tag:blogger.com,1999:blog-37170564892417635282024-03-13T15:07:29.543-05:00Pelvic PhysiotherapyA Discussion of Current Literature in the Field of Pelvic Physical Therapy (PPT)Beth Shelly, PT, DPT, WCS, BCB PMDhttp://www.blogger.com/profile/18335006843823236252noreply@blogger.comBlogger316125tag:blogger.com,1999:blog-3717056489241763528.post-88554379339011154972016-11-14T06:05:00.000-06:002016-11-14T06:05:01.658-06:00Pelvic PT distance journal club - November 2016<div class="separator" style="clear: both; text-align: center;">
<a href="https://4.bp.blogspot.com/-sc7Y1oaF2Fk/VDsrSwDJbbI/AAAAAAAAAIA/qe8hzHcmX4Mk4MBwp6mqiuzzhMQgzOwiwCPcB/s1600/web%2Bjournal%2Bclub.JPG" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" height="200" src="https://4.bp.blogspot.com/-sc7Y1oaF2Fk/VDsrSwDJbbI/AAAAAAAAAIA/qe8hzHcmX4Mk4MBwp6mqiuzzhMQgzOwiwCPcB/s320/web%2Bjournal%2Bclub.JPG" width="320" /></a></div>
<span style="color: #262626;">Should women with incontinence
and prolapse do abdominal curls?<span style="mso-spacerun: yes;"> </span><o:p></o:p></span><br />
<br />
<div class="MsoNormal" style="margin: 0in 0in 0pt;">
Hypermoblity and POP a systematic review and meta-analysis </div>
<br />
<div class="MsoNoSpacing" style="margin: 0in 0in 0pt;">
<o:p> </o:p>Recording</div>
<a href="https://fccdl.in/Mck8zGb2B">https://fccdl.in/Mck8zGb2B</a><br />
<br />
<div class="MsoNoSpacing" style="margin: 0in 0in 0pt;">
<o:p> </o:p>Next call is December 7, 2016</div>
Beth Shelly, PT, DPT, WCS, BCB PMDhttp://www.blogger.com/profile/18335006843823236252noreply@blogger.com0tag:blogger.com,1999:blog-3717056489241763528.post-53448107952956710162016-11-14T06:01:00.000-06:002016-11-14T06:01:05.644-06:00Should women with incontinence and prolapse do abdominal curls? <div class="separator" style="clear: both; text-align: center;">
<a href="https://4.bp.blogspot.com/-sc7Y1oaF2Fk/VDsrSwDJbbI/AAAAAAAAAIA/qe8hzHcmX4Mk4MBwp6mqiuzzhMQgzOwiwCPcB/s1600/web%2Bjournal%2Bclub.JPG" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" height="125" src="https://4.bp.blogspot.com/-sc7Y1oaF2Fk/VDsrSwDJbbI/AAAAAAAAAIA/qe8hzHcmX4Mk4MBwp6mqiuzzhMQgzOwiwCPcB/s200/web%2Bjournal%2Bclub.JPG" width="200"></a></div>
<span style="color: #262626; font-family: "Times New Roman","serif";">Simpson S, Deeble M, Thompson J, Andrews A, and Briffa K. <span style="mso-spacerun: yes;"> </span><i style="mso-bidi-font-style: normal;">International
Urogynecology <span style="mso-bidi-font-style: italic;">Journal . </span></i>2016.
Volume 14. <span style="mso-spacerun: yes;"> </span>Page 53 - 60.<o:p></o:p></span><br>
<br>
<div class="MsoNormal" style="margin: 0in 0in 10pt; mso-layout-grid-align: none; mso-pagination: none;">
<span style="color: #262626; font-family: "Times New Roman","serif";">Laura Scheufele, PT, DPT, WCS</span></div>
<div class="MsoNormal" style="margin: 0in 0in 10pt; mso-layout-grid-align: none; mso-pagination: none;">
<span style="color: #262626; font-family: "Times New Roman","serif";"></span><span style="color: #262626; font-family: "Times New Roman","serif";">November 9, 2016<o:p></o:p></span></div>
<br>
<div class="MsoNormal" style="margin: 0in 0in 10pt; mso-layout-grid-align: none; mso-pagination: none;">
<b style="mso-bidi-font-weight: normal;"><span style="color: #262626; font-family: "Times New Roman","serif";">Aim:</span></b><span style="color: #262626; font-family: "Times New Roman","serif";"> Determine the
magnitude of change in intra-abdominal pressure (IAP) during two functional
activities: 1) abdominal curl and 2) cough in patients with UI alone and UI and
POP. <o:p></o:p></span></div>
<br>
<div class="MsoNormal" style="margin: 0in 0in 10pt; mso-layout-grid-align: none; mso-pagination: none;">
<b style="mso-bidi-font-weight: normal;"><span style="color: #262626; font-family: "Times New Roman","serif";">Design:</span></b><span style="color: #262626; font-family: "Times New Roman","serif";"> Exploratory
descriptive study. </span><span style="color: red; font-family: "Times New Roman","serif";"><o:p></o:p></span></div>
<a href="http://pelvicpt.blogspot.com/2016/11/should-women-with-incontinence-and.html#more">Read more »</a>Beth Shelly, PT, DPT, WCS, BCB PMDhttp://www.blogger.com/profile/18335006843823236252noreply@blogger.com0tag:blogger.com,1999:blog-3717056489241763528.post-33529845177901762902016-11-14T05:59:00.000-06:002016-11-14T05:59:04.997-06:00Association between joint hypermobility and pelvic organ prolapse in women: a systematic review and meta-analysis<div class="separator" style="clear: both; text-align: center;">
<a href="https://4.bp.blogspot.com/-sc7Y1oaF2Fk/VDsrSwDJbbI/AAAAAAAAAIA/qe8hzHcmX4Mk4MBwp6mqiuzzhMQgzOwiwCPcB/s1600/web%2Bjournal%2Bclub.JPG" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" height="125" src="https://4.bp.blogspot.com/-sc7Y1oaF2Fk/VDsrSwDJbbI/AAAAAAAAAIA/qe8hzHcmX4Mk4MBwp6mqiuzzhMQgzOwiwCPcB/s200/web%2Bjournal%2Bclub.JPG" width="200"></a></div>
<span style="font-family: Cambria;">Veit-Rubin N, Cartwright R, Singh A, et al. <i style="mso-bidi-font-style: normal;">International Urogynecology Journal. </i>2016;
Volume 27. Pages 1469-1478. </span><br>
<br>
<div class="MsoNormal" style="margin: 0in 0in 0pt;">
<span style="font-family: Cambria;">Laura Scheufele, PT, DPT, WCS</span></div>
<div class="MsoNormal" style="margin: 0in 0in 0pt;">
<span style="font-family: Cambria;">November 9, 2016</span></div>
<br>
<div class="MsoNormal" style="margin: 0in 0in 0pt;">
<span style="font-family: Cambria;"><b style="mso-bidi-font-weight: normal;">Aim: </b>Assess the
strength, consistency and potential for bias in pooled associations from prior
studies of the relationship between joint hypermobility (JHM) and pelvic organ
prolapse (POP). </span></div>
<br>
<div class="MsoNormal" style="margin: 0in 0in 0pt;">
<span style="font-family: Cambria;"><b style="mso-bidi-font-weight: normal;">Study Design: </b>Systematic
review. </span></div>
<br>
<div class="MsoNormal" style="margin: 0in 0in 0pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: Cambria;">Materials and
Methods: <o:p></o:p></span></b></div>
<br>
<div class="MsoNormal" style="margin: 0in 0in 0pt;">
<span style="font-family: Cambria;"><b style="mso-bidi-font-weight: normal;">Inclusion Criteria: </b>Case-control
and cross-sectional designs, with either population based samples and other
sampling methods. Ethical approval not required. </span></div>
<a href="http://pelvicpt.blogspot.com/2016/11/association-between-joint-hypermobility.html#more">Read more »</a>Beth Shelly, PT, DPT, WCS, BCB PMDhttp://www.blogger.com/profile/18335006843823236252noreply@blogger.com0tag:blogger.com,1999:blog-3717056489241763528.post-41839831588971180172016-10-06T06:04:00.006-05:002016-10-06T06:09:24.675-05:00Pelvic PT Distance Journal Club October 5, 2016
<br />
<div class="separator" style="clear: both; text-align: center;">
