Pelvic Floor Physical Therapy and Women's Health Promotion

2018 ◽  
Vol 63 (4) ◽  
pp. 410-417 ◽  
Author(s):  
Samantha Lawson ◽  
Ashley Sacks
2014 ◽  
Vol 20 (6) ◽  
pp. 334-341 ◽  
Author(s):  
Rachel N. Pauls ◽  
Catrina C. Crisp ◽  
Kathleen Novicki ◽  
Angela N. Fellner ◽  
Steven D. Kleeman

2019 ◽  
Vol 37 (6) ◽  
pp. 478-485 ◽  
Author(s):  
Claire Zar-Kessler ◽  
Braden Kuo ◽  
Elizabeth Cole ◽  
Anna Benedix ◽  
Jaime Belkind-Gerson

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.


2009 ◽  
Vol 6 (7) ◽  
pp. 1955-1968 ◽  
Author(s):  
Corrie Goldfinger ◽  
Caroline F. Pukall ◽  
Evelyne Gentilcore-Saulnier ◽  
Linda McLean ◽  
Susan Chamberlain

2021 ◽  
pp. 109019812110505
Author(s):  
Victoria Chinn ◽  
Eva Neely ◽  
Sarah Shultz ◽  
Rozanne Kruger ◽  
Roger Hughes ◽  
...  

Achieving women’s health equity and empowerment is a global priority. In a Western context, women are often disempowered by the value society places on body size, shape or weight, which can create a barrier to health. Health promotion programs can exacerbate women’s preoccupations with their bodies by focusing outcomes toward achieving an “ideal” body size. Women’s health promotion activities should be empowering if the desired outcomes are to improve their health and well-being long-term. This review sought to identify key elements from health promotion programs that aimed to empower women. A search was conducted in PubMed, MEDLINE, Web of Science, Scopus, CINAHL complete, and Academic Search Premiere databases. The search yielded 27 articles that collectively reported on 10 different programs. Through thematic synthesis, each article was analyzed for (1) key program features employed to empower women and (2) how such programs evaluated women’s health. Seven themes resulted, of which five describe key empowering features ( active participation, social support, sustainable change, holistic health perspective, strength-based approach) and two evaluation characteristics ( assessment across multiple health domains and a mixed-method design). The findings from this review can assist health promoters to design and improve initiatives that aim to empower women.


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