Comparison of Abdominal Muscle Thickness with Vaginal Pressure Changes in Healthy Women. Kim BI, Hwang-Bo G, Kim H. J Phys Ther Sci 26:427-430, 2014.

Michelle Spicka, DPT

June 4^th Pelvic Physical Therapy Distance Journal Club

 

Objective: The purpose of this study was to compare the effect of childbirth delivery method on vaginal pressure and abdominal thickness during Valsalva maneuver.

Methods: Subjects were 30 female adults in their 20s and 30s.  Subjects were divided into nulliparous, vaginal delivery and Cesarean delivery groups with 10 subjects in each group.

A digital perineometer was used to measure the vaginal contraction pressure during Valsalva.  Ultrasound was used to measure the thickness of the abdominal muscles.

Valsalva maneuver was defined as the maximum straining effort with forced expiration against a closed glottis. 

Comparison of Abdominal Muscle Thickness with Vaginal Pressure Changes in Healthy Women. Kim BI, Hwang-Bo G, Kim H. J Phys Ther Sci 26:427-430, 2014.

Michelle Spicka, DPT

June 4^th Pelvic Physical Therapy Distance Journal Club

Objective: The purpose of this study was to verify the efficacy of a pelvic floor muscle exercise program by comparing subjects’ muscle thickness with changes in vaginal pressure.  It is known that abdominal muscle activity occurs in conjunction with pelvic floor muscle exercises but studies have rarely been conducted to measure abdominal muscle thickness in response to vaginal pressure generated by pelvic floor muscles.

In this study, normal adult females were divided into different age groups and changes in abdominal muscle thickness in repose to changing vaginal pressure were comparatively analyzed. 

Effect of Variations in Forced Expiration Effort on Pelvic Floor Activation in Asymptomatic Women. Kitani LJ, Apte GG, Dedrick GS, Sizer PS, Brismee JM. J Womens Health Phys Ther 2014. Vol38;Num1.

Michelle Spicka, DPT

June 4^th  Pelvic Physical Therapy Distance Journal Club

Objective: The purpose of this study was to investigate the effect of variations in forced expiration effort on the automatic activation of pelvic floor muscles.  The investigators were interested in gaining normative data for PF squeeze pressure and displacement in response to a standardized variation in forced expiration effort so an asymptomatic population was utilized.  It is known that forced expiration facilitates PF activation but it is unknown how the PF automatically responds to gradations of forced expirations.  Despite the importance of appropriate PF activity before and during times of forced expiration, few authors have discussed respiration concepts and methods in a clinic PF rehab program.

ICS World Continence Week

World Continence Week will take place this year from 23rd to 29th June. The Continence Promotion Committee is pleased to announce that the focus this year will be Bladder Diary Day!

The aim of Bladder Diary Day is to collate thousands of Bladder Diaries from people all over the world. The ICS Standardisation Steering Committee plans to use this information to define “normal bladder function”. Watch our introduction video at www.ics.org/diary  where anyone can download a Bladder Diary, once completed they can be uploaded to the website or emailed to diary@ics.org

The ICS office has created Bladder Diary Day promotional materials that can be found in the World Continence Week promotion pack. We have also added a Contact Form for World Continence Week event organisers to complete to assist the ICS office in promoting the events on our website and social media.

The Continence Promotion Committee will select one event to be the paragon World Continence Week event to highlight in ICS Newsletters as inspiration to all our members worldwide!

Thank you in advance for your cooperation to help improve the awareness about incontinence through the World Continence Week 2014.

Lots of success,

Tamara Dickinson            CPC Chair

Nicole Huige  CPC World Continence Week Subcommittee Chair

Marcus Drake SSC Chair

Odds and ends - check it out

AUA 2014 - Urologic Pelvic Pain Meets Late Night TV

Review by ICA web site  - "Drs. Jeannette M. Potts, Rhonda Kotarinos, and Christopher K. Payne presented this entertaining course in which they gave many useful recommendations for treating urologic pelvic pain. Their findings show that wholly two-thirds of IC patients have pelvic floor dysfunction that can be treated with physical therapy. They also found that the ability of the pelvic floor to lengthen is critical to pelvic health and therefore Kegal exercises may not be appropriate for someone with urgency and frequency. Dr. Payne encouraged healthcare providers to be positive and if they can’t offer a patient hope, to refer them to someone who can. Additionally, and perhaps most importantly, the presenters told the attendees that the best continuing medical education can be obtained by listening to their patients."

ICA book and media reference list -  is backed with information for professionals and patients  including a new video from Amy Stein

http://www.ichelp.org/ICReadingList

New Guidelines for evaluation

Obstetrics & Gynecology: June 2014 - Volume 123 - Issue 6 - p 1403–1407

Committee Opinion No. 603: Evaluation of Uncomplicated Stress Urinary Incontinence in Women Before Surgical Treatment

http://journals.lww.com/greenjournal/Fulltext/2014/06000/Committee_Opinion_No__603___Evaluation_of.52.aspx