Objective Assessment of the Overactive Pelvic Floor

2016 ◽  
pp. 151-173
Author(s):  
Mélanie Morin
Keyword(s):  
Pelvic Floor ◽  
Objective Assessment

scholarly journals Pelvic floor exercises - a clinical study

2014 ◽  
Vol 5 (3) ◽  
pp. 95-98 ◽  
Author(s):  
Manidip Pal
Keyword(s):  
Pelvic Floor ◽  
Objective Assessment ◽  
Medical Science ◽  
Pelvic Organ ◽  
Subjective Feeling ◽  
First Line ◽  
Non Invasive ◽  
First Line Therapy ◽  
Line Therapy ◽  
Pelvic Floor Exercise

Objective: To assess the effectiveness of pelvic floor exercise. Materials and methods: Hundred (100) patients of pelvic organ prolapse (POP), stress urinary incontinence (SUI) and overactive bladder (OAB) were included. They were advised pelvic floor exercise in stepwise incremental manner. Each time exercise comprised of 10 seconds holding up and 10 seconds relaxation. To start with it was 5 times each in the morning, noon, evening and night; making it 20 times per day. Every week 5 times increment. So by 5th week it was 25 times each in the morning, noon, evening and night; making it 100 times per day. After 6 months patients were assessed by their subjective feeling of improvement and clinical assessment. Results: After 6 months of therapy patients subjective feeling of improvement for POP, SUI and OAB were 73%, 84.1%, 58.3% respectively; though objective assessment did not show this much improvement. Conclusion: Pelvic floor exercise is an easy, effective and non-invasive tool that can be considered as first line therapy for these patients. Asian Journal of Medical Science, Volume-5(3) 2014: 95-98 http://dx.doi.org/10.3126/ajms.v5i3.9113

scholarly journals Muscle strength measurement of pelvic floor in women by vaginal dynamometer

2009 ◽  
Vol 137 (9-10) ◽  
pp. 511-517 ◽  
Author(s):  
Katarina Parezanovic-Ilic ◽  
Milorad Jevtic ◽  
Branislav Jeremic ◽  
Slobodan Arsenijevic
Keyword(s):  
Muscle Strength ◽  
Pelvic Floor ◽  
Muscle Force ◽  
Rating Scale ◽  
Force Measurement ◽  
Pelvic Floor Muscle ◽  
Objective Assessment ◽  
Mean Value ◽  
Healthy Women ◽  
Digital Palpation

Introduction The pelvic floor is made of a mutually connected system that consists of muscles, connecting tissue and nerve components. Damage to any of these elements creates dysfunction which is exerted through stress, urinary incontinence, prolapse of genital organs and faecal incontinence. Objective The primary aim of this study was to present the possibility of objective assessment of pelvic floor muscle force in healthy and sick women using a newly designed instrument, the vaginal dynamometer, as well as to establish the correlation between the values of pelvic floor muscle force obtained by the vaginal dynamometer and digital palpation method. Methods The study included 90 female patients, age 20-58 years. One group of respondents was made of healthy women (who gave birth, and those who have not given birth), while the other one consisted of sick women (who suffered from incontinence or prolapse of genital organs, operated on or not). The pelvic floor muscle strength of every woman was measured with a newly-constructed device for measuring and monitoring of the pelvic floor muscle force in women, the vaginal dynamometer. Then it was compared with the valid clinical digital palpation (palpation with two fingers) based on the scale for measuring muscle contractions with the digital palpation - the digital pelvic assessment rating scale. The vaginal dynamometer consists of a redesigned speculum which is inserted into the vagina and a sensor for measuring the force. Results Statistically significant linear correlation was found in the values of the measured muscle force with the vaginal dynamometer and ratings produced by digital palpation (r=0.92; p<0.001). Mean value of the muscle force of the healthy women measured by the vaginal dynamometer was 1.44?0.38 daN and that value of the sick women was 0.78?0.31 daN (t=8.89 for df=88; p<0.001). Mean value of the ratings produced by digital palpation in healthy women was 4.10 (95% of trust limits 3.83- 4.37), while the value in sick women was 2.41 (95% of trust limits 2.10-4.16) (Z=-6.38; p<0.001). Conclusion The vaginal dynamometer has been presented as an attempt to overcome the limitations of the previously presented techniques for muscle force measurement. The application of the vaginal dynamometer in clinical practice makes objective and numerical assessment of pelvic floor muscle force possible, independent of the subjective assessment of the examiner. The usage of this instrument enables not only the diagnostics of women's pelvic floor muscle problem, but also the objective monitoring of rehabilitation gynecological medicine results.

scholarly journals Functional Changes of the Genitourinary and Gastrointestinal Systems before and after the Treatment of Endometrial Cancer—A Systematic Review

2021 ◽  
Vol 10 (23) ◽  
pp. 5579
Author(s):  
Marcin Oplawski ◽  
Agata Średnicka ◽  
Aleksandra Dutka ◽  
Sabina Tim ◽  
Agnieszka Mazur-Bialy
Keyword(s):  
Endometrial Cancer ◽  
Urinary Incontinence ◽  
Side Effects ◽  
Pelvic Floor ◽  
Prospective Studies ◽  
Current Knowledge ◽  
Pelvic Floor Dysfunction ◽  
Objective Assessment ◽  
Subjective Assessment ◽  
Functional Changes

