scholarly journals Prospective Outcomes of a Pelvic Floor Rehabilitation Program Including Vaginal Electrogalvanic Stimulation for Urinary, Defecatory, and Pelvic Pain Symptoms

2017 ◽  
Vol 23 (2) ◽  
pp. 108-113 ◽  
Author(s):  
Jennifer J. Schmitt ◽  
Ruchira Singh ◽  
Amy L. Weaver ◽  
Kristin C. Mara ◽  
Randina R. Harvey-Springer ◽  
...  
Keyword(s):  
Pelvic Floor ◽  
Pelvic Pain ◽  
Rehabilitation Program ◽  
Pelvic Floor Rehabilitation ◽  
Electrogalvanic Stimulation ◽  
Pain Symptoms

Pelvic Pain and Floor Dysfunction

2018 ◽  
Author(s):  
Danielle Sarno ◽  
Farah Hameed
Keyword(s):  
Physical Therapy ◽  
Pelvic Floor ◽  
Pelvic Pain ◽  
Multidisciplinary Approach ◽  
Rehabilitation Program ◽  
Painful Bladder ◽  
Integral Role ◽  
Comprehensive Rehabilitation ◽  
Irritable Bowel ◽  
Tract Infections

Chronic pelvic pain is defined as persistent pain perceived in structures related to the anatomic pelvis (lower abdomen below the umbilicus) of either women or men for greater than 6 months. The etiology may be related to gynecologic, urologic, gastrointestinal, musculoskeletal, and neurologic causes. Pelvic pain and floor dysfunction often are associated with a musculoskeletal disorder related to the pelvic girdle, spine, or hip. Myofascial pelvic pain may be related to other diagnoses, such as depression, irritable bowel syndrome, endometriosis, constipation, painful bladder syndrome, and chronic urinary tract infections. A thorough history and clinical examination, including an internal pelvic floor musculoskeletal examination, can help identify the underlying etiology. A multidisciplinary approach to management is essential. Pelvic floor physical therapy plays an integral role. Other treatments, such as medications, complementary therapies, and injections, may be used in conjunction with physical therapy to facilitate a comprehensive rehabilitation program and manage symptoms.

scholarly journals Profile and quality of life of women in pelvic floor rehabilitation

2018 ◽  
Vol 71 (5) ◽  
pp. 2496-2505 ◽  
Author(s):  
Maria Helena Baena de Moraes Lopes ◽  
Juliana Neves da Costa ◽  
Mariana Bezzon Bicalho ◽  
Ticiane Ellen Casale ◽  
Agnês Raquel Camisão ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Pelvic Floor ◽  
Sexual Activity ◽  
Cross Sectional Study ◽  
Rehabilitation Program ◽  
Cross Sectional ◽  
Pelvic Floor Rehabilitation ◽  
Related Quality ◽  
Health Related

ABSTRACT Objective: Describe the sociodemographic, clinical, and sexual profile, identify profile variables that affect the Health-Related Quality of Life (HRQoL), and evaluate the correlation between two HRQoL questionnaires used in a pelvic floor rehabilitation program. Method: This is an observational, analytical, and cross-sectional study, based on patient records and two questionnaires for HRQoL evaluation. Results: Women presented a mean age of 55.4 years; were married; white; had stress, urge, or mixed urinary incontinence (UI) of moderate to large urine release; and daily or diurnal UI. Only 50.5% had an active sex life and most had sexual complaints. The change in sexual activity and some types of UI affected the HRQoL. The two questionnaires presented a correlation. Conclusion: The profile and correlation between the questionnaires are consistent with the literature. The type of UI and changes in sexual activity affect the HRQoL.

scholarly journals LACK OF EMPHASIS ON PELVIC FLOOR REHABILITATION

2014 ◽  
Vol 3 (1) ◽  
pp. 2-3
Author(s):  
Qurat ul Ain Adnan
Keyword(s):  
Pelvic Floor ◽  
Pelvic Pain ◽  
Chronic Pelvic Pain ◽  
Pelvic Floor Disorders ◽  
Pelvic Organ ◽  
Sexual Dysfunctions ◽  
Pelvic Floor Rehabilitation ◽  
Physical Wellbeing ◽  
Socioeconomic Burden ◽  
Over Active Bladder

It has been observed that most patients with pelvic floor diseases are unaware of the problems they are facing in terms of emotional, psychological, and physical wellbeing. Pelvic floor problems are difficult to diagnose and treat; hence, bothersome for patients who are living with it. The perception about pelvic floor rehabilitation is misplaced, becoming a socioeconomic burden for the country. Since, pelvic floor disorders include incontinence; pelvic organ prolapsed, over active bladder, chronic pelvic pain, and sexual dysfunctions.

scholarly journals OUTLET OBSTRUCTED CONSTIPATION AND FECAL INCONTINENCE: IS REHABILITATION TREATMENT THE WAY? MYTH OR REALITY

2020 ◽  
Vol 57 (2) ◽  
pp. 198-202
Author(s):  
Luigi BRUSCIANO ◽  
Claudio GAMBARDELLA ◽  
Gianmattia DEL GENIO ◽  
Salvatore TOLONE ◽  
Francesco Saverio LUCIDO ◽  
...  
Keyword(s):  
Pelvic Pain ◽  
Rehabilitation Program ◽  
Careful Evaluation ◽  
Pelvic Floor Rehabilitation ◽  
Urologic Diseases ◽  
Functional Aspects ◽  
Potential Factor ◽  
Defecation Disorders ◽  
Psychic State