<a href="https://4.bp.blogspot.com/-sc7Y1oaF2Fk/VDsrSwDJbbI/AAAAAAAAAIA/qe8hzHcmX4Mk4MBwp6mqiuzzhMQgzOwiwCPcB/s1600/web%2Bjournal%2Bclub.JPG" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" height="125" src="https://4.bp.blogspot.com/-sc7Y1oaF2Fk/VDsrSwDJbbI/AAAAAAAAAIA/qe8hzHcmX4Mk4MBwp6mqiuzzhMQgzOwiwCPcB/s200/web%2Bjournal%2Bclub.JPG" width="200" /></a></div>
<div class="MsoNoSpacing" style="margin: 0in 0in 0pt;">
<span style="font-family: Calibri;">Discussion about ICS CPP terms and mucosal sensitivity versus
PFM pain in vulvodynia.<span style="mso-spacerun: yes;"> </span>Outlines on the
blog www.pelvicpt.blogspot.com </span></div>
<br />
<div class="MsoNoSpacing" style="margin: 0in 0in 0pt;">
<o:p><span style="font-family: Calibri;"> R</span></o:p><span style="font-family: Calibri;">ecording </span></div>
<br />
<div class="MsoNoSpacing" style="margin: 0in 0in 0pt;">
<span style="font-family: Calibri;">https://fccdl.in/c6VY5O2Mv</span></div>
<br />
<div class="MsoNoSpacing" style="margin: 0in 0in 0pt;">
<span style="font-family: Calibri;">Next meeting November 9, 2016</span></div>
Beth Shelly, PT, DPT, WCS, BCB PMDhttp://www.blogger.com/profile/18335006843823236252noreply@blogger.com0tag:blogger.com,1999:blog-3717056489241763528.post-27015117665297701422016-10-06T06:04:00.005-05:002016-10-06T06:05:42.611-05:00Mucosal versus muscle pain sensitivity in provoked vestibulodynia Witzeman K, Nguyen R, Eanes A, Sawsan S, Zolnoun, D. Journal of Pain Research 2015:8 549-555<div class="separator" style="clear: both; text-align: center;">
<a href="https://4.bp.blogspot.com/-sc7Y1oaF2Fk/VDsrSwDJbbI/AAAAAAAAAIA/qe8hzHcmX4Mk4MBwp6mqiuzzhMQgzOwiwCPcB/s1600/web%2Bjournal%2Bclub.JPG" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" height="125" src="https://4.bp.blogspot.com/-sc7Y1oaF2Fk/VDsrSwDJbbI/AAAAAAAAAIA/qe8hzHcmX4Mk4MBwp6mqiuzzhMQgzOwiwCPcB/s200/web%2Bjournal%2Bclub.JPG" width="200"></a></div>
<span style="font-size: 12pt;"><span style="font-family: "calibri";">Elizabeth Lewis, PT, OCS,
WCS, 10/5/16<o:p></o:p></span></span><br>
<br>
<div class="MsoNoSpacing" style="margin: 0in 0in 0pt;">
<span style="font-size: 12pt;"><span style="font-family: "calibri";">Pelvic PT distance journal
club<o:p></o:p></span></span></div>
<br>
<div class="MsoNoSpacing" style="margin: 0in 0in 0pt;">
<span style="font-family: "calibri";"><b style="mso-bidi-font-weight: normal;"><span style="font-size: 12pt;">Aim: </span></b><span style="font-size: 12pt;">To
understand and compare the relative contribution of mucosal versus muscle pain
sensitivity with intercourse as reported from women with<span style="mso-spacerun: yes;"> </span>provoked vestibulodynia (PVD).<o:p></o:p></span></span></div>
<br>
<div class="MsoNoSpacing" style="margin: 0in 0in 0pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-size: 12pt;"><span style="font-family: "calibri";">Background:<o:p></o:p></span></span></b></div>
<br>
<div class="MsoNoSpacing" style="margin: 0in 0in 0pt;">
<span style="font-family: "calibri";"><b style="mso-bidi-font-weight: normal;"><span style="font-size: 12pt;"><span style="mso-spacerun: yes;"> </span></span></b><span style="font-size: 12pt;">Estimated that 8.3%-16% of women experience
vulvovaginal discomfort in their lifetime and for many, it’s p<a href="https://www.blogger.com/null" name="_GoBack"></a>rovoked
on contact, commonly referred to as <span style="mso-spacerun: yes;"> </span>provoked vestibulodynia (PVD). <o:p></o:p></span></span></div>
<br>
<div class="MsoNoSpacing" style="margin: 0in 0in 0pt;">
<span style="font-size: 12pt;"><span style="font-family: "calibri";">Little is known about the
etiologies: PFM dysfunction and mucosal components, Or how abnormalities in muscle
form or function may impact pain during intercourse.<span style="mso-spacerun: yes;"> </span><o:p></o:p></span></span></div>
<br>
<div class="MsoNoSpacing" style="margin: 0in 0in 0pt;">
<span style="font-size: 12pt;"><span style="font-family: "calibri";">And, more information is
needed on the relationship of mucosal sensitivity to PFM
contracture/hypertonicity and potential pain and vice versa. <o:p></o:p></span></span></div>
<a href="http://pelvicpt.blogspot.com/2016/10/mucosal-versus-muscle-pain-sensitivity.html#more">Read more »</a>Beth Shelly, PT, DPT, WCS, BCB PMDhttp://www.blogger.com/profile/18335006843823236252noreply@blogger.com0tag:blogger.com,1999:blog-3717056489241763528.post-64337765762874367862016-10-06T05:58:00.002-05:002016-10-06T05:58:31.174-05:00A Standard terminology in chronic pelvic pain syndromes: a report from the chronic pelvic pain working group of the international continence society. Doggweiler R, et al. Neurourol and Urodynam 2016 DOI 10.1002/nau.23072.<div class="separator" style="clear: both; text-align: center;">
<a href="https://4.bp.blogspot.com/-sc7Y1oaF2Fk/VDsrSwDJbbI/AAAAAAAAAIA/qe8hzHcmX4Mk4MBwp6mqiuzzhMQgzOwiwCPcB/s1600/web%2Bjournal%2Bclub.JPG" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" height="125" src="https://4.bp.blogspot.com/-sc7Y1oaF2Fk/VDsrSwDJbbI/AAAAAAAAAIA/qe8hzHcmX4Mk4MBwp6mqiuzzhMQgzOwiwCPcB/s200/web%2Bjournal%2Bclub.JPG" width="200"></a></div>
<span style="font-family: "Times New Roman","serif"; font-size: 12pt;">Pelvic
PT Distance Journal Club Oct 5, 2016<o:p></o:p></span><br>
<br>
<div class="MsoNoSpacing" style="margin: 0in 0in 0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt;">Beth
Shelly<o:p></o:p></span></div>
<br>
<div class="MsoNoSpacing" style="margin: 0in 0in 0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt;">The
following text in black is the exact text in the document.<span style="mso-spacerun: yes;"> </span>Red comments added for discussion.<span style="mso-spacerun: yes;"> </span>This is only a portion of the entire
document. The recording starts with a discussion of the taxonomy at the beginning
of the document and the question of what nociceptive, inflammatory and
neuropathic types of pain are only listed under visceral pain and not also
listed under somatic pain.<span style="mso-spacerun: yes;"> </span>The group
also discussed the confusion of the terms "centrally generated pain",
"hypersensitivity", and "central sensitization".<span style="mso-spacerun: yes;"> </span><o:p></o:p></span></div>
<span style="font-family: "Times New Roman","serif"; font-size: 12pt;"><o:p> </o:p></span><a href="http://pelvicpt.blogspot.com/2016/10/a-standard-terminology-in-chronic.html#more">Read more »</a>Beth Shelly, PT, DPT, WCS, BCB PMDhttp://www.blogger.com/profile/18335006843823236252noreply@blogger.com0tag:blogger.com,1999:blog-3717056489241763528.post-66129101797983479572016-09-16T16:33:00.000-05:002016-09-16T16:33:15.691-05:00September Pelvic PT Distance Journal Club<div class="separator" style="clear: both; text-align: center;">
