Recent PFM articles

1.	Stress Urinary Incontinence in Younger Women in Primary Care: Prevalence and Opportunistic Intervention.
	Ng SF, Lok MK, Pang SM, Wun YT.
	J Womens Health (Larchmt). 2013 Oct 9. [Epub ahead of print]
	PMID: 24106868 [PubMed - as supplied by publisher]
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2.	Barriers and enablers to the provision and receipt of preoperative pelvic floor muscle training for men having radical prostatectomy: a qualitative study.
	Hirschhorn AD, Kolt GS, Brooks AJ.
	BMC Health Serv Res. 2013 Aug 13;13:305. doi: 10.1186/1472-6963-13-305.
	PMID: 23938150 [PubMed - indexed for MEDLINE] Free PMC Article
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3.	Feedback or biofeedback to augment pelvic floor muscle training for urinary incontinence in women: shortened version of a Cochrane systematic review.
	Herderschee R, Hay-Smith EC, Herbison GP, Roovers JP, Heineman MJ.
	Neurourol Urodyn. 2013 Apr;32(4):325-9. doi: 10.1002/nau.22329. Epub 2012 Dec 12. Review.
	PMID: 23239361 [PubMed - indexed for MEDLINE]
	Related citations

December 4, 2013 Pelvic Physiotherapy Distance Journal Club

Time - 8:30 PM EST for one hour

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This month’s discussion

Comparison of questionnaires used for the evaluation of patients with chronic pelvic pain. Quaghebeur J, Wyndaele JJ. Nuerourol and Urodynam 2013;32:1074-1079

Pelvic floor muscle training in women with stress urinary incontinence causes hypertrophy of the urethral sphincters and reduces bladder neck mobility during coughing. McLean L, et al. Nuerourol and Urodynam 2013;32:1096-1102.

Dutch guidelines for physiotherapy in patients with stress urinary incontinence: an update.

Bernards  et al.  Int Urogynecol Journal October 2013

 Journal Club discussion November 6, 2013; Trisha Jenkyns PT, DPT, WCS, BCB-PMD

Primary Aim: To update the existing Dutch evidence-based clinical practice guidelines (CPGs) for physiotherapy management of patients with SUI and to support decision making, improve efficacy and uniformity of care.

Introduction includes: definitions of SUI (according to ICS & IUGA), SUI etiology & prognostic factors and a description of the biopsychosocial model

·         Biopsychosocial model: there is a decrease in the resilience of the PFM, which may lead to impairments of physical & mental function, restrictions in activities and participation. The model also includes consequences of SUI and prognostic factors

·         SUI etiology: intrinsic closure mechanism & extrinsic support mechanism

Surgery versus Physiotherapy for Stress Urinary Incontinence

 Labrie J et al.  New England Journal of Medicine. 2013 Sep 19; 369(12):1124-33

 Journal Club discussion November 6, 2013; Trisha Jenkyns PT, DPT, WCS, BCB-PMD

Primary Aim: To compare mid-urethral sling surgery vs. physiotherapy for the treatment of SUI

Study Design: Multicenter RCT from the Netherlands, which allowed subjects to cross-over from one treatment to the other. 

o   “If a woman was dissatisfied with the result of the assigned treatment, she was allowed to cross over to the alternative treatment, which is consistent with usual clinical practice, but data were analyzed according to the intention- to-treat principle.”  Page 1126

Study Population: For 2 years from March 2008 through May 2010, a total of 656 women with SUI or MUI in which SUI was predominant …these women were asked to participate in the study; 460 gave written informed consent and were randomly assigned to the surgery or PT group.  The treatment assignments were not concealed.