pelvic floor exercises
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2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Lolita Wikander ◽  
Marilynne N. Kirshbaum ◽  
Nasreena Waheed ◽  
Daniel E. Gahreman

Abstract Background Urinary incontinence (UI) can negatively affect a woman’s quality of life, participation in sport and athletic performance. The objectives of this study were to determine the prevalence of UI in competitive women powerlifters; identify possible risk factors and activities likely to provoke UI; and establish self-care practices. Methods This international cross-sectional study was conducted using an online survey completed by 480 competitive women powerlifters aged between 20 and 71 years. The Incontinence Severity Index (ISI) was used to determine the severity of UI. Results We found that 43.9% of women had experienced UI within the three months prior to this study. The deadlift was the most likely, and the bench-press the least likely exercise to provoke UI. ISI scores were positively correlated with parity (τ = 0.227, p < 0.001), age (τ = 0.179, p < 0.001), competition total (τ = 0.105, p = 0.002) and body mass index score (τ = 0.089, p = 0.009). There was no significant correlation between ISI and years strength training (τ = − 0.052, p = 0.147) or years powerlifting (τ = 0.041, p = 0.275). There was a negative correlation between ISI score with having a pelvic floor assessment (η = 0.197), and the ability to correctly perform pelvic floor exercises (η = 0.172). Conclusion The prevalence of UI in this cohort was at the upper limit experienced by women in the general population. Women who had undergone a pelvic floor examination or were confident in correctly performing pelvic floor exercises experienced less severe UI.


2021 ◽  
Author(s):  
◽  
Ruth Emma Barnard

<p>Pelvic floor exercises are an important practice in the prevention and resolution of pelvic floor disorder. However, pelvic floor exercises are often not practiced regularly or correctly which puts women at high risk of experiencing pelvic floor disorder symptoms. These symptoms are debilitating in terms of physical and mental health, and when ignored can worsen over time. In particular, pregnant and postnatal women are at the most risk of this disorder and still do not practice the exercises as required. This study identifies the lack of correct and regular exercises being practiced as a complex social and cultural issue which is best explored with ethnographic design research. The use of semi structured interviews, narrative analysis and informational probes enabled an open ended exploration of pregnant and postnatal women‟s experiences with learning and practicing pelvic floor exercises. Health professionals experience with teaching pelvic floor exercises has also been explored and findings have shown that to assist regular and correct exercise there is a need for professional diagnosis and guidance, suitable to each women‟s health, lifestyle, and way of learning. Themes in the findings included; Safety and Professional Support, Teaching PFX with Metaphor, Integrating PFX into Daily Life and Device Concerns and Feedback. Design recommendations which correspond to each of these themes were formed. Discussion of these findings using background literature also gave crucial context to this study, underscoring overarching key themes of education and empowerment which future pelvic floor exercise designs should embrace. Finally, this study addresses the strengths and weaknesses of an ethnographic design research approach in informing the development of future designs and systems for healthcare, and opens spaces for future work.</p>


2021 ◽  
Author(s):  
◽  
Ruth Emma Barnard

<p>Pelvic floor exercises are an important practice in the prevention and resolution of pelvic floor disorder. However, pelvic floor exercises are often not practiced regularly or correctly which puts women at high risk of experiencing pelvic floor disorder symptoms. These symptoms are debilitating in terms of physical and mental health, and when ignored can worsen over time. In particular, pregnant and postnatal women are at the most risk of this disorder and still do not practice the exercises as required. This study identifies the lack of correct and regular exercises being practiced as a complex social and cultural issue which is best explored with ethnographic design research. The use of semi structured interviews, narrative analysis and informational probes enabled an open ended exploration of pregnant and postnatal women‟s experiences with learning and practicing pelvic floor exercises. Health professionals experience with teaching pelvic floor exercises has also been explored and findings have shown that to assist regular and correct exercise there is a need for professional diagnosis and guidance, suitable to each women‟s health, lifestyle, and way of learning. Themes in the findings included; Safety and Professional Support, Teaching PFX with Metaphor, Integrating PFX into Daily Life and Device Concerns and Feedback. Design recommendations which correspond to each of these themes were formed. Discussion of these findings using background literature also gave crucial context to this study, underscoring overarching key themes of education and empowerment which future pelvic floor exercise designs should embrace. Finally, this study addresses the strengths and weaknesses of an ethnographic design research approach in informing the development of future designs and systems for healthcare, and opens spaces for future work.</p>


2021 ◽  
Vol 11 (9) ◽  
pp. 920
Author(s):  
Alvaro Rodriguez-Rodriguez ◽  
Maria Blanco-Diaz ◽  
Pedro Lopez-Diaz ◽  
Marta de la Fuente-Costa ◽  
Maria Cruz Sousa-Fraguas ◽  
...  

Background: Prostate cancer (PC) is a major cause of disease and mortality among men. Surgical treatment involving the removal of the prostate may result in temporary or permanent erectile dysfunction (ED) and urinary incontinence (UI), with considerable impact on quality of life. Pelvic floor muscle training (PFMT) is one of the recommended techniques for the prevention, treatment, and rehabilitation of postoperative complications. The aim of this observational study was to assess the quality of YouTube videos—accessible to any patient—related to exercises after prostatectomy surgery. Methods: A systematic search was performed on YouTube on 24 September 2020. One hundred and fifty videos were selected and analyzed. Two statistical analyses were conducted based on machine-learning techniques, and videos were classified as ‘Relevant’ or ‘Non-Relevant’ using Principal Component Analysis (PCA) models. Two reviewers conducted independent analyses. Inter-observer agreement and individual correlations of video data were evaluated with the Intraclass Correlation Coefficient (ICC). Information quality, reliability, and accuracy were measured using the DISCERN Scale and Global Quality Score (GQS), while video popularity was evaluated using the Video Power Index (VPI). Results: DISCERN scored a mean of 3.35 and GQS scored 3.38. Average number of views was 124,354, mean duration was 14:42 min, mean days online was 1777, mean view ratio was 138.30, mean Likes was 1082, mean Dislikes was 68.58, and mean VPI was 92.28. Conclusions: The quality of the videos available on YouTube regarding the recommended pelvic floor exercises in PC surgery, according to the scores obtained, is High. Educational and health institutions, health professionals, government health authorities, and policy makers need to be involved in the proper development of policies to improve the information available on the web in order to have a positive impact on the healthy behavior of the population.


2021 ◽  
Vol 86 (4) ◽  
pp. 284-290
Author(s):  
Dominik Habeš ◽  
◽  
Daniel Leško ◽  
Martin Štěpán ◽  
Jiří Špaček ◽  
...  

Summary: Objective: Historical and current view on the therapy of overactive bladder. Methods: This review summarizes the historical approach and current therapy of overactive bladder. The articles were gathered from Pubmed and Scopus databases. Studies published before December 2020 were used for the review. Results and Conclusion: Overactive bladder is a condition that quite a lot reduces the quality of life of our patients. Our therapeutic approach starts with non-pharmacological treatment, such as pelvic floor exercises. The next step is a  pharmacological approach. The entry level drug is trospium. If the effect is not sufficient, propiverine, solifenacin, fesoterodine, darifenacin or mirabegron are used. Electrostimulation or botulinum toxin A application is an option only in cases that didn’t respond to pharmacological treatment. It is safe to say, that in the end, there is a way of reducing the severity of overactive bladder symptoms for every patient.


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