<a href="https://4.bp.blogspot.com/-sc7Y1oaF2Fk/VDsrSwDJbbI/AAAAAAAAAIA/qe8hzHcmX4Mk4MBwp6mqiuzzhMQgzOwiwCPcB/s1600/web%2Bjournal%2Bclub.JPG" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" height="125" src="https://4.bp.blogspot.com/-sc7Y1oaF2Fk/VDsrSwDJbbI/AAAAAAAAAIA/qe8hzHcmX4Mk4MBwp6mqiuzzhMQgzOwiwCPcB/s200/web%2Bjournal%2Bclub.JPG" width="200" /></a></div>
<span style="font-family: Calibri;">This month we discussed three articles about bowel dysfunction.<span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span>One on
diet in IBS and two on hands on treatments in patient with IBS and
constipation.<span style="mso-spacerun: yes;"> </span></span><br />
<br />
<div class="MsoNoSpacing" style="margin: 0in 0in 0pt;">
<o:p><span style="font-family: Calibri;"> </span></o:p><span style="font-family: Calibri;">Meeting recording <a href="https://fccdl.in/VKIcluRi4">https://fccdl.in/VKIcluRi4</a></span></div>
<br />
<div class="MsoNoSpacing" style="margin: 0in 0in 0pt;">
<o:p><span style="font-family: Calibri;"> </span></o:p><span style="font-family: Calibri;">Next month's meeting is October 5th. </span></div>
Beth Shelly, PT, DPT, WCS, BCB PMDhttp://www.blogger.com/profile/18335006843823236252noreply@blogger.com0tag:blogger.com,1999:blog-3717056489241763528.post-16992741631716441472016-09-16T16:26:00.003-05:002016-09-16T16:26:57.709-05:00The Science, Evidence, and Practice of Dietary Interventions in Irritable Bowel Syndrome. Brian Lacey Clinical Gastroenterology and Hepatology 2015;13:1899-1906<div class="separator" style="clear: both; text-align: center;">
<a href="https://4.bp.blogspot.com/-sc7Y1oaF2Fk/VDsrSwDJbbI/AAAAAAAAAIA/qe8hzHcmX4Mk4MBwp6mqiuzzhMQgzOwiwCPcB/s1600/web%2Bjournal%2Bclub.JPG" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" height="125" src="https://4.bp.blogspot.com/-sc7Y1oaF2Fk/VDsrSwDJbbI/AAAAAAAAAIA/qe8hzHcmX4Mk4MBwp6mqiuzzhMQgzOwiwCPcB/s200/web%2Bjournal%2Bclub.JPG" width="200"></a></div>
<span style="font-family: Calibri;">Pelvic PT Distance Journal Club</span><br>
<div class="MsoNoSpacing" style="margin: 0in 0in 0pt;">
<span style="font-family: Calibri;">September 7, 2016</span></div>
<div class="MsoNoSpacing" style="margin: 0in 0in 0pt;">
<span style="font-family: Calibri;">Jane O’Brien Franczak, PT, MSPT</span></div>
<br>
<div class="MsoNoSpacing" style="margin: 0in 0in 0pt;">
<span style="font-family: Calibri;"><b>Summary:</b> This article is a review of
pathophysiologic mechanisms that may explain IBS food related symptoms (sx) and
evaluates clinical trials of specialized diets used to treat IBS sx. </span></div>
<br>
<div class="MsoNoSpacing" style="margin: 0in 0in 0pt;">
<span style="font-family: Calibri;"><u>Premise: </u>Food can cause GI distress due to
stimulation of mechanoreceptors and chemoreceptors (ie capsaicin) or
alterations in GI transit, intestinal osmolarity and secretion. IBS patients
report more food related issues than healthy controls</span></div>
<br>
<div class="MsoNoSpacing" style="margin: 0in 0in 0pt;">
<b><span style="font-size: 12pt;"><span style="font-family: Calibri;">What causes food
symptoms? :<o:p></o:p></span></span></b></div>
<br>
<div class="MsoNoSpacing" style="margin: 0in 0in 0pt;">
<u><span style="font-family: Calibri;">Food Allergies</span></u></div>
<br>
<div class="MsoNoSpacing" style="margin: 0in 0in 0pt;">
<span style="font-family: Calibri;">1. <i>IgE mediated</i> = Rapid onset, ie nuts, wheat,
shellfish, strawberries. </span></div>
<br>
<div class="MsoNoSpacing" style="margin: 0in 0in 0pt;">
<span style="font-family: Calibri;">Sx of nausea, dysphagia, abdominal pain, vomiting,
diarrhea (urticaria) </span></div>
<br>
<div class="MsoNoSpacing" style="margin: 0in 0in 0pt;">
<span style="font-family: Calibri;">2. <i>Non IgE -mediated</i> : cell mediated response (T
helper 2 cells), delayed onset, IgG antibodies are more prevalent with IBS pts.
Sx= GI only. </span></div>
<br>
<div class="MsoNoSpacing" style="margin: 0in 0in 0pt;">
<u><span style="font-family: Calibri;">Food Intolerances <o:p></o:p></span></u></div>
<br>
<div class="MsoNoSpacing" style="margin: 0in 0in 0pt;">
<span style="font-family: Calibri;">Non- immunologic events, (non-celiac gluten sensitivity,
presence of chemicals in foods, histamine, enzyme defects, short chain
carbohydrates.)</span></div>
<br>
<div class="MsoNoSpacing" style="margin: 0in 0in 0pt;">
<span style="font-family: Calibri;">70% of IBS patients report symptoms representative of
food intolerances. </span></div>
<a href="http://pelvicpt.blogspot.com/2016/09/the-science-evidence-and-practice-of.html#more">Read more »</a>Beth Shelly, PT, DPT, WCS, BCB PMDhttp://www.blogger.com/profile/18335006843823236252noreply@blogger.com0tag:blogger.com,1999:blog-3717056489241763528.post-36765199388534154802016-09-16T16:22:00.000-05:002016-09-16T16:23:16.539-05:00A Comprehensive physical therapy approach including visceral manipulation after failed biofeedback therapy for constipation. Archambault-Ezenwa, L. Tech Coloprotology, June 24, 2016.<div class="separator" style="clear: both; text-align: center;">
<a href="https://4.bp.blogspot.com/-sc7Y1oaF2Fk/VDsrSwDJbbI/AAAAAAAAAIA/qe8hzHcmX4Mk4MBwp6mqiuzzhMQgzOwiwCPcB/s1600/web%2Bjournal%2Bclub.JPG" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" height="125" src="https://4.bp.blogspot.com/-sc7Y1oaF2Fk/VDsrSwDJbbI/AAAAAAAAAIA/qe8hzHcmX4Mk4MBwp6mqiuzzhMQgzOwiwCPcB/s200/web%2Bjournal%2Bclub.JPG" width="200"></a></div>
<span style="font-family: "calibri";">Journal Club September 7, 2016</span><br>
<div class="MsoNoSpacing" style="margin: 0in 0in 0pt;">
<span style="font-family: "calibri";">Jane O’Brien Franczak, PT, MSPT</span></div>
<br>
<div class="Body" style="margin: 0in 0in 8pt;">
<span style="font-family: "calibri";">Case study of 41 year old female severe constipation, rectal
pain, levator ani spasm, 8 year hx. 2x/mo BM from daily use of laxative and
enemas/ 4-6 glasses H2O/day, 15g fiber/day. 75% time, strain for BM,<span style="mso-spacerun: yes;"> </span>hard stool, difficulty emptying 25% time, 15
min per attempt to evacuate, difficulty initiating urination 10% time, abdom
pain 3-5/10, rectal pain with defecation, 5-7/10, suprapubic pain with full
bladder and dysuria 3/10. </span></div>
<br>
<div class="Body" style="margin: 0in 0in 8pt;">
<span style="font-family: "calibri";">Bristol stool rating type 2,3,4. 5/7 sx for Rome III criteria for
chronic constipation. </span></div>
<a href="http://pelvicpt.blogspot.com/2016/09/a-comprehensive-physical-therapy.html#more">Read more »</a>Beth Shelly, PT, DPT, WCS, BCB PMDhttp://www.blogger.com/profile/18335006843823236252noreply@blogger.com0tag:blogger.com,1999:blog-3717056489241763528.post-38332062609787921062016-09-16T16:20:00.000-05:002016-09-16T16:20:05.298-05:00Treatment of Refractory IBS with Visceral Osteopathy. Attali, Thu-Van. J of Digestive Diseases 14; 654-661 (2013).
