certification for physicians, trainees, patients, and society at large. As female pelvic medicine and reconstructive surgery (FPMRS) became the second subspecialty of urology to offer subspecialty certification, understanding the effects of FPMRS subspecialty certification on the healthcare system is important. RECENT FINDINGS: While subspecialty certification may improve training, identify experts, and ultimately lead to improved patient outcomes, certification might also be unnecessary for some physicians, weaken residency training, and limit the number of physicians who are deemed qualified to offer certain treatments...
March 19, 2018: Current Urology Reports
https://www.readbyqxmd.com/read/29552736/urinary-incontinence-in-female-athletes-a-systematic-review
#20
Thais Regina de Mattos Lourenco, Priscila Katsumi Matsuoka, Edmund Chada Baracat, Jorge Milhem Haddad
INTRODUCTION AND HYPOTHESIS: People are increasingly aware of healthy lifestyles. Extenuating practice can injure the pelvic floor. Urinary incontinence (UI) is a prevalent condition in women whether they exercise professionally or not. The most common symptom is stress UI. It is reported in a large variety of sports and may interfere with everyday life or training, leading athletes to change or compromise their performance or risk compromising it. We aimed to assess the prevalence of UI in female athletes and to determine whether the type of sport might also influence UI...
March 19, 2018: International Urogynecology Journal
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