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Pelvic floor muscles

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https://www.readbyqxmd.com/read/28225786/female-reproductive-factors-are-associated-with-objectively-measured-physical-activity-in-middle-aged-women
#1
Eija K Laakkonen, Janne Kulmala, Pauliina Aukee, Harto Hakonen, Urho M Kujala, Dawn A Lowe, Vuokko Kovanen, Tuija Tammelin, Sarianna Sipilä
Physical activity improves health and may delay the onset of several chronic diseases. For women in particular, the rate of these diseases accelerates at middle age; therefore it is important to identify the determinants of health-enhancing physical activity during midlife in this population. In this study, we focused on determinants that are unique to the female sex, such as childbearing and menopause. The main objective was to characterize the level of physical activity and differences between active and inactive middle-aged Finnish women...
2017: PloS One
https://www.readbyqxmd.com/read/28224270/intrapartal-pelvic-floor-protection-a-pragmatic-and-interdisciplinary-approach-between-obstetrics-and-urogynecology
#2
Markus Huebner, Sara Y Brucker, Ralf Tunn, Gert Naumann, Christl Reisenauer, Harald Abele
Pelvic floor protection is an issue of increasing relevance. This article sought to summarize the session at last year's annual meeting of the German Society of Gynecology and Obstetrics (DGGG) in Stuttgart (10/2016) called "Urogynecology 2020-what is the optimal rate of cesarean section-does urogynecology have to deal with Obstetrics?". The main focus was set on the two important anatomical structures, the levator ani muscle and the anal sphincters. Operative vaginal delivery, epidural anesthesia, and episiotomy are subject to discussion...
February 21, 2017: Archives of Gynecology and Obstetrics
https://www.readbyqxmd.com/read/28220534/electromyographic-assessment-of-women-s-pelvic-floor-what-is-the-best-place-for-a-superficial-sensor
#3
Eduarda Moretti, Alberto Galvão de Moura Filho, Judite Correia de Almeida, Camilla Medeiros Araujo, Andrea Lemos
AIMS: To compare the electromyographic signal of different surface electrodes and to identify the channel that presents the highest level of electromyographic activity through the mean and peak of Root Mean Square (RMS). METHODS: Thirty healthy women participated in this study. Each woman completed three collections (on different days) of electromyographic data. Three maximal voluntary contractions of the pelvic floor muscles were requested. The electromyographic signal was recorded by intravaginal probe and surface electrodes placed on the perianal region and on the region immediately below the labia majora...
February 21, 2017: Neurourology and Urodynamics
https://www.readbyqxmd.com/read/28212118/role-of-chronic-exercise-on-pelvic-floor-support-and-function
#4
Janet M Shaw, Ingrid E Nygaard
PURPOSE OF REVIEW: To summarize recent literature about the potential role of chronic exercise on pelvic floor support and function. RECENT FINDINGS: Stress urinary incontinence is common during physical activity. Scant evidence suggests a dose-response association between higher volumes of exercise and urinary incontinence. Athletes do not appear to have greater pelvic floor muscle strength or worse pelvic floor support compared to nonathletes. Pelvic floor muscle electromyographic activity increases substantially as running speeds increase...
February 16, 2017: Current Opinion in Urology
https://www.readbyqxmd.com/read/28187840/pelvic-floor-muscle-training-to-manage-overactive-bladder-and-urinary-incontinence
#5
Kimberly Angelini
Overactive bladder (OAB) and urinary incontinence (UI) are common chronic conditions that can negatively affect women's quality of life. Pelvic floor muscle training is the first-line treatment. Two recent Cochrane Reviews examining pelvic floor muscle training for the treatment of UI and OAB are summarized here to provide women's health nurses with current recommendations for UI and OAB management. This column also identifies practice improvement education in the area of pelvic floor muscle training and treatment for OAB and UI...
