Rehabilitation of hypotonus pelvic floor muscles with a telerehab approach- Case report

Pelvic floor muscle is a group of muscles which acts as a Sling to Support, Assist and Aid the functions of Bladder, Bowel and Sexual activities. Hypotonus Pelvic floor muscle Dysfunction is a common condition suffered by Postmenopausal women where the strength of the Pelvic muscles reduces. Mostly reported is the incidence of Urinary incontinence and Pelvic organ prolapse. There are Various Proven Exercises, Equipments and Interventions which can be administered for the Hypotonus rehabilitation however due to the Covid- 19 Pandemic lockdown and with Social distancing there was a dearth felt by the Pelvic floor therapist for the rehabilitation of the Pelvic floor concern. This case report discusses the Telerehab approach and Progression Intervention for the Hypotonic Pelvic floor rehabilitation by Improving the Strength and the Quality of life of the women during such times when reaching the Pelvic floor therapist is difficult.

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Urinary Incontinence in Women: Modern Methods of Physiotherapy as a Support for Surgical Treatment or Independent Therapy

Journal of Clinical Medicine ◽

10.3390/jcm9041211 ◽

2020 ◽

Vol 9 (4) ◽

pp. 1211 ◽

Cited By ~ 1

Author(s):

Agnieszka Irena Mazur-Bialy ◽

Daria Kołomańska-Bogucka ◽

Caroline Nowakowski ◽

Sabina Tim

Keyword(s):

Urinary Incontinence ◽

Pelvic Floor ◽

Pelvic Floor Muscle ◽

Pelvic Floor Dysfunction ◽

Pelvic Organ ◽

Organ Support ◽

Training Techniques ◽

Pelvic Organ Support ◽

Synergistic Muscles

Urinary incontinence (UI) is a common health problem affecting quality of life of nearly 420 million people, both women and men. Pelvic floor muscle (PFM) training and other physiotherapy techniques play an important role in non-surgical UI treatment, but their therapeutic effectiveness is limited to slight or moderate severity of UI. Higher UI severity requires surgical procedures with pre- and post-operative physiotherapy. Given that nearly 30%–40% of women without dysfunction and about 70% with pelvic floor dysfunction are unable to perform a correct PFM contraction, therefore, it is particularly important to implement physiotherapeutic techniques aimed at early activation of PFM. Presently, UI physiotherapy focuses primarily on PFM therapy and its proper cooperation with synergistic muscles, the respiratory diaphragm, and correction of improper everyday habits for better pelvic organ support and continence. The purpose of this work is a systematic review showing the possibilities of using physiotherapeutic techniques in the treatment of UI in women with attention to the techniques of PFM activation. Evidence of the effectiveness of well-known (e.g., PFM training, biofeedback, and electrostimulation) and less-known (e.g., magnetostimulation, vibration training) techniques will be presented here regarding the treatment of symptoms of urinary incontinence in women.

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Pelvic floor muscle disorders and women’s quality of life

Progress in Health Sciences ◽

10.5604/01.3001.0009.5132 ◽

2016 ◽

Vol 6 (1) ◽

pp. 95-101 ◽

Cited By ~ 1

Author(s):

G. Stadnicka ◽

C. Łepecka-Klusek ◽

A.B. Pilewska-Kozak

Keyword(s):

Quality Of Life ◽

Urinary Incontinence ◽

Sexual Function ◽

Pelvic Floor ◽

Negative Impact ◽

Pelvic Floor Muscle ◽

Pelvic Organ ◽

Muscle Disorders ◽

Sexual Quality Of Life

Purpose: To characterize the symptoms of urinary incontinence of women suffering from pelvic organ disorders (POP) and the effect of these problems on quality of life (QoL). Materials and methods: 215 women from rural regions diagnosed with POP were examined. The research implemented the Life Satisfaction Questionnaire (LISAT-11), used to assess quality of life; the Sexual Quality of Life-Female (SQoL-F) questionnaire, which was employed to assess sexual activity; and the Gaudenz-Incontinence questionnaire, served to assess the occurrence of symptoms of urinary incontinence as well as to define the type of urinary incontinence and its degree of escalation. Results: The average age of the participants was 54.8 years. Most of the participants had urinary incontinence (159; 73.95%). Women with POP and symptoms of urinary incontinence achieved a lower indicator of the sexual function QoL (median - 61.00) when compared to those not suffering from urinary incontinence (median- 78.00). Differences between the groups were statistically significant (p=0.002). The general indicator of QoL for women with symptoms and those without symptoms of stress urinary incontinence (SUI) did not reveal any significant differences between the groups (p=0.643). Conclusions: Urinary incontinence in women with disorders of pelvic floor muscle functions has an insignificant effect on general QoL, whereas it has a decidedly negative impact on sexual function QoL.

