Randomized multicenter clinical trial of myofascial physical therapy in women with interstitial cystitis/painful bladder syndrome and pelvic floor tenderness.

Fitzgerald MP, Payne CK, Lukacz ES, Yang CC

J Urol. 2012 Jun;187(6):2113-8. Epub 2012 Apr 12.

 We have seen this research before but now it is being seen by MANY urologists.  Good marketing opportunity.  Two groups – global massage (what a massage therapist would do) 26% response rate,  myofascial physical therapy (the treatment we provide) 59%.

 http://www.ncbi.nlm.nih.gov/pubmed/22503015

MR defecography in patients with dyssynergic defecation: spectrum of imaging findings and diagnostic value.

Reiner CS, Tutuian R, Solopova AE, Pohl D, Marincek B, Weishaupt D. BJRad 2011 (84):136-144.

 Ann Dunbar May 9, 2012

Primary aim: to describe the spectrum of findings in MR defecography in patients referred with suspicion of dyssynergic defecation (DD) and also to assess the value of MR defecography in establishing the diagnosis.

 Subjects: 48 patients with constipation and clinically suspected DD. Interdisciplinary panel reviewed all records and made dx of DD using Rome III criteria. Remainder were placed in control group (functional constipation w/o evidence of DD).

The effect of abdominal and pelvic floor muscle activation on urine flow in women. Sapsford RR, Hodges PW. Int Urogynecol J; Jan 26, 2012 (Epub ahead of print).

 Ann Dunbar May 9, 2012

Primary Aim: To determine whether urine flow can be interrupted or stopped when effort is made to stop the flow with a strong contraction of the lower abdominal muscles in healthy women and if present, to compare the time required to interrupt flow comparing a maximal voluntary pelvic floor muscle (PFM) contraction and a strong abdominal drawing-in.

Subjects:

Female physiotherapists who were familiar with PFMs, reported ability to contract them voluntarily and were without any of confounding criteria listed in study (n=10)

Study Design: Quasi-experimental

Computer Crash and Email adresses lost

Unfortunately I have lost the Pelvic Physical Therapy Distance Journal Club email address list.  Please resend your email to beth@bethshelly.com if you would like to receive articles, call in information or listening instructions each month.  Next discussion is June 6^th.

National Women's Health Week

APTA and SOWH are celebrating National Women's Health week May 14-18th with a online radio show and Twitter party to get women talking about their health.  May 15th at 7 PM EST several women’s helaht PTs and a gynecologist will discuss women’s health PT. APTA’s Move Forward campaign has also published Women’s Health Across the Lifespan, a comprehensive, downloadable e-book available soon.   Share this resource with patients, colleges and family to spread the word about what we do.

http://www.pitchengine.com/MoveForwardPT/physical-therapists-encourage-women-to-overshare#

Vaginal cone for postmenopausal women with stress urinary incontinence: randomized, controlled trial. Pereira VS, de Melo MV, Correia GN, Driusso P. Climacteric. 2012 Feb;15(1):45-51. Epub 2011 Nov 8.

Add this one to the many previous RCT and Cochrane Review which shows no difference between vaginal weights and PFM exercises as long as the professional exposure is the same.  Otherwise nothing special about this one.  I would like to see a study which compares handing an instruction sheet on PFM exercises to a group of patients and handing vaginal weights (with instructions) to another group of patients.  One of the videos about vaginal weights implies they “cause the PFM instinctively contract”.  I wonder if this is their role.