February 2017: Nursing for Women's Health
https://www.readbyqxmd.com/read/28185025/constipation-pathophysiology-and-current-therapeutic-approaches
#6
Amol Sharma, Satish Rao
Chronic constipation is a common, persistent condition affecting many patients worldwide, presenting significant economic burden and resulting in substantial healthcare utilization. In addition to infrequent bowel movements, the definition of constipation includes excessive straining, a sense of incomplete evacuation, failed or lengthy attempts to defecate, use of digital manoeuvres for evacuation of stool, abdominal bloating, and hard consistency of stools. After excluding secondary causes of constipation, chronic idiopathic or primary constipation can be classified as functional defecation disorder, slow-transit constipation (STC), and constipation-predominant irritable bowel syndrome (IBS-C)...
February 10, 2017: Handbook of Experimental Pharmacology
https://www.readbyqxmd.com/read/28178026/pelvic-floor-muscle-training-for-the-prevention-of-urinary-incontinence-in-antenatal-and-postnatal-women-a-best-practice-implementation-project
#7
Weijie Xing, Yu Zhang, Chunyi Gu, Lucylynn Lizarondo
BACKGROUND: Pregnancy and vaginal delivery may cause urinary incontinence (UI) in some women, which can impact on their quality of life. Pelvic floor muscles training (PFMT) is a safe and effective intervention for preventing UI associated with pregnancy. OBJECTIVES: The aim of this evidence-implementation project was to promote PFMT to prevent UI among antenatal and postnatal women in an obstetric and gynecological hospital in China. METHODS: A clinical audit was undertaken using the Joanna Briggs Institute Practical Application of Clinical Evidence System tool...
February 2017: JBI Database of Systematic Reviews and Implementation Reports
https://www.readbyqxmd.com/read/28176015/crosstalk-considerations-in-studies-evaluating-pelvic-floor-muscles-using-surface-electromyography-in-women-a-scoping-review
#8
REVIEW
Noémie Flury, Irene Koenig, Lorenz Radlinger
PURPOSE: Surface electromyography (sEMG) using intravaginal probes is of widespread use for assessing pelvic floor muscles (PFM) activity in women. Although considered as a reliable method, its validity has been called into question due to the presence of a phenomenon called crosstalk. Crosstalk is described as the recording of sEMG activity originating from neighboring muscles rather than coming exclusively from the muscles being investigated. The purpose of this review was to provide an overview of existing literature about crosstalk during intravaginal surface electromyographic recordings...
February 7, 2017: Archives of Gynecology and Obstetrics
https://www.readbyqxmd.com/read/28169458/outpatient-biofeedback-in-addition-to-home-pelvic-floor-muscle-training-for-stress-urinary-incontinence-a-randomized-controlled-trial
#9
Fátima Faní Fitz, Liliana Stüpp, Thaís Fonseca da Costa, Maria Augusta Tezelli Bortolini, Manoel João Batista Castello Girão, Rodrigo Aquino Castro
AIMS: To test if biofeedback (BF) added to pelvic floor muscle training (PFMT) increases the frequency of home exercises performed by women with stress urinary incontinence (SUI). METHODS: 72 incontinent women were randomized to BF (outpatient BF + home PFMT) or PFMT (outpatient PFMT + home PFMT) groups. ASSESSMENTS: baseline, after 3 months of supervised treatment, at 9-month follow-up (after six additional months of home PFMT only)...
February 7, 2017: Neurourology and Urodynamics
https://www.readbyqxmd.com/read/28154915/prolapse-symptoms-are-associated-with-abnormal-functional-anatomy-of-the-pelvic-floor
#10
Zeelha Abdool, Hans Peter Dietz, Barend Gerhardus Lindeque
INTRODUCTION AND HYPOTHESIS: The etiology of pelvic organ prolapse (POP) likely includes over-distension or tears (avulsion) of the levator ani muscle. However, there is a lack of studies evaluating the association between symptoms of POP and these factors. This study was designed to determine the association between POP symptoms and clinical prolapse stage on the one hand, and pelvic floor functional anatomy on the other hand. METHODS: This prospective observational study included 258 patients seen at a tertiary urogynecological unit with symptoms of POP as defined by pertinent ICIQ questions...