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Can a Leaflet with Brief Verbal Instruction Teach Nepali Women How to Correctly Contract Their Pelvic Floor Muscles?

Journal of Nepal Health Research Council ◽

10.3126/jnhrc.v15i2.18160 ◽

2017 ◽

Vol 15 (2) ◽

pp. 105-109 ◽

Cited By ~ 6

Author(s):

Delena-Mae Caagbay ◽

Kirsten Black ◽

Ganesh Dangal ◽

Camille Rayes-Greenow

Keyword(s):

Pelvic Organ Prolapse ◽

Pelvic Floor ◽

Muscle Contraction ◽

Pelvic Floor Muscle ◽

Pelvic Organ ◽

Pelvic Floor Muscles ◽

Verbal Instruction ◽

Low Literacy ◽

Nepali Women

Background: Pelvic organ prolapse is a common disorder for women in Nepal causing symptoms and reduced quality of life. Pelvic floor muscle exercise is a conservative treatment option for pelvic organ prolapse but the effective way to teach women in Nepal is not known. The objective of this pilot study was to determine if an illustrative leaflet with brief verbal instruction could teach Nepali women to correctly contract their pelvic floor muscles.Methods: Fifteen parous women attending two outpatient gynecology clinics in Kathmandu Valley were interviewed to assess their knowledge of pelvic organ prolapse and pelvic floor muscles exercise. Following verbal instruction and an illustrative leaflet on how to contract their pelvic floor muscles, the transabdominal real time ultrasound was applied to assess the muscle contraction. Results: The median age of 15 participants was 45 years (range 18-75 years) and 10 women had pelvic organ prolapse. Some of the participants (9/15) knew about pelvic organ prolapse but none were aware of the pelvic floor muscles. After being taught how to contract their pelvic floor muscle, only 4 of 14 correctly contracted the pelvic floor muscle. Conclusions: This study highlighted the low knowledge of the pelvic floor muscle, and brief verbal instruction with an illustrative leaflet is also not sufficient in teaching Nepali women how to correctly contract their pelvic floor muscle. Further research is needed to determine how to teach a correct pelvic floor muscle contraction for women with low literacy in resource poor settings.

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A randomized clinical trial to assess the effectiveness of pre- and post-surgical pelvic floor physiotherapy for bowel symptoms, pelvic floor function, and quality of life of patients with rectal cancer: CARRET protocol

Trials ◽

10.1186/s13063-021-05396-1 ◽

2021 ◽

Vol 22 (1) ◽

Author(s):

Cinara Sacomori ◽

Luz Alejandra Lorca ◽

Mónica Martinez-Mardones ◽

Roberto Ignacio Salas-Ocaranza ◽

Guillermo Patricio Reyes-Reyes ◽

...

Keyword(s):

Quality Of Life ◽

Rectal Cancer ◽

Pelvic Floor ◽

Cancer Patients ◽

Pelvic Floor Muscle ◽

Pelvic Floor Rehabilitation ◽

Pelvic Floor Function ◽

Bowel Symptoms ◽

Floor Function

Abstract Background There is scarcity of trials about preventative strategies for low anterior resection syndrome (LARS) in rectal cancer patients. The aim of this study is to evaluate the effectiveness of a pre- and post-surgical pelvic floor rehabilitation program on the bowel symptoms, pelvic floor function, and quality of life of rectal cancer patients. Methods A randomized controlled trial with parallel groups (pelvic floor rehabilitation versus control group), with a blinded evaluator. Participants and setting: 56 stage I to III rectal cancer patients aged from 18 to 80 years old undergoing sphincter preservation surgery at Hospital del Salvador and who have a sufficient knowledge of Spanish. Main outcome measures: ICIQ-B questionnaire for intestinal symptoms, high-resolution anorectal manometry (Alacer Multiplex 24-channel manometry equipment) for anorectal function, pelvic floor muscle strength test with Oxford Modified Scale, and a quality of life test with the EORTC QLQ C30 questionnaire. The evaluations will be carried out at five stages: before surgery, before and after the pelvic floor rehabilitation, and during a 3-month and 1-year follow-up. Interventions: one pre-rehabilitation session and 9 to 12 sessions of pelvic floor rehabilitation, including patient education, pelvic floor muscle exercises, pelvic floor electromyography biofeedback, and capacitive and sensory rectal training with a balloon probe. Rehabilitation will begin 3–5 weeks before the ileostomy is removed (four sessions) and around 3 weeks after stoma removal (5–8 sessions). Discussion We expect the program to improve the bowel symptoms, pelvic floor function, and quality of life of rectal cancer patients. Trial registration Australian New Zealand Clinical Trials Register ACTRN12620000040965. Registered on 21 January 2020.

