Friday, April 29, 2011

Journal on Women’s Health PT Vol 34 #3, Sept/ Dec 2010

As usual another issue packed with thought provoking, and interesting information.  I have just received the Spring issue and working hard to keep the flow of information timely.  Many a probably way ahead of me and have already read this issue.  I would love to hear your comments.  The major feature is posters and platforms from CSM.  Many good research projects are represented.  I am looking forward to the full papers.

The editorial is on ambiguity and the use of treatments that (in the editor’s opinion) are not evidence based such as visceral mobilization and craniosacral therapy.  I certainly cannot argue with the lack of evidence in these particular areas (and others in women’s health).  And I would suggest therapist continue to PUBLISH some level of evidence on these treatments.  In addition I think that only providing treatments that have been fully studied will limit patient success.  They did not stop using penicillin just because they did not understand how it works.  I believe some of my patients fail orthopedic PT because the therapist only considered treatments with extensive evidence.  My treatment includes some of those treatments and often results in success when others fail.  Certainly I would not charge insurance and keep seeing the patient if my treatments were not changing their symptoms – whether I am using evidence based treatments or those with less evidence.  Variety is good. 

Monday, April 25, 2011

May 4, 2011 Pelvic Physiotherapy Distance Journal Club

Time - for one hour
  • 209-647-1000 access code 436790#
  • Email Beth if you are having trouble accessing the call -

This month’s articles
Neville C, et al. Physical Exam Findings by Physical Therapists Compared with Physicians of Musculoskeletal Factors in Women with Chronic Pelvic Pain. Journal of Section on Women’s Health, Sept-Dec 2010, pp 73-79

Bo K, et al. Evidence of Benefit of Transverse Abdominus Training Alone or in Combination with Pelvic Floor Muscle Training to Treat Female UI: A Systematic Review. Neurology and Urodynamics 28:368-373 (2009).

Sapsford, Hodges and Smith. Retort: Letter to the Editor, Neurology and Urodynamics 29: 800-801 ( 2010)

Wednesday, April 20, 2011

Recent articles of interest

The following is a list of articles that pelvic PTs may be interested in from the first part of 2011.  I found them interesting.  Hope they are interesting to you also. 

BJU International

The long-term efficacy of sacral neuromodulation in the management of intractable cases of bladder pain syndrome: 14 years of experience in one centre (pages 1258–1264)
Jerzy B. Gajewski and Ali A. Al-Zahrani
Article first published online: 30 SEP 2010 | DOI: 10.1111/j.1464-410X.2010.09697.x

Saturday, April 16, 2011

Free Resources for Pelvic Physical Therapists

I have been on the look out for free stuff and have an expanded list.  Some things have been posted before and some are new.  I would love to hear what you have found for free. 
International Continence Society - has posted 4 on line courses.  These are available free of charge to members and provide a great wealth of information.  Classes are 1 to 3 hours.  Titles include: Brain and bladder, Headache in the pelvis – chronic pelvic pain, Overactive bladder – do we need a new paradigm?, urodynamic equipment – limitations and challenges.  

PT Journal Collections – Women’s Health

The following is a list of 19 articles published in Physical Therapy Journal from 1988 to 2010 that are public access.  In fact all PTJ articles are public access one year after publication.  These are wonderful resources for learning and marketing.

Monday, April 11, 2011

Summary of Physical Therapy Journal April 2011

Quick input on 5 of the PTJ articles for this month.  It's a quick read.

Managing chronic nonspecific LBP with a sensorimotor retraining approach – This one is worth reading - sounds like it will help abdominal patients also.  It is modeled after Moseley’s treatment of RSD in the extremities but applied to the back.  Includes sensory training and motor training.  The technique is very well described, seems it would be possible to try with patients.  I will report if I find a patient to try it on - Let me know if you do.

Thursday, April 7, 2011

April 6, 2011 Pelvic Physiotherapy Distance Journal Club

No technical difficulties and a lot of good discussion this month.  Thanks to all who contributed (10 callers).  I think we all have more questions than answers.  Check out the recordings and outlines below. 

This month’s articles
Bendova P, Ruzicka P, Peterova V, Fricova M, Springrova I. MRI-based registration of pelvic alignment affected by altered pelvic floor muscle characteristics. Clinical Biomechanics 2007;22:980-987.

Sapsford et al. Pelvic floor muscle activity in different sitting postures in continent and incontinent women. Arch Phys Med Rehabil 2008;89:1741-1747.
Listening / downloading recordings
  • Meetings will be recorded so they can be shared with others who were not able to attend
  • Top right corner – “log in”
  • Access code – 436790
  • Dial-in number – (209) 647-1000
  • Subscriber PIN – 883352
  • Choose the date you want to access – you can playback or download in several formats.  If you want to save it to your computer you click “wav” and choose “save” – name the file and choose the location to save it. 

Wednesday, April 6, 2011

ICS eLearning center

The International Continence Society has posted 4 on line courses.  These are available free of charge to members and provide a great wealth of information.  This is an active ICS project with more courses being developed.  Check back here for new courses.   At the bottom of the page other resource links are also provided.