<br>
<div class="separator" style="clear: both; text-align: center;">
<a href="https://4.bp.blogspot.com/-sc7Y1oaF2Fk/VDsrSwDJbbI/AAAAAAAAAIA/qe8hzHcmX4Mk4MBwp6mqiuzzhMQgzOwiwCPcB/s1600/web%2Bjournal%2Bclub.JPG" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" height="125" src="https://4.bp.blogspot.com/-sc7Y1oaF2Fk/VDsrSwDJbbI/AAAAAAAAAIA/qe8hzHcmX4Mk4MBwp6mqiuzzhMQgzOwiwCPcB/s200/web%2Bjournal%2Bclub.JPG" width="200"></a></div>
Pelvic PT Distance Journal Club September 7, 2016<br>
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 107%;">Jane
Franczak <o:p></o:p></span><br>
<br>
<div class="Body" style="margin: 0in 0in 8pt;">
<b><u><span style="font-family: Calibri;">Purpose<o:p></o:p></span></u></b></div>
<span style="font-family: Calibri;">To investigate the effectiveness of Visceral Osteopathy for IBS</span><br>
<br>
<div class="Body" style="margin: 0in 0in 8pt;">
<b><span style="font-family: Calibri;"><u><span lang="FR" style="mso-ansi-language: FR;">Definitions</span></u><span lang="FR"> </span><o:p></o:p></span></b></div>
<span style="font-family: Calibri;">IBS: Association between abdominal pain and or abdominal
distention and bowel dysfunction for recurrent periods. Rome III criterion
recurrent abdominal pain or distention lasting at least 3 days/month over 3
months with 2 or more of these: </span><br>
<span style="mso-hansi-font-family: "Arial Unicode MS";"><span style="mso-list: Ignore;"><span style="font-family: Calibri;">1.</span><span style="font-size-adjust: none; font-stretch: normal; font: 7pt/normal "Times New Roman";"> </span></span></span><!--[endif]--><span style="font-family: Calibri;">Improves
with defecation</span><br>
<span style="mso-hansi-font-family: "Arial Unicode MS";"><span style="mso-list: Ignore;"><span style="font-family: Calibri;">2.</span><span style="font-size-adjust: none; font-stretch: normal; font: 7pt/normal "Times New Roman";"> </span></span></span><!--[endif]--><span style="font-family: Calibri;">Onset
assoc. with change in stool frequency</span><br>
<span style="mso-hansi-font-family: "Arial Unicode MS";"><span style="mso-list: Ignore;"><span style="font-family: Calibri;">3.</span><span style="font-size-adjust: none; font-stretch: normal; font: 7pt/normal "Times New Roman";"> </span></span></span><!--[endif]--><span style="font-family: Calibri;">Onset
assoc with change in form of stool</span><br>
<br>
<div class="Body" style="margin: 0in 0in 8pt;">
<span style="font-family: Calibri;">32 <u>Consecutive refractory </u>IBS patients study: failed to
improve after variety of drug therapies or high health care usage despite
aggressive treatment and unhappy about care. </span></div>
<span style="font-family: Calibri;">Osteopathy: manual treatment that relies on various mobilization
procedures aimed at relieving patient’<span lang="PT" style="mso-ansi-language: PT;">s pain. </span>Visceral mobilization was provided by an osteopath. </span><br>
<a href="http://pelvicpt.blogspot.com/2016/09/treatment-of-refractory-ibs-with.html#more">Read more »</a>Beth Shelly, PT, DPT, WCS, BCB PMDhttp://www.blogger.com/profile/18335006843823236252noreply@blogger.com0tag:blogger.com,1999:blog-3717056489241763528.post-90146753770442675252016-08-12T14:04:00.003-05:002016-08-12T14:04:44.008-05:00August Pelvic PT Distance Journal Club <div class="separator" style="clear: both; text-align: center;">
<a href="https://4.bp.blogspot.com/-sc7Y1oaF2Fk/VDsrSwDJbbI/AAAAAAAAAIA/qe8hzHcmX4Mk4MBwp6mqiuzzhMQgzOwiwCPcB/s1600/web%2Bjournal%2Bclub.JPG" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" height="125" src="https://4.bp.blogspot.com/-sc7Y1oaF2Fk/VDsrSwDJbbI/AAAAAAAAAIA/qe8hzHcmX4Mk4MBwp6mqiuzzhMQgzOwiwCPcB/s200/web%2Bjournal%2Bclub.JPG" width="200" /></a></div>
<span style="font-family: Calibri;">This month we review two articles on mediation and
catasropizing in pelvic pain.<span style="mso-spacerun: yes;"> </span></span><br />
<br />
<div class="MsoNoSpacing" style="margin: 0in 0in 0pt;">
<span style="font-family: Calibri;">August recording</span></div>
<span style="font-family: Calibri;"><a href="https://fccdl.in/2uqLYbvKh">https://fccdl.in/2uqLYbvKh</a></span><br />
<br />
<div class="MsoNoSpacing" style="margin: 0in 0in 0pt;">
<o:p><span style="font-family: Calibri;"> </span></o:p></div>
<div class="MsoNoSpacing" style="margin: 0in 0in 0pt;">
<span style="font-family: Calibri;">Best Mediation apps of 2016</span></div>
<span style="font-family: Calibri;"><a href="http://www.healthline.com/health/mental-health/top-meditation-iphone-android-apps#1">http://www.healthline.com/health/mental-health/top-meditation-iphone-android-apps#1</a></span><br />
<br />
<div class="MsoNoSpacing" style="margin: 0in 0in 0pt;">
<o:p><span style="font-family: Calibri;"> </span></o:p></div>
<div class="MsoNoSpacing" style="margin: 0in 0in 0pt;">
<span style="font-family: Calibri;">Understanding Pain in less than 5 minutes - great video
for patients </span></div>
<span style="font-family: Calibri;"><a href="https://www.youtube.com/watch?v=C_3phB93rvI">https://www.youtube.com/watch?v=C_3phB93rvI</a></span><br />
Beth Shelly, PT, DPT, WCS, BCB PMDhttp://www.blogger.com/profile/18335006843823236252noreply@blogger.com0tag:blogger.com,1999:blog-3717056489241763528.post-64983660390137230282016-08-12T13:42:00.001-05:002016-08-12T13:42:23.056-05:00The Role of Social Constraints and Catastrophizing in Pelvic and Urogenital Pain. Tomakowsky, et al. Int Urogynecol J. 2016 Jun 10.<div class="separator" style="clear: both; text-align: center;">
<a href="https://4.bp.blogspot.com/-sc7Y1oaF2Fk/VDsrSwDJbbI/AAAAAAAAAIA/qe8hzHcmX4Mk4MBwp6mqiuzzhMQgzOwiwCPcB/s1600/web%2Bjournal%2Bclub.JPG" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" height="125" src="https://4.bp.blogspot.com/-sc7Y1oaF2Fk/VDsrSwDJbbI/AAAAAAAAAIA/qe8hzHcmX4Mk4MBwp6mqiuzzhMQgzOwiwCPcB/s200/web%2Bjournal%2Bclub.JPG" width="200"></a></div>
<span style="font-family: Calibri;">Michelle Spicka, DPT</span><br>
<span style="font-family: Calibri;">August 3, 2016</span><br>
<span style="font-family: Calibri;">Pelvic Physical Therapy Distance Journal Club</span><br>
<br>
<div class="MsoNormal" style="margin: 0in 0in 8pt;">
<span style="font-family: Calibri;"><b style="mso-bidi-font-weight: normal;">Description:</b> This
study tested the hypothesis that social constraints (the perception that those
close to a patient can inhibit, discourage or dissuade a person from disclosing
one’s feelings or talking about one’s problems) would be associated with
distress, pain and problems with functioning, beyond the influence of the
widely recognized risk factor of pain catastrophizing.</span></div>
<br>
<div class="MsoNormal" style="margin: 0in 0in 8pt;">
<span style="font-family: Calibri;">Pain catastrophizing is the tendency to magnify pain, feel
helpless and ruminate on one’s pain and it has been established as a reliable
correlate of chronic pain in a variety of patient populations per previous
research.<span style="mso-spacerun: yes;"> </span>In women with IC and bladder
pain syndrome, pain catastrophizing has been linked to greater depression,
poorer general mental health, poorer quality of life and more severe pain. </span></div>
<br>
<div class="MsoNormal" style="margin: 0in 0in 8pt;">
<span style="font-family: Calibri;">No previous studies have examined how social constraints are
associated with pain and adjustment in patients with pelvic and urogenital
pain.<span style="mso-spacerun: yes;"> </span></span></div>
<span style="font-family: Calibri;"><b style="mso-bidi-font-weight: normal;"></b></span><a href="http://pelvicpt.blogspot.com/2016/08/the-role-of-social-constraints-and.html#more">Read more »</a>Beth Shelly, PT, DPT, WCS, BCB PMDhttp://www.blogger.com/profile/18335006843823236252noreply@blogger.com0tag:blogger.com,1999:blog-3717056489241763528.post-9910809144145651512016-08-12T13:36:00.002-05:002016-08-12T13:36:28.386-05:00Mindfulness-based stress reduction as a novel treatment for interstitial cystitis/bladder pain syndrome: a randomized controlled trial. (Kanter et al. Int Urogynecol J. 2016 Apr 26).
