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Friday, May 29, 2015

Adherance in PFM training

5 landmark papers written by internationally known PTs on adherence in PFM training
 
Scoping review of adherence promotion theories in pelvic floor muscle training - 2011 ICS State-of-the-Science Seminar research paper I of IV
Doreen McClurg, Helena Frawley, Jean Hay-Smith, Sarah Dean, Shu-Yueh Chen, Pauline Chiarelli, Frances Mair and Chantale Dumoulin
Article first published online: 21 MAY 2015 | DOI: 10.1002/nau.22769
 
Pelvic-floor-muscle training adherence: Tools, measurements and strategies—2011 ICS State-of-the-Science Seminar research paper II
Chantal Dumoulin, Dianne Alewijnse, Kari Bo, Suzanne Hagen, Diane Stark, Marijke Van Kampen, Julia Herbert, Jean Hay-Smith, Helena Frawley, Doreen McClurg and Sarah Dean
Article first published online: 21 MAY 2015 | DOI: 10.1002/nau.22794
 
Pelvic-floor-muscle-training adherence “modifiers”: A review of primary qualitative studies—2011 ICS State-of-the-Science Seminar research paper III of IV
Jean Hay-Smith, Sarah Dean, Kathryn Burgio, Doreen McClurg, Helena Frawley and Chantale Dumoulin
Article first published online: 21 MAY 2015 | DOI: 10.1002/nau.22771

Health professionals’ and patients’ perspectives on pelvic floor muscle training adherence—2011 ICS State-of-the-Science Seminar research paper IV of IV
Helena C. Frawley, Doreen McClurg, Aishath Mahfooza, Jean Hay-Smith and Chantale Dumoulin
Article first published online: 21 MAY 2015 | DOI: 10.1002/nau.22774
 
2014 consensus statement on improving pelvic floor muscle training adherence: International Continence Society 2011 State-of-the-Science Seminar
Chantale Dumoulin, Jean Hay-Smith, Helena Frawley, Doreen McClurg, Dianne Alewijnse, Kari Bo, Kathryn Burgio, Shu-Yueh Chen, Pauline Chiarelli, Sarah Dean, Suzanne Hagen, Julia Herbert, Aishath Mahfooza, Frances Mair, Diane Stark and Marijke Van Kampen
Article first published online: 21 MAY 2015 | DOI: 10.1002/nau.22796

Saturday, May 9, 2015

May #PelvicPTjournalclub recording

May #PelvicPTjournalclub  recording  http://rs2386.freeconferencecall.com:80/fcc/cgi-bin/play.mp3/2096471000-436790-54.mp3

 Vulvodynia and labrial tears, male PFM ex instructions

Outlines posted on this blog www.pelvicpt.blogspot.com

 Next call June 3

Vulvodynia and Concomitant Femoro-Acetabular Impingement: Long-Term Follow-Up After Hip Arthroscopy. Coady, D et al. J Lower Gen Tract Dis 2015;19).


Michelle Spicka, DPT
May 6th, 2015
Pelvic Physical Therapy Distance Journal Club

Description: The researchers hypothesized that in patients with vulvodynia and femoro-acetabular impingement, vulvar pain may actually be generated by the effect of femoro-acetabular impingement on pelvic floor structures and treatment with arthroscopy may improve vulvodynia.
Vulvodynia affects 8-16% of women but effective treatment is often difficult due to inadequate understanding of the causes. 
Close relationships between intra-articular hip disorders, pelvic floor and chronic pain in the pelvis in proximity to the hip have recently been recognized.  Femoro-acetabular impingement can refer pain into the pelvic floor via the obturator internus and other shared muscles and connective tissues and leads to the development of nonoptimal movement patterns.

Pattern of Activation of Pelvic Floor Muscles in Men Differs With Verbal Instructions. Stafford R, et al. Neurourol Urodyn. 2015 March 1. Doi: 10.1002/nau.22745.

Michelle Spicka, DPT
May 6th, 2015
Pelvic Physical Therapy Distance Journal Club
Description: Pelvic floor muscle exercises have been found to help with post-prostatectomy urinary incontinence in men but there is a lack of consistency of the instructions used to teach men to activate the pelvic floor muscles.  Because the efficacy of a pelvic floor muscle exercise program for treatment of incontinence after prostatectomy is likely to depend on if and how the muscles of urinary continence are activated, optimal methods to achieve activation have received limited attention.
The aim of this study is to investigate the effect of instruction on activation of pelvic floor muscles in men as quantified by transperineal ultrasound imaging and to validate these measures with invasive EMG recordings.