ABSTRACT Pelvic floor rehabilitation aims to address perineal functional and anatomic alterations as well as thoraco-abdominal mechanic dysfunctions leading to procto-urologic diseases like constipation, fecal and urinary incontinence, and pelvic pain. They require a multidimensional approach, with a significant impact on patients quality of life. An exhaustive clinical and instrumental protocol to assess defecation disorders should include clinical and instrumental evaluation as well as several clinical/physiatric parameters. All these parameters must be considered in order to recognize and define any potential factor playing a role in the functional aspects of incontinence, constipation and pelvic pain. After such evaluation, having precisely identified any thoraco-abdomino-perineal anatomic and functional alterations, a pelvi-perineal rehabilitation program can be carried out to correct the abovementioned alterations and to obtain clinical improvement. The success of the rehabilitative process is linked to several factors such as a careful evaluation of the patient, aimed to select the most appropriate and specific targeted rehabilitative therapy, the therapist’s scrupulous hard work, especially as regards the patient’s emotional and psychic state, and finally the patient’s compliance in undertaking the therapy itself, especially at home. These factors may deeply influence the overall outcomes of the rehabilitative therapies, ranging from “real” success to illusion “myth”.

Urinary Incontinence and Sport: First and Preliminary Experience With a Combined Pelvic Floor Rehabilitation Program in Three Female Athletes

2010 ◽  
Vol 31 (5) ◽  
pp. 435-443 ◽  
Author(s):  
Massimo Rivalta ◽  
Maria Chiara Sighinolfi ◽  
Salvatore Micali ◽  
Stefano De Stefani ◽  
Francesca Torcasio ◽  
...  
Keyword(s):  
Urinary Incontinence ◽  
Pelvic Floor ◽  
Female Athletes ◽  
Rehabilitation Program ◽  
Pelvic Floor Rehabilitation

scholarly journals How to Predict Outcomes from a Biofeedback and Pelvic Floor Muscle Electric Stimulation Program in Patients with Urinary Incontinence after Radical Prostatectomy

2021 ◽  
Vol 11 (1) ◽  
pp. 127
Author(s):  
Stefano Salciccia ◽  
Alessandro Sciarra ◽  
Martina Moriconi ◽  
Martina Maggi ◽  
Pietro Viscuso ◽  
...  
Keyword(s):  
Urinary Incontinence ◽  
Radical Prostatectomy ◽  
Pelvic Floor ◽  
Electric Stimulation ◽  
Pelvic Floor Muscle ◽  
Prospective Trial ◽  
Rehabilitation Program ◽  
Primary Objective ◽  
Pelvic Floor Rehabilitation ◽  
Free Status

Objectives: The objective of this study was to analyze the pre-operative and intra-operative variables that can condition urinary incontinence (UI) after radical prostatectomy (RP), as well as continence rate recovery during a pelvic floor rehabilitation program. Materials and Methods: A total of 72 cases with UI after RP were prospectively examined. All cases were homogeneously treated by the same surgeon, using the same RP technique. A combination of biofeedback (BF) and pelvic floor electric stimulation (PFES) performed by the same clinician and using the same protocol was used. Clinical, pathologic and surgical variables were analyzed in terms of 24 h pad test results (pad weight and pad-free status). Results: Prostate volume (PV) strongly varied from 24 to 127 cc (mean ± SD 46.39 ± 18.65 cc), and the baseline pad weight varied from 10 to 1500 cc (mean ± SD 354.29 ± 404.15 cc). PV strongly and positively correlated with the baseline pad weight (r = 0.4215; p = 0.0269) and inversely with the three-month pad weight (r = − 0.4763; p = 0.0213) and pad-free status (r =− 0.3010; p = 0.0429). The risk of a residual pad weight >10 g after the rehabilitative program significantly increased according to PV (p = 0.001) and the baseline pad weight (p = 0.002 and < 0.0001). In particular, PV > 40 cc and a baseline pad weight >400 g significantly (p = 0.010 and p < 0.0001, respectively) and independently predicted a 5.7 and a 35.4 times increase in the risk of a residual pad weight at the three-month follow-up, respectively. Conclusion: This is the first prospective trial whose primary objective is to verify the possible predictors, such as PV, that are able to condition the response to a pelvic floor rehabilitation program for UI after RP.

scholarly journals Comprehensive management of pelvic floor dysfunction in women

2017 ◽  
Author(s):  
◽  
Julie A. Starr
Keyword(s):  
Pelvic Floor ◽  
Pelvic Floor Dysfunction ◽  
Secondary Analysis ◽  
Data Set ◽  
Practice Nurses ◽  
Comprehensive Management ◽  
Nonsurgical Management ◽  
Electrogalvanic Stimulation ◽  
One Year ◽  
Pain Symptoms

Objective: Advanced Practice Nurses (APRNs) in a urogynecology clinic are uniquely positioned to provide comprehensive, nonsurgical care for women with symptoms of pelvic floor dysfunction (PFD) including urinary, defecatory, and pelvic pain complaints. The aim of this study was to determine immediate and longterm effectiveness of comprehensive pelvic floor rehabilitative administered by an APRN. Methods: This study is a secondary analysis of a robust data set collected between February 2013 and February 2016. Data were analyzed on 406 subjects who completed up to five treatment sessions with an APRN, which included pelvic muscle biofeedback; vaginal electrogalvanic stimulation; behavior modification; and in some cases pessary fitting or pharmacologic intervention. Validated quality of life QOL instruments (e.g. PFDI-20 and PFIQ-7) and visual analog scale (VAS) were collected following initiation of treatment; and at six and twelve months. Results: Subjects experienced clinical and statistically significant improvement in QOL, which was durable at one year. VAS data revealed an 80% improvement in urinary, defecatory, and pain symptoms. Conclusion: Comprehensive nonsurgical management of women with symptoms of PFD by an NP is efficacious and results in improved QOL which is durable to one year.

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