<br>
<div class="MsoNormal" style="margin: 0in 0in 8pt;">
<o:p><span style="font-family: Calibri;"> </span></o:p></div>
<div class="separator" style="clear: both; text-align: center;">
<a href="https://4.bp.blogspot.com/-sc7Y1oaF2Fk/VDsrSwDJbbI/AAAAAAAAAIA/qe8hzHcmX4Mk4MBwp6mqiuzzhMQgzOwiwCPcB/s1600/web%2Bjournal%2Bclub.JPG" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" height="125" src="https://4.bp.blogspot.com/-sc7Y1oaF2Fk/VDsrSwDJbbI/AAAAAAAAAIA/qe8hzHcmX4Mk4MBwp6mqiuzzhMQgzOwiwCPcB/s200/web%2Bjournal%2Bclub.JPG" width="200"></a></div>
<span style="font-family: Calibri;">Michelle Spicka, DPT</span><br>
<span style="font-family: Calibri;">August 3, 2016</span><br>
<span style="font-family: Calibri;">Pelvic Physical Therapy Distance Journal Club</span><br>
<br>
<div class="MsoNormal" style="margin: 0in 0in 8pt;">
<span style="font-family: Calibri;"><b style="mso-bidi-font-weight: normal;">Description:</b> Research
shows that up to 11% of women are affected by IC/BPS and the disorder may be
significantly underdiagnosed; up to 43% of patients with IC/BPS require
multimodal therapy.<span style="mso-spacerun: yes;"> </span>The underlying
pathophysiology of IC/BPS is poorly understood.<span style="mso-spacerun: yes;">
</span>In IC/BPS, increased stress is positively correlated with increased pain
and up to 80% of IC/BPS patients noted in a previous survey that stress
reduction decreased their symptoms.<span style="mso-spacerun: yes;"> </span></span></div>
<br>
<div class="MsoNormal" style="margin: 0in 0in 8pt;">
<span style="font-family: Calibri;">Mindfulness-based stress reduction (MBSR) is a complementary
alternative medicine-based therapist and is a standardized program including
components of meditations and yoga.<span style="mso-spacerun: yes;"> </span>MBSR
has been successfully employed to treatment chronic pain syndromes and has been
used in disorders such as multiple chemical sensitivity, chronic fatigue
syndrome, fibromyalgia, various pelvic floor disorders and IBS as well as
urinary urgency.</span></div>
<a href="http://pelvicpt.blogspot.com/2016/08/mindfulness-based-stress-reduction-as.html#more">Read more »</a>Beth Shelly, PT, DPT, WCS, BCB PMDhttp://www.blogger.com/profile/18335006843823236252noreply@blogger.com0tag:blogger.com,1999:blog-3717056489241763528.post-83876101953079279072016-07-18T20:22:00.003-05:002016-07-18T20:22:42.678-05:00July 2016 Pelvic PT Distance Journal Club Listen to experts in the field discuss two articles on POP<br />
<a href="https://fccdl.in/9czfWB3Ck">https://fccdl.in/9czfWB3Ck</a><br />
<br />
Outlines are on this blog<br />
<br />
Next call is Aug 3 - pelvic pain Beth Shelly, PT, DPT, WCS, BCB PMDhttp://www.blogger.com/profile/18335006843823236252noreply@blogger.com0tag:blogger.com,1999:blog-3717056489241763528.post-51538153342837625342016-07-18T20:12:00.002-05:002016-07-18T20:12:57.439-05:00Vaginal Pessary in Women with Symptomatic Pelvic Organ Prolapse<div class="separator" style="clear: both; text-align: center;">
<a href="https://4.bp.blogspot.com/-sc7Y1oaF2Fk/VDsrSwDJbbI/AAAAAAAAAIA/0Cir6liwtPIMHrHZOw_VF1shnTVzCssygCKgB/s1600/web%2Bjournal%2Bclub.JPG" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" height="125" src="https://4.bp.blogspot.com/-sc7Y1oaF2Fk/VDsrSwDJbbI/AAAAAAAAAIA/0Cir6liwtPIMHrHZOw_VF1shnTVzCssygCKgB/s200/web%2Bjournal%2Bclub.JPG" width="200"></a></div>
<span style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman";">Rachel
Y. K. Cheung, Jacqueline H. S. Lee, L. L. Lee, Tony K. H. Chung, and Symphorosa
S. C. Chan</span><br>
<br>
<div class="MsoNormal" style="margin: 0in 0in 0pt;">
<span style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman";">Obstetrics
& Gynecology Journal, Volume 128, Number 1, July 2016, pg. 73-80<o:p></o:p></span></div>
<br>
<div class="MsoNormal" style="margin: 0in 0in 0pt;">
<span style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman";">Cora
Huit July 18, 2016</span></div>
<br>
<div class="MsoNormal" style="margin: 0in 0in 0pt;">
<o:p><span style="font-family: Calibri;"> </span></o:p><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman";">Clinical Question</span></b></div>
<br>
<div class="MsoNormal" style="margin: 0in 0in 0pt;">
<span style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman";">Are
there improvements for women with symptomatic pelvic organ prolapse by using a
vaginal pessary?</span></div>
<o:p><span style="font-family: Calibri;"> </span></o:p><a href="http://pelvicpt.blogspot.com/2016/07/vaginal-pessary-in-women-with.html#more">Read more »</a>Beth Shelly, PT, DPT, WCS, BCB PMDhttp://www.blogger.com/profile/18335006843823236252noreply@blogger.com0tag:blogger.com,1999:blog-3717056489241763528.post-1596179088067653672016-07-18T20:09:00.001-05:002016-07-18T20:09:22.572-05:00Association Between Pelvic Floor Muscle Trauma and Pelvic Organ Prolapse 20 Years After Delivery<div class="separator" style="clear: both; text-align: center;">
<a href="https://4.bp.blogspot.com/-sc7Y1oaF2Fk/VDsrSwDJbbI/AAAAAAAAAIA/0Cir6liwtPIMHrHZOw_VF1shnTVzCssygCKgB/s1600/web%2Bjournal%2Bclub.JPG" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" height="125" src="https://4.bp.blogspot.com/-sc7Y1oaF2Fk/VDsrSwDJbbI/AAAAAAAAAIA/0Cir6liwtPIMHrHZOw_VF1shnTVzCssygCKgB/s200/web%2Bjournal%2Bclub.JPG" width="200"></a></div>
<span style="font-family: "Times New Roman","serif";">Volloyhaug I, Morkved S.,
Salvesen KA. International Urogynecology Journal, Volume 27, Number 1, January
2016, Pages 39-47<o:p></o:p></span><br>
<br>
<div class="MsoNormal" style="margin: 0in 0in 0pt;">
<span style="font-family: "Times New Roman","serif";"><o:p> </o:p></span><span style="font-family: "Times New Roman","serif";">Cora Huit July 13, 2016<o:p></o:p></span></div>
<br>
<div class="MsoNormal" style="margin: 0in 0in 0pt;">
<span style="font-family: "Times New Roman","serif";"><o:p> </o:p></span></div>
<br>
<div class="MsoNormal" style="margin: 0in 0in 0pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif";">Clinical
Question<o:p></o:p></span></b></div>
<br>
<div class="MsoNormal" style="margin: 0in 0in 0pt;">
<span style="font-family: "Times New Roman","serif";">Since it is known that pelvic
floor trauma (PFMT) is associated with prolapse (POP) and symptoms of prolapse
(sPOP) and POP-Q>2 in patient populations, the aim was to establish
prevalence and possible associations between PFMT, sPOP, and POP <u>></u> 2
in healthy women twenty years after their first delivery.<o:p></o:p></span></div>
<br>
<div class="MsoNormal" style="margin: 0in 0in 0pt;">
<span style="font-family: "Times New Roman","serif";"><o:p></o:p></span></div><a href="http://pelvicpt.blogspot.com/2016/07/association-between-pelvic-floor-muscle.html#more">Read more »</a>Beth Shelly, PT, DPT, WCS, BCB PMDhttp://www.blogger.com/profile/18335006843823236252noreply@blogger.com0tag:blogger.com,1999:blog-3717056489241763528.post-88795143513876201132016-07-02T14:42:00.002-05:002016-07-02T14:42:34.858-05:00More research
<br />
<table border="0" cellpadding="0" cellspacing="5" class="MsoNormalTable" style="mso-cellspacing: 3.7pt; mso-padding-alt: 0in 0in 0in 0in; mso-yfti-tbllook: 1184; width: 100%px;">
<tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td nowrap="" style="background-color: transparent; border: rgb(0, 0, 0); padding: 0in; width: 7.5pt;" valign="top" width="10">
<div class="MsoNormal" style="margin: 0in 0in 0pt;">
<span style="mso-fareast-font-family: "Times New Roman";">1.<o:p></o:p></span></div>
</td>
<td style="background-color: transparent; border: rgb(0, 0, 0); padding: 0in;" valign="top">
<div class="MsoNormal" style="margin: 0in 0in 0pt;">
<span style="mso-fareast-font-family: "Times New Roman";"><a href="http://www.ncbi.nlm.nih.gov/pubmed/25809925" ref="ordinalpos=1"><span style="color: blue;">Is
pilates as effective as conventional pelvic floor muscle exercises in the
conservative treatment of post-prostatectomy urinary incontinence? A
randomised controlled trial.</span></a><o:p></o:p></span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 1;">
<td style="background-color: transparent; border: rgb(0, 0, 0); padding: 0in; width: 7.5pt;" valign="top" width="10"></td>
<td style="background-color: transparent; border: rgb(0, 0, 0); padding: 0in;" valign="top">
<div class="MsoNormal" style="margin: 0in 0in 0pt;">
<span style="mso-fareast-font-family: "Times New Roman";">Pedriali
FR, Gomes CS, Soares L, Urbano MR, Moreira EC, Averbeck MA, de Almeida SH.<o:p></o:p></span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 2;">
<td style="background-color: transparent; border: rgb(0, 0, 0); padding: 0in; width: 7.5pt;" valign="top" width="10"></td>
<td style="background-color: transparent; border: rgb(0, 0, 0); padding: 0in;" valign="top"><span title="Neurourology and urodynamics">
<div class="MsoNormal" style="margin: 0in 0in 0pt;">
<span class="jrnl"><span style="mso-fareast-font-family: "Times New Roman";">Neurourol Urodyn</span></span><span style="mso-fareast-font-family: "Times New Roman";">. 2015 Mar 21. doi:
10.1002/nau.22761. [Epub ahead of print]<o:p></o:p></span></div>
</span></td>
</tr>
<tr style="mso-yfti-irow: 3;">
<td style="background-color: transparent; border: rgb(0, 0, 0); padding: 0in; width: 7.5pt;" valign="top" width="10"></td>
<td style="background-color: transparent; border: rgb(0, 0, 0); padding: 0in;" valign="top">
<div class="MsoNormal" style="margin: 0in 0in 0pt;">
<span style="mso-fareast-font-family: "Times New Roman";">PMID:
25809925 [PubMed - as supplied by publisher]<o:p></o:p></span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 4; mso-yfti-lastrow: yes;">
<td style="background-color: transparent; border: rgb(0, 0, 0); padding: 0in; width: 7.5pt;" valign="top" width="10"></td>
<td style="background-color: transparent; border: rgb(0, 0, 0); padding: 0in;">
<div class="MsoNormal" style="margin: 0in 0in 0pt;">
<span style="mso-fareast-font-family: "Times New Roman";"><a href="http://www.ncbi.nlm.nih.gov/pubmed?linkname=pubmed_pubmed&from_uid=25809925" ref="ordinalpos=1"><span style="color: blue;">Related citations</span></a> <o:p></o:p></span></div>
</td>
</tr>
</tbody></table>
<br />
<table border="0" cellpadding="0" cellspacing="5" class="MsoNormalTable" style="mso-cellspacing: 3.7pt; mso-padding-alt: 0in 0in 0in 0in; mso-yfti-tbllook: 1184; width: 100%px;">
<tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td nowrap="" style="background-color: transparent; border: rgb(0, 0, 0); padding: 0in; width: 7.5pt;" valign="top" width="10">
<div class="MsoNormal" style="margin: 0in 0in 0pt;">
<span style="mso-fareast-font-family: "Times New Roman";">2.<o:p></o:p></span></div>
</td>
<td style="background-color: transparent; border: rgb(0, 0, 0); padding: 0in;" valign="top">
<div class="MsoNormal" style="margin: 0in 0in 0pt;">
<span style="mso-fareast-font-family: "Times New Roman";"><a href="http://www.ncbi.nlm.nih.gov/pubmed/25793212" ref="ordinalpos=2"><span style="color: blue;">Impact of
different body positions on bioelectrical activity of the pelvic floor
muscles in nulliparous continent women.</span></a><o:p></o:p></span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 1;">
<td style="background-color: transparent; border: rgb(0, 0, 0); padding: 0in; width: 7.5pt;" valign="top" width="10"></td>
<td style="background-color: transparent; border: rgb(0, 0, 0); padding: 0in;" valign="top">
<div class="MsoNormal" style="margin: 0in 0in 0pt;">
<span style="mso-fareast-font-family: "Times New Roman";">Chmielewska
D, Stania M, Sobota G, Kwaśna K, Błaszczak E, Taradaj J, Juras G.<o:p></o:p></span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 2;">
<td style="background-color: transparent; border: rgb(0, 0, 0); padding: 0in; width: 7.5pt;" valign="top" width="10"></td>
<td style="background-color: transparent; border: rgb(0, 0, 0); padding: 0in;" valign="top"><span title="BioMed research international">
<div class="MsoNormal" style="margin: 0in 0in 0pt;">
<span class="jrnl"><span style="mso-fareast-font-family: "Times New Roman";">Biomed Res Int</span></span><span style="mso-fareast-font-family: "Times New Roman";">. 2015;2015:905897. doi: 10.1155/2015/905897. Epub 2015
Feb 22.<o:p></o:p></span></div>
</span></td>
</tr>
<tr style="mso-yfti-irow: 3;">
<td style="background-color: transparent; border: rgb(0, 0, 0); padding: 0in; width: 7.5pt;" valign="top" width="10"></td>
<td style="background-color: transparent; border: rgb(0, 0, 0); padding: 0in;" valign="top">
<div class="MsoNormal" style="margin: 0in 0in 0pt;">
<span style="mso-fareast-font-family: "Times New Roman";">PMID:
25793212 [PubMed - in process]<b><span style="color: #985735;"> Free PMC
Article </span></b><o:p></o:p></span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 4; mso-yfti-lastrow: yes;">
<td style="background-color: transparent; border: rgb(0, 0, 0); padding: 0in; width: 7.5pt;" valign="top" width="10"></td>
<td style="background-color: transparent; border: rgb(0, 0, 0); padding: 0in;">
<div class="MsoNormal" style="margin: 0in 0in 0pt;">
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<div class="MsoNormal" style="margin: 0in 0in 0pt;">
<span class="jrnl"><span style="mso-fareast-font-family: "Times New Roman";">Am J Gastroenterol</span></span><span style="mso-fareast-font-family: "Times New Roman";">. 2015 Jan;110(1):138-46;
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Beth Shelly, PT, DPT, WCS, BCB PMDhttp://www.blogger.com/profile/18335006843823236252noreply@blogger.com0tag:blogger.com,1999:blog-3717056489241763528.post-57131723743465859272016-07-02T14:29:00.001-05:002016-07-02T14:29:53.374-05:00Lecture: New ISM Perspectives for Treating Women with PGP, UI, POP, and DRA
<br />
By Diane Lee<br />
<br />
It is well known that the abdominal wall and pelvic floor play key roles in
function of the trunk and that pregnancy and delivery can have a significant,
and long lasting, impact. Non-optimal strategies for the transference of loads
through the trunk can create pain in a multitude of areas as well as affect the
urinary continence mechanism and support of the pelvic organs. The Integrated
Systems Model will be highlighted in part one of this lecture to demonstrate
its use for determining when to treat the thorax, when to treat the pelvis and
when to train the various muscles of the deep system (i.e. transversus
abdominis and/or pelvic floor) for the restoration of form and function after
