Recording
https://fccdl.in/dmjoh5MiZ
Outlines are on this blog
Next call is March 9th - pregnancy related PFM exercises
Friday, February 12, 2016
Does pelvic floor muscle training improve female sexual function? a systematic review
Pelvic PT Distance Journal Club February 3, 2015
Beth Shelly
Systematic review of 8 RCT which included PFM training
and sexual dysfunction.
Pedro scale - 4 or
5 for most studies (one study rated 7) - fair quality - results interpreted
with caution
Drop outs - five studies had dropout rates over 15% with
one study as high as 52% dropout
Adherence to PFM exercises 19% to 96%
Heterogeneous patients - SUI (3), postpartum (2), POP
(2), GYN cancer (1)
Most often sexual function was recorded as a secondary
outcome
PFM training varied a lot. Individualized, group, with BF
or ES, overflow muscles, home exercises. Unable to draw any conclusions about
best PFM exercise prescription.
The association between different measures of pelvic floor muscle function and female pelvic organ prolapse.
Pelvic PT Distance Journal Club February 3, 2015
Beth Shelly
·
Vaginal delivery
·
Genetics
·
High BMI
·
Hysterectomy
Pelvic Floor muscle function in women with provoked vestibulodynia and asymptomatic controls
Naes I, Bo K. Int Urogynecol J (2015) 26:1467-1473.
Beth Shelly
Vulovodynia in GYN practice - 12 to 16%
Dx by pt history, Q - Tip test, and inspection of
intriotus, and is thought to be related to PFM overactivity, lack of PFM
strength, and restricted vaginal opening.
PG 1468 describes difficulty with objective measures currently used. The authors went to great lengths to use the
most reliable equipment available for this study.
Assessor masked comparison of 35 women with provoked
vestibulodynia (PVD) and 35 asymptomatic controls. It is unclear who did the
measuring - Looks like author IN did explanation and vaginal exam for PFM
contraction. Then she also did all the measurements with the person behind a
screen.
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