February 2, 2017: International Urogynecology Journal
https://www.readbyqxmd.com/read/28145398/assessment-of-bioelectrical-activity-of-pelvic-floor-muscles-depending-on-the-orientation-of-the-pelvis-in-menopausal-women-with-symptoms-of-stress-urinary-incontinence-continued-observational-study
#11
Kuba Ptaszkowski, Romuald Zdrojowy, Lucyna Slupska, Janusz Bartnicki, Janusz Dembowski, Tomasz Halski, Malgorzata Paprocka-Borowicz
BACKGROUND: Menopausal women often experience the prolapse of the uterus, bladder and rectum resulting from the failure and weakening of the pelvic floor muscles (PFM). Strengthening of the PFM through the standard exercises is recognized as an effective way of preventive measures and conservative treatment of the symptoms listed above, but still need to be improved. AIM: The goal was the objective assessment of resting and functional bioelectrical activity of pelvic floor muscle (PFM) in women during menopause and its comparison in three different positions of the pelvis: anterior pelvic tilt - position 1 (P1) posterior pelvic tilt - position 2 (P2) and neutral pelvic tilt - position 3 (P3)...
January 30, 2017: European Journal of Physical and Rehabilitation Medicine
https://www.readbyqxmd.com/read/28144213/abdominal-approaches-to-rectal-prolapse
#12
REVIEW
Kyla Joubert, Jonathan A Laryea
Rectal prolapse is a debilitating condition with a complex etiology. Symptoms are most commonly prolapse of the rectum and pain with bowel movements or straining, with worsening fecal incontinence over time due to progressive stretching of the anal sphincters. Physical findings are fairly consistent from patient to patient-most notably diastasis of the levator ani muscles, deep pouch of Douglas, redundant sigmoid colon, a mobile mesorectum, and occasionally a solitary rectal ulcer. Evaluation includes a physical exam or imaging demonstrating the prolapse, and evaluating for other causes of pelvic floor dysfunction...
February 2017: Clinics in Colon and Rectal Surgery
https://www.readbyqxmd.com/read/28139845/valsalva-versus-straining-there-is-a-distinct-difference-in-resulting-bladder-neck-and-puborectalis-muscle-position
#13
Kaven Baessler, Melanie Metz, Baerbel Junginger
AIMS: To assess the effects of the Valsalva manoeuvre versus straining on bladder neck (BN) and puborectalis muscle (PR) position, BN stiffness and pelvic floor muscle (PFM) activation in urinary incontinent women and healthy continent controls. METHODS: We recruited 17 continent and 85 incontinent women. A Microtip transducer measured urethral and vesical/abdominal pressures. A surface EMG electrode attached to a sponge was placed vaginally at the pelvic floor level...
January 31, 2017: Neurourology and Urodynamics
https://www.readbyqxmd.com/read/28133711/treatment-of-pelvic-floor-disorders-following-neobladder
#14
REVIEW
Nathan Littlejohn, Joshua A Cohn, Casey G Kowalik, Melissa R Kaufman, Roger R Dmochowski, W Stuart Reynolds
Radical cystectomy remains the gold standard treatment for organ-confined high-grade recurrent or muscle-invasive bladder cancer. Orthotopic neobladder urinary diversion following cystectomy represents an option for patients wishing for continent urinary diversion. Female patients who undergo radical cystectomy with orthotopic bladder substitution are at risk for developing both common and neobladder-specific disorders of the pelvic floor, including urinary incontinence, hypercontinence, vaginal prolapse, and neobladder-vaginal fistula...
January 2017: Current Urology Reports
https://www.readbyqxmd.com/read/28125816/comparative-anatomy-of-the-ovine-and-female-pelvis
#15
Iva Urbankova, Katarina Vdoviakova, Rita Rynkevic, Nikhil Sindhwani, Dries Deprest, Andrew Feola, Paul Herijgers, Ladislav Krofta, Jan Deprest
BACKGROUND: Pelvic organ prolapse affects half of vaginally parous women. Several animal models are used to study its pathophysiology and treatment. Sheep are interesting because they develop spontaneously prolapse with similar risk factors as women and can be used for vaginal surgery. This study describes ovine pelvis anatomy and compares it to women's pelvis to provide anatomical tools for translational researchers. METHODS: MRI, pelvic dissections, and histology were used for detailed macro- and microscopic analysis of relevant anatomical structures in 6 nulliparous ewes...