pregnancy (how to Find the Primary Driver).<br />
<br />
Widening of the linea alba and separation of the recti, known as diastasis
rectus abominis (DRA), may prevent restoration of both the appearance and the
function of the trunk and women with this condition often ask whether surgery
will help them. Currently, there are no guidelines for clinicians to know which
patients with DRA are appropriate for conservative treatment and which ones
will also require surgery. Part two of this lecture will highlight Diane’s
research that led to clinical tests that reveal who can be treated
conservatively and who will require a surgical intervention.<br />
<br />
<div class="MsoNoSpacing" style="margin: 0in 0in 0pt;">
<span style="font-family: Calibri;">https://learn.dianelee.ca/course/new-perspectives-from-the-integrated-systems-model-for-treating-women-with-pelvic-girdle-pain-urinary-incontinence-pelvic-organ-prolapse-and-diastasis-rectus-abdominis/?error=login</span></div>
Beth Shelly, PT, DPT, WCS, BCB PMDhttp://www.blogger.com/profile/18335006843823236252noreply@blogger.com0tag:blogger.com,1999:blog-3717056489241763528.post-71766869068901525442016-07-02T13:24:00.001-05:002016-07-02T13:24:31.569-05:00New research in Pelvic PT
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<div class="MsoNormal" style="margin: 0in 0in 0pt;">
<span style="mso-fareast-font-family: "Times New Roman";"><a href="http://www.ncbi.nlm.nih.gov/pubmed/27342596" ref="ordinalpos=1"><span style="color: blue;">Whole
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<span class="jrnl"><span style="mso-fareast-font-family: "Times New Roman";">Wien Med Wochenschr</span></span><span style="mso-fareast-font-family: "Times New Roman";">. 2016 Jun 24. [Epub ahead
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<span style="mso-fareast-font-family: "Times New Roman";"><a href="http://www.ncbi.nlm.nih.gov/pubmed/27287818" ref="ordinalpos=3"><span style="color: blue;">Methods
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and patient-centeredness of the ESTEEM trial.</span></a><o:p></o:p></span></div>
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<td style="background-color: transparent; border: rgb(0, 0, 0); padding: 0in; width: 7.5pt;" valign="top" width="10"></td>
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<span style="mso-fareast-font-family: "Times New Roman";">Sung
VW, Borello-France D, Dunivan G, Gantz M, Lukacz ES, Moalli P, Newman DK,
Richter HE, Ridgeway B, Smith AL, Weidner AC, Meikle S; Pelvic Floor
Disorders Network.<o:p></o:p></span></div>
</td>
</tr>
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<td style="background-color: transparent; border: rgb(0, 0, 0); padding: 0in;" valign="top"><span title="International urogynecology journal">
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<span class="jrnl"><span style="mso-fareast-font-family: "Times New Roman";">Int Urogynecol J</span></span><span style="mso-fareast-font-family: "Times New Roman";">. 2016 Jun 10. [Epub ahead
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</span></td>
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<span style="mso-fareast-font-family: "Times New Roman";">PMID:
27287818 [PubMed - as supplied by publisher]<o:p></o:p></span></div>
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<br />
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</td>
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<td style="background-color: transparent; border: rgb(0, 0, 0); padding: 0in; width: 7.5pt;" valign="top" width="10"></td>
<td style="background-color: transparent; border: rgb(0, 0, 0); padding: 0in;">
<div class="MsoNormal" style="margin: 0in 0in 0pt;">
<span style="mso-fareast-font-family: "Times New Roman";"><a href="http://www.ncbi.nlm.nih.gov/pubmed?linkname=pubmed_pubmed&from_uid=27281866" ref="ordinalpos=4"><span style="color: blue;">Similar articles</span></a> <o:p></o:p></span></div>
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<span style="display: none; mso-fareast-font-family: "Times New Roman"; mso-hide: all;"><o:p> </o:p></span></div>
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<span style="mso-fareast-font-family: "Times New Roman";">5.<o:p></o:p></span></div>
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<span style="mso-fareast-font-family: "Times New Roman";"><a href="http://www.ncbi.nlm.nih.gov/pubmed/26051391" ref="ordinalpos=5"><span style="color: blue;">Factors
Associated With Efficacy of Nurse-led Bowel Training of Patients With Chronic
Constipation.</span></a><o:p></o:p></span></div>
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<td style="background-color: transparent; border: rgb(0, 0, 0); padding: 0in; width: 7.5pt;" valign="top" width="10"></td>
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<span style="mso-fareast-font-family: "Times New Roman";">Iqbal
F, Askari A, Adaba F, Choudhary A, Thomas G, Collins B, Tan E, Nicholls RJ,
Vaizey CJ.<o:p></o:p></span></div>
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<td style="background-color: transparent; border: rgb(0, 0, 0); padding: 0in;" valign="top"><span title="Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association">
<div class="MsoNormal" style="margin: 0in 0in 0pt;">
<span class="jrnl"><span style="mso-fareast-font-family: "Times New Roman";">Clin Gastroenterol Hepatol</span></span><span style="mso-fareast-font-family: "Times New Roman";">. 2015 Oct;13(10):1785-92.
doi: 10.1016/j.cgh.2015.05.037. Epub 2015 Jun 4.<o:p></o:p></span></div>
</span></td>
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<span style="mso-fareast-font-family: "Times New Roman";">PMID:
26051391 [PubMed - indexed for MEDLINE]<o:p></o:p></span></div>
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<span style="mso-fareast-font-family: "Times New Roman";"><a href="http://www.ncbi.nlm.nih.gov/pubmed?linkname=pubmed_pubmed&from_uid=26051391" ref="ordinalpos=5"><span style="color: blue;">Similar articles</span></a> <o:p></o:p></span></div>
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<!-- 759232CB77790A41_0000SID /projects/entrez/pubmed/PubMedGroup@1.85 portal202 v4.1.r504528 Thu, Jun 16 2016 02:48:19 -->
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<span style="mso-fareast-font-family: "Times New Roman";"><o:p> </o:p></span></div>
Beth Shelly, PT, DPT, WCS, BCB PMDhttp://www.blogger.com/profile/18335006843823236252noreply@blogger.com0tag:blogger.com,1999:blog-3717056489241763528.post-13791244620971239352016-06-12T08:06:00.004-05:002016-06-12T08:06:40.698-05:00June Pelvic PT Distance Journal club recording<div class="separator" style="clear: both; text-align: center;">
<a href="https://4.bp.blogspot.com/-sc7Y1oaF2Fk/VDsrSwDJbbI/AAAAAAAAAIA/0Cir6liwtPIMHrHZOw_VF1shnTVzCssygCKgB/s1600/web%2Bjournal%2Bclub.JPG" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" height="125" src="https://4.bp.blogspot.com/-sc7Y1oaF2Fk/VDsrSwDJbbI/AAAAAAAAAIA/0Cir6liwtPIMHrHZOw_VF1shnTVzCssygCKgB/s200/web%2Bjournal%2Bclub.JPG" width="200" /></a></div>
<br />
<br />
<div class="MsoNoSpacing" style="margin: 0in 0in 0pt;">
<span style="font-family: Calibri;">Does PFM contraction affect urethral closure pressure?