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Design of Exercise Nursing Program for Pelvic Floor Muscle Function Recovery at 42 Days Postpartum

Computational and Mathematical Methods in Medicine ◽

10.1155/2021/1714610 ◽

2021 ◽

Vol 2021 ◽

pp. 1-10

Author(s):

Shuixian Zhang ◽

Ling Yuan ◽

Lin Zhou ◽

Xia Lei ◽

Libo Zhu

Keyword(s):

Pelvic Floor ◽

Muscle Function ◽

Pelvic Floor Muscle ◽

Obstetric Care ◽

Nursing Intervention ◽

Pelvic Organ ◽

Normal Delivery ◽

Pelvic Floor Muscle Function ◽

Function Recovery

In order to explore the effect of exercise nursing intervention for pelvic floor muscle function recovery at 42 days postpartum, this paper conducts experimental research through controlled experiments, combines statistical methods to carry out digital processing, and sets a single variable of nursing intervention to provide a basis for experimental control, and statistical test results are used for effect evaluation. It has been discovered via experimental study that pelvic floor muscle function recovery exercise training for normal delivery women may enhance the mother’s compliance with the pelvic floor muscle function exercise. Moreover, it can reduce the occurrence of urinary incontinence and pelvic organ prolapse, improve the postpartum pelvic floor function of postpartum women, improve the quality of life, and have a significant recovery effect. In addition, it is a simple, noninvasive, and highly safe continuation nursing measure, which can effectively improve the quality of obstetric care and has strong clinical use value.

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Postoperative Physiotherapy in Women Undergoing Pelvic Floor Reconstructive Surgery: A Randomized Controlled Clinical Trial

Physiotherapy Canada ◽

10.3138/ptc-2020-0053 ◽

2021 ◽

pp. e20200053

Author(s):

Corlia Brandt ◽

E.C. Janse van Vuuren

Keyword(s):

Quality Of Life ◽

Pelvic Organ Prolapse ◽

Pelvic Floor ◽

Muscle Function ◽

Pelvic Floor Muscle ◽

Pelvic Organ ◽

Abdominal Muscle ◽

Beneficial Effects ◽

Randomized Controlled

Purpose: Postoperative physiotherapy in conjunction with pelvic organ prolapse (POP) surgery is still under-investigated and controversial. In this randomized controlled trial, pelvic floor muscle training (PFMT) and abdominal training were compared with a control condition (standard in-hospital treatment). Method: Eighty-one women were randomized to one of three groups. The Prolapse Quality of Life questionnaire, two-dimensional ultrasound, Pelvic Organ Prolapse Quantification System scale, the PERFECT (power, endurance, repetitions, fast contractions, every contraction timed) scheme, electromyography, Sahrmann scale, and pressure biofeedback unit (PBU) were used to measure quality of life (QOL), POP, and pelvic floor and abdominal muscle function. A mixed-model analysis of variance and the Kruskal–Wallis test was used for analysis. Results: Beneficial effects ( p < 0.05) were found for the PFMT group – increased power, number of fast contractions, amount of movement, endurance, and Sahrmann and PBU measures – compared with the control group. Abdominal training led to a significant ( p < 0.05) increase in bulging and discomfort, number of pelvic floor muscle contractions, and Sahrmann and PBU measures compared with the control condition; both groups showed significantly increased urinary frequency ( p < 0.05). Conclusions: Postoperative physiotherapy did not have a beneficial effect on QOL or POP symptoms. PFMT and abdominal training had beneficial effects on pelvic floor muscle function and abdominal muscle measures. Additional abdominal training led to increased symptoms.

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