The incidence of endometrial cancer (EC), which coexists with such civilization diseases as diabetes, obesity or hypertension, is constantly increasing. Treatment includes surgery as well as brachytherapy, teletherapy, rarely chemotherapy or hormone therapy. Due to the good results of the treatment, the occurrence of side effects of therapy becomes a problem for the patients. One of the large groups of side effects includes the pelvic organ prolapse, urinary and fecal incontinence. The aim of this study was to present current knowledge on the occurrence of pelvic floor dysfunction in women treated for EC. A literature review was conducted in the PubMED and WoS databases, including articles on pelvic floor dysfunction in women with EC. PRISMA principles were followed in the research methodology. A total of 1361 publications were retrieved. Based on the inclusion and exclusion criteria, 24 papers were eligible for the review. Mostly retrospective studies based on different questionnaires were evaluated. No prospective studies were found in which, in addition to subjective assessment, clinical examination and objective assessment of urinary incontinence were used. Studies show a significant increase in the incidence of pelvic floor disorders, including urinary incontinence, after various forms of EC treatment. We believe that assessment of complications after endometrial cancer treatment is clinically relevant. The review emphasizes the importance of programming prospective studies to prevent and address these disorders at each stage of oncologic treatment.

Objective Assessment of Hearing in Children: Update on Procedures and Protocols

2011 ◽  
Vol 21 (2) ◽  
pp. 50-58
Author(s):  
James W. Hall ◽  
Anuradha R. Bantwal
Keyword(s):  
Psychosocial Development ◽  
Otoacoustic Emissions ◽  
Objective Assessment ◽  
Behavioral Assessment ◽  
Auditory Brainstem ◽  
Test Battery ◽  
Auditory Evoked Responses ◽  
Brainstem Response ◽  
Assessment Techniques ◽  
Pediatric Populations

Early identification and diagnosis of hearing loss in infants and young children is the first step toward appropriate and effective intervention and is critical for optimal communicative and psychosocial development. Limitations of behavioral assessment techniques in pediatric populations necessitate the use of an objective test battery to enable complete and accurate assessment of auditory function. Since the introduction of the cross-check principle 35 years ago, the pediatric diagnostic test battery has expanded to include, in addition to behavioral audiometry, acoustic immittance measures, otoacoustic emissions, and multiple auditory evoked responses (auditory brainstem response, auditory steady state response, and electrocochleography). We offer a concise description of a modern evidence-based audiological test battery that permits early and accurate diagnosis of auditory dysfunction.

Fifth Edition: the New Standard

2000 ◽  
Vol 5 (6) ◽  
pp. 1-7
Author(s):  
Christopher R. Brigham ◽  
James B. Talmage ◽  
Leon H. Ensalada
Keyword(s):  
Musculoskeletal System ◽  
Medical Information ◽  
Objective Assessment ◽  
Scientific Data ◽  
Practical Application ◽  
Fourth Edition ◽  
Appropriate Use ◽  
Medical Evaluation ◽  
Single Set

Abstract The AMA Guides to the Evaluation of Permanent Impairment (AMA Guides), Fifth Edition, is available and includes numerous changes that will affect both evaluators who and systems that use the AMA Guides. The Fifth Edition is nearly twice the size of its predecessor (613 pages vs 339 pages) and contains three additional chapters (the musculoskeletal system now is split into three chapters and the cardiovascular system into two). Table 1 shows how chapters in the Fifth Edition were reorganized from the Fourth Edition. In addition, each of the chapters is presented in a consistent format, as shown in Table 2. This article and subsequent issues of The Guides Newsletter will examine these changes, and the present discussion focuses on major revisions, particularly those in the first two chapters. (See Table 3 for a summary of the revisions to the musculoskeletal and pain chapters.) Chapter 1, Philosophy, Purpose, and Appropriate Use of the AMA Guides, emphasizes objective assessment necessitating a medical evaluation. Most impairment percentages in the Fifth Edition are unchanged from the Fourth because the majority of ratings currently are accepted, there is limited scientific data to support changes, and ratings should not be changed arbitrarily. Chapter 2, Practical Application of the AMA Guides, describes how to use the AMA Guides for consistent and reliable acquisition, analysis, communication, and utilization of medical information through a single set of standards.

290: The Prevalence of Abuse in Women with Interstitial Cystitis and Pelvic Floor Dysfunction

2006 ◽  
Vol 175 (4S) ◽  
pp. 96-97
Author(s):  
Donna J. Carrico ◽  
Ananias C. Diokno ◽  
Kenneth M. Peters
Keyword(s):  
Pelvic Floor ◽  
Interstitial Cystitis ◽  
Pelvic Floor Dysfunction

910: Evaluation of Pelvic Floor Reconstructive Surgery Using Tridimentional Helical CT

2006 ◽  
Vol 175 (4S) ◽  
pp. 294-295
Author(s):  
Paulo Palma ◽  
Cassio L. Riccetto ◽  
Miriam Dambros ◽  
Rogerio Fraga ◽  
Ricardo Maia ◽  
...  
Keyword(s):  
Pelvic Floor ◽  
Reconstructive Surgery ◽  
Helical Ct

390: The Use of Validated Scoring Systems to Improve Objective Assessment of Comorbid Risk in Men with Localised Prostate Cancer

2004 ◽  
Vol 171 (4S) ◽  
pp. 102-103
Author(s):  
Rajinder Singh ◽  
Declan Cahill ◽  
Rick Popert ◽  
Ronald Beaney ◽  
Anthony Wierzbicki ◽  
...  
Keyword(s):  
Prostate Cancer ◽  
Objective Assessment ◽  
Scoring Systems
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