November 9, 2011 Pelvic Physiotherapy Distance Journal Club

November 9, 2011 Pelvic Physiotherapy Distance Journal Club

Time - 8:30 PM EST for one hour

FreeConfrenceCall.com

• 209-647-1000 access code 436790#
• Email Beth if you are having trouble accessing the call - beth@bethshelly.com
• Please keep background noise to a minimum (see below for more details)

This month’s discussion

Dumoulin C, Bourbonnais D, Morin M, Gravel D, Lemieux MC. Predictors of success for physiotherapy treatment in women with persistent postpartum stress urinary incontinence. Arch Phys Med Rehabil 2010;91:1059-1063.

Dumoulin C, Glazner, C, Jenkinson D. Determining the optimal pelvic floor muscle training regimen for women with stress urinary incontinence. Neurourol and Urodynam 2011;30:746-753.

Pelvic Physiotherapy Distance Journal Club 2011 survey

The Pelvic Physiotherapy Distance Journal Club started meeting this year with the intent to share research and information on the rehabilitation of patients with disorders of the pelvis, urogenital, and colorectal systems.  We have had 8 meetings with the first meeting March covering a wide variety of topics.

Date	Topics	# of callers
3-2-11	Prognostic indicators for success in PT with SUI patients Validity and reliability of digital PFM assessment	18
4-6-11	PFM activity in different positions Pelvic alignment altered by PFM spasm	12
5-4-11	Evidence of adding TrA training to PFM training Physical exam findings in CPP – comparing PT and MD results	10
6-8-11	How to critique a research study	9
7-6-11	PFM changes after PFM training Effect of abdominal and PFM tasks on pressure and bladder neck position	11
8-10-11	Pelvic girdle questionnaire Variation in anal resting pressure with various breathing techniques	11
9-7-11	Motor control patterns in ASLR in patients with and without PGP Levator trauma associated with POP	16
10-5-11	MFR feasibility study and case study	14

I now have 68 PTs on the journal club email list.  In addition, I have heard from many PTs that they have listened to the meeting on pod cast at a later time.  All meeting are still available for download or you can listen right from the computer (September meeting was not recorded due to technical issues). 

The core group of leaders is now planning for the 2012 journal club meetings and would like your input to make the group even more usable.  Please take just a few minutes to answer a quick questionnaire. 

http://www.zoomerang.com/Survey/WEB22DKEET9YQ2

Thanks

Four interesting articles

Minimum amount of physical activity for reduced mortality and extended life expectancy: a prospective cohort study.   The Lancet, Volume 378, Issue 9798, Pages 1244 - 1253, 1 October 2011

http://www.thelancet.com/journals/lancet/article/PIIS0140-6736%2811%2960749-6/abstract?elsca1=ETOC-LANCET&elsca2=email&elsca3=segment

15 min per day or 90 min per week of moderate exercise had a 14% reduced risk of morality.  This was true across all ages, sexes, and even when cardiovascular risks were present. 

Etiological, Diagnostic and Therapeutic Consideration of the Myofascial Component in Chronic Pelvic Pain. Díaz-Mohedo E, Barón-López FJ, Pineda-Galán C.  Actas Urol Esp. 2011 Sep 12. [Epub ahead of print]  [Article in English, Spanish]

http://www.ncbi.nlm.nih.gov/pubmed?term=Etiological%2C%20Diagnostic%20and%20Therapeutic%20Consideration%20of%20the%20Myofascial%20Component%20in%20Chronic%20Pelvic%20Pain.

Too bad my Spanish is not better.  Full article is available but only the abstract is in English.  Very interesting. 

Effect of increasing doses of saw palmetto extract on lower urinary tract symptoms: a randomized trial. JAMA 2011 Sep 28;306(12):1344-1351. Barry MJ et al. http://www.ncbi.nlm.nih.gov/pubmed/21954478   

Study is not in support benefit of saw palmetto use

Management of nocturia. Faisal Rauf Khan et al. Trends in urology and men’s health. Vol 2, issue 5, 4-43, sept/ oct 2011 http://onlinelibrary.wiley.com/doi/10.1002/tre.223/pdf

Wells done summary.  Full article available free. 

October 5, 2011 Pelvic Physiotherapy Distance Journal Club

This month’s journal club lead by Jane O’Brien focused on myofascial release and the treatment of pelvic pain. The difficulties in researching this modality are highlighted in the article presented.  The case study showcases the benefits of treatment. 

 

This month’s discussion

Fitzgerald MP, et al. Randomized multicenter feasibility trial of myofascial physical therapy for the treatment of urological chronic pelvic pain syndromes.  J or Urol 2009;182:570-580.

Jane K. O’Brien , PT, MSPT.  Physical Therapy Management of a Patient with Dyspareunia and Scoliosis: A Case Report. Unpublished case report using myofascial release.

Guided imagery for relaxation and healing

Donna Carrico NP at Beaumont Hospital in Royal Oak Michigan has developed two CDs specifically for women with pelvic pain, interstitial cystitis or vulvodynia.  Ms Carrico runs the Women’s Initiative for pelvic pain, and Sexual Health program (WISH) which provides intensive treatment for women with pelvic pain.  The CDs are extremely well done and provide four different opportunities (2 on each CD).  Images of healing light, restful meadow, soothing shoreline, and breathing exercises are used to encourage relaxation.  Ms Carrico’s voice is very soothing and the choice of words is positive and supportive.  For a donation of $15 you will receive both CDs.  http://www.beaumonthospitals.com/files/imce/GuidedImageryCDOrderForm.pdf 

I would recommend every woman’s health PT look into these CDs. 

October 5, 2011 Pelvic Physiotherapy Distance Journal Club

Time - 8:30 PM EST for one hour

FreeConfrenceCall.com

• 209-647-1000 access code 436790#
• Email Beth if you are having trouble accessing the call - beth@bethshelly.com
• Please keep background noise to a minimum (see below for more details)

This month’s discussion

Fitzgerald MP, et al. Randomized multicenter feasibility trial of myofascial physical therapy for the treatment of urological chronic pelvic pain syndromes.  J or Urol 2009;182:570-580.

Jane K. O’Brien , PT, MSPT.  Physical Therapy Management of a Patient with Dyspareunia and Scoliosis: A Case Report. Unpublished case report using myofascial release.