Limits of Pelvic Floor Physical Therapy in the Treatment of GPPD

2018 ◽  
Vol 10 (2) ◽  
pp. 35-37
Author(s):  
Talli Y. Rosenbaum
Keyword(s):  
Physical Therapy ◽  
Pelvic Floor ◽  
Pelvic Floor Physical Therapy

Pelvic Floor Physical Therapy

2014 ◽  
Vol 20 (6) ◽  
pp. 334-341 ◽  
Author(s):  
Rachel N. Pauls ◽  
Catrina C. Crisp ◽  
Kathleen Novicki ◽  
Angela N. Fellner ◽  
Steven D. Kleeman
Keyword(s):  
Physical Therapy ◽  
Pelvic Floor ◽  
Pelvic Floor Physical Therapy

Benefit of Pelvic Floor Physical Therapy in Pediatric Patients with Dyssynergic Defecation Constipation

2019 ◽  
Vol 37 (6) ◽  
pp. 478-485 ◽  
Author(s):  
Claire Zar-Kessler ◽  
Braden Kuo ◽  
Elizabeth Cole ◽  
Anna Benedix ◽  
Jaime Belkind-Gerson
Keyword(s):  
Physical Therapy ◽  
Pelvic Floor ◽  
Chronic Constipation ◽  
Muscle Tone ◽  
Colonic Surgery ◽  
Tertiary Referral Center ◽  
Dyssynergic Defecation ◽  
Pelvic Floor Physical Therapy ◽  
Novel Treatment ◽  
Balloon Expulsion

Objectives: Chronic constipation is a common childhood problem and often caused or worsened by abnormal dynamics of defecation. The aim of this study was to assess the benefit of pelvic floor physical therapy (PFPT), a novel treatment in pediatrics for the treatment of chronic constipation with dyssynergic defecation. Methods: This was a retrospective study of 69 children seen at a pediatric neurogastroenterology program of a large tertiary referral center for chronic constipation and dyssynergic defecation, determined by anorectal manometry and balloon expulsion testing. We compared the clinical outcome of patients who underwent PFPT (n = 49) to control patients (n = 20) whom received only medical treatment (laxatives/stool softeners). Additionally, characteristics of the treatment group were analyzed in relation to therapeutic response. Results: Thirty-seven (76%) of the patients who received physical therapy had improvement in constipation symptoms, compared to 5 (25%) of the patients on conservative treatment (p < 0.01). Additionally, patients who received pelvic physical therapy had fewer hospitalizations for cleanouts (4 vs. 25%, p = 0.01) and ­colonic surgery than those that were treated with medical therapy exclusively (0 vs. 10%, p = 0.03). Among the patients who received physical therapy, those that suffered from anxiety and/or low muscle tone had a higher response rate (100%). There were no adverse effects from the intervention. Conclusion: The new field of pediatric PFPT is a safe and effective intervention for children with dyssynergic defecation causing or contributing to chronic constipation, particularly in children whose comorbidities include anxiety and low ­muscle tone.

ORIGINAL RESEARCH—PAIN: A Prospective Study of Pelvic Floor Physical Therapy: Pain and Psychosexual Outcomes in Provoked Vestibulodynia

2009 ◽  
Vol 6 (7) ◽  
pp. 1955-1968 ◽  
Author(s):  
Corrie Goldfinger ◽  
Caroline F. Pukall ◽  
Evelyne Gentilcore-Saulnier ◽  
Linda McLean ◽  
Susan Chamberlain
Keyword(s):  
Physical Therapy ◽  
Prospective Study ◽  
Pelvic Floor ◽  
Original Research ◽  
Provoked Vestibulodynia ◽  
Pelvic Floor Physical Therapy ◽  
A Prospective Study

Diseases of the Vulva

2021 ◽  
Author(s):  
Huma Farid ◽  
Catherine Nosal
Keyword(s):  
Physical Therapy ◽  
Pelvic Floor ◽  
Sexually Transmitted Infections ◽  
Hidradenitis Suppurativa ◽  
Lichen Sclerosus ◽  
Hormonal Changes ◽  
Vulvar Pain ◽  
Sexually Transmitted ◽  
Pelvic Floor Physical Therapy

Vulvar symptoms are a common reason for a gynecologic visit. A variety of conditions impact the vulva, including dermatologic conditions, hormonal changes, vulvar pain, and sexually transmitted or other infections. History and physical exam, focused on the symptoms and the vulvovaginal area, are crucial to identifying the etiology of the symptoms. A full evaluation may include vulvar biopsies and testing for infections. The treatment of the symptoms depends on the etiology; therefore, an accurate and thorough determination of the cause of the patient’s symptoms is of primary importance. Treatment can include antibiotics, antifungals, steroids, antidepressants, hormones, and pelvic floor physical therapy. In this chapter, we summarize common conditions affecting the vulvar, their evaluation, and their treatment. This review contains 7 figures, 10 tables, and 40 references. Key Words: Bartholin gland, candidiasis, dermatitis, eczema, hidradenitis suppurativa, lichen planus, lichen sclerosus, sexually transmitted infections, vulva, vulvodynia, vulvovaginal atrophy

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