January 27, 2017: Gynecologic and Obstetric Investigation
https://www.readbyqxmd.com/read/28124534/percutaneous-tibial-nerve-stimulation-versus-electrical-stimulation-with-pelvic-floor-muscle-training-for-overactive-bladder-syndrome-in-women-results-of-a-randomized-controlled-study
#16
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, episodes 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...
January 2017: International Braz J Urol: Official Journal of the Brazilian Society of Urology
https://www.readbyqxmd.com/read/28124522/female-urinary-incontinence-and-sexuality
#17
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 prevalent 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...
January 2017: International Braz J Urol: Official Journal of the Brazilian Society of Urology
https://www.readbyqxmd.com/read/28122608/opportunities-challenges-and-concerns-for-the-implementation-and-uptake-of-pelvic-floor-muscle-assessment-and-exercises-during-the-childbearing-years-protocol-for-a-critical-interpretive-synthesis
#18
Victoria E Salmon, E Jean C Hay-Smith, Rachel Jarvie, Sarah Dean, Eivor Oborn, Susan E Bayliss, Debra Bick, Clare Davenport, Khaled M Ismail, Christine MacArthur, Mark Pearson
BACKGROUND: Pregnancy and childbirth are important risk factors for urinary incontinence (UI) in women. Pelvic floor muscle exercises (PFME) are effective for prevention of UI. Guidelines for the management of UI recommend offering pelvic floor muscle training (PFMT) to women during their first pregnancy as a preventive strategy. The objective of this review is to understand the relationships between individual, professional, inter-professional and organisational opportunities, challenges and concerns that could be essential to maximise the impact of PFMT during childbearing years and to effect the required behaviour change...
January 25, 2017: Systematic Reviews
https://www.readbyqxmd.com/read/28115836/relationship-between-lower-limb-position-and-pelvic-floor-muscle-surface-electromyography-activity-in-menopausal-women-a-prospective-observational-study
#19
Tomasz Halski, Kuba Ptaszkowski, Lucyna Słupska, Robert Dymarek, Małgorzata Paprocka-Borowicz
OBJECTIVES: In physiotherapeutic practice, special attention is being given to the reciprocal anatomical, physiological, and biomechanical relationship of the pelvis and the structures connected to it. However, the scientific literature shows mainly the theoretical information about their mutual connections. The lack of information about these relations from a practical aspect coupled with the paucity of scientific papers on the impact of posture changes on the pelvic floor led the authors to conduct this study...
2017: Clinical Interventions in Aging
https://www.readbyqxmd.com/read/28112037/basidiobolomycosis-complicated-by-hydronephrosis-and-a-perinephric-abscess-presenting-as-a-hypertensive-emergency-in-a-7-year-old-boy
#20
Sriram Krishnamurthy, Rakesh Singh, Venkatesh Chandrasekaran, Gopinathan Mathiyazhagan, Meenachi Chidambaram, S Deepak Barathi, Subramanian Mahadevan
A 7-year-old boy presented with a chronic, indurated, tender left thigh swelling in association with a hypertensive emergency. He had a bilateral moderate degree of hydronephrosis and a left perinephric abscess, and MRI features of posterior reversible encephalopathy syndrome. Histopathological examination of the biopsy specimen demonstrated eosinophilic fasciitis with filamentous fungi. Basidiobolus ranarum was isolated from the culture. The fungus was also isolated from a perinephric fluid aspirate. Computerised tomography of the abdomen demonstrated features consistent with fungal invasion of the pelvic floor muscles and urinary bladder, leading to bilateral hydronephrosis...
January 23, 2017: Paediatrics and International Child Health
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