and overflow PFM exercises. </span></div>
<br />
<div class="MsoNoSpacing" style="margin: 0in 0in 0pt;">
<span style="font-family: Calibri;">https://fccdl.in/B74jk6eVW</span></div>
<br />
<div class="MsoNoSpacing" style="margin: 0in 0in 0pt;">
<span style="font-family: Calibri;">Next call July 13</span></div>
Beth Shelly, PT, DPT, WCS, BCB PMDhttp://www.blogger.com/profile/18335006843823236252noreply@blogger.com0tag:blogger.com,1999:blog-3717056489241763528.post-19600608295025500012016-06-12T08:00:00.003-05:002016-06-12T08:00:59.198-05:00Pelvic floor muscle training to improve urinary incontinence in young, nulliparous sport students: a pilot study<div class="separator" style="clear: both; text-align: center;">
<a href="https://4.bp.blogspot.com/-sc7Y1oaF2Fk/VDsrSwDJbbI/AAAAAAAAAIA/0Cir6liwtPIMHrHZOw_VF1shnTVzCssygCKgB/s1600/web%2Bjournal%2Bclub.JPG" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" height="125" src="https://4.bp.blogspot.com/-sc7Y1oaF2Fk/VDsrSwDJbbI/AAAAAAAAAIA/0Cir6liwtPIMHrHZOw_VF1shnTVzCssygCKgB/s200/web%2Bjournal%2Bclub.JPG" width="200"></a></div>
<span style="font-family: "Calibri","sans-serif"; font-size: 11pt;">Da
Roza t, de Araujo MP, Viana R, Viana S, Jorge RN, Bo K, Mascarenhas T: Int
Urogynecol J, 2012; 23:1069-1073.<o:p></o:p></span><br>
<span style="font-family: "Calibri","sans-serif"; font-size: 10pt;">Ann
Dunbar PT, DPT, MS, WCS<o:p></o:p></span><br>
<span style="font-family: "Calibri","sans-serif"; font-size: 10pt;">June
8, 2016<o:p></o:p></span><br>
<br>
<div class="MsoNormal" style="margin: 0in 0in 0pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Calibri","sans-serif"; font-size: 11pt;">Introduction:</span></b><span style="font-family: "Calibri","sans-serif"; font-size: 11pt;"> Urinary
incontinence (UI) is thought of as a problem with aging however, studies
demonstrate young, physically fit nulliparous women also experience UI. Factors
that contribute to incontinence in this population of women are not well
understood. Studies suggest weak connective tissue, high-intensity and
high-impact activities, heavy training, and possible pelvic floor muscle (PFM)
fatigue. Though RCTs demonstrate benefit of pelvic floor muscle training (PFMT)
for SUI, none assess the intervention for nulliparous sports women. <o:p></o:p></span></div>
<a href="http://pelvicpt.blogspot.com/2016/06/pelvic-floor-muscle-training-to-improve.html#more">Read more »</a>Beth Shelly, PT, DPT, WCS, BCB PMDhttp://www.blogger.com/profile/18335006843823236252noreply@blogger.com0tag:blogger.com,1999:blog-3717056489241763528.post-80046959480256498342016-06-12T07:59:00.001-05:002016-06-12T07:59:15.170-05:00Influence of voluntary pelvic floor muscle contraction and pelvic floor muscle training on urethral closure pressures: a systematic literature review<div class="separator" style="clear: both; text-align: center;">
<a href="https://4.bp.blogspot.com/-sc7Y1oaF2Fk/VDsrSwDJbbI/AAAAAAAAAIA/0Cir6liwtPIMHrHZOw_VF1shnTVzCssygCKgB/s1600/web%2Bjournal%2Bclub.JPG" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" height="125" src="https://4.bp.blogspot.com/-sc7Y1oaF2Fk/VDsrSwDJbbI/AAAAAAAAAIA/0Cir6liwtPIMHrHZOw_VF1shnTVzCssygCKgB/s200/web%2Bjournal%2Bclub.JPG" width="200"></a></div>
<span style="font-family: "Calibri","sans-serif"; font-size: 11pt;">Zubieta
M, Carr RL, Drake MJ, Bo K: Int Urogynecolo J, 2015.<span style="mso-spacerun: yes;"> </span>DOI 10.1007/s00192-015-28856-9; Online ISSN 1433-3023.
</span><span lang="EN" style="mso-ansi-language: EN;"><o:p></o:p></span><br>
<span style="font-family: "Calibri","sans-serif"; font-size: 10pt;">Ann
Dunbar PT, DPT, MS, WCS<o:p></o:p></span><br>
<span style="font-family: "Calibri","sans-serif"; font-size: 10pt;">June
8. 2016<o:p></o:p></span><br>
<br>
<div class="MsoNormal" style="margin: 0in 0in 0pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Calibri","sans-serif"; font-size: 11pt;">Introduction:<span style="mso-spacerun: yes;"> </span></span></b><span style="font-family: "Calibri","sans-serif"; font-size: 11pt;">Though pelvic floor m training (PFMT) is
effective for treatment of stress urinary incontinence (SUI) (Level I
evidence), how this works is not clear. Several theories are presented including
(1) PFM morphology is altered; (2) PFMT prevents bladder and urethral descent
with activities increasing intra-abdominal pressure; (3) PFMT increases
strength of a voluntary pre-PFM contraction and appears to reduce downward
movement of bladder neck with cough (ie the Knack) ; <b style="mso-bidi-font-weight: normal;"><span style="mso-spacerun: yes;"> </span></b>PFMT facilitates unconscious,
automatic firing of PFM, increasing maximal urethral closure pressure (MUCP)
during increases in intra-abdominal pressure. <o:p></o:p></span></div>
<a href="http://pelvicpt.blogspot.com/2016/06/influence-of-voluntary-pelvic-floor.html#more">Read more »</a>Beth Shelly, PT, DPT, WCS, BCB PMDhttp://www.blogger.com/profile/18335006843823236252noreply@blogger.com0tag:blogger.com,1999:blog-3717056489241763528.post-15834361573967339792016-05-13T15:11:00.000-05:002016-05-13T15:11:01.785-05:00May 2016 Pelvic PT Distance Journal Club RecordingListen to a discussion about electrical stimulation for OAB and PFM dysfunction in the out patient population. <br />
<br />
<a href="https://fccdl.in/eSGfDrLv2">https://fccdl.in/eSGfDrLv2</a><br />
<br />
Outlines for the two articles are found on this blog. The electrical stimulation article is now being discussed on this blog. <br />
<br />
Next call is June 8th<br />
Beth Shelly, PT, DPT, WCS, BCB PMDhttp://www.blogger.com/profile/18335006843823236252noreply@blogger.com0tag:blogger.com,1999:blog-3717056489241763528.post-63949235442163586972016-05-13T15:02:00.003-05:002016-05-13T15:03:04.070-05:00Non-invasive transcutaneous electrical stimulation in the treatment of overactive bladder<div class="separator" style="clear: both; text-align: center;">
<a href="https://4.bp.blogspot.com/-sc7Y1oaF2Fk/VDsrSwDJbbI/AAAAAAAAAIA/0Cir6liwtPIMHrHZOw_VF1shnTVzCssygCKgB/s1600/web%2Bjournal%2Bclub.JPG" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" height="125" src="https://4.bp.blogspot.com/-sc7Y1oaF2Fk/VDsrSwDJbbI/AAAAAAAAAIA/0Cir6liwtPIMHrHZOw_VF1shnTVzCssygCKgB/s200/web%2Bjournal%2Bclub.JPG" width="200" /></a></div>
<span style="font-family: "calibri" , "sans-serif"; font-size: 14pt; line-height: 115%;">Slovak M, et al., Asian Journal of
Urology (2015), 2, 92-101.<o:p></o:p></span><br />
<span style="font-family: "calibri" , "sans-serif"; mso-ascii-theme-font: major-latin; mso-bidi-font-family: "Times New Roman"; mso-hansi-theme-font: major-latin;"><o:p> <span style="font-family: "cambria";">Review provided by Cynthia Neville, PT, DPT, WCS for Pelvic Physiotherapy Journal Club May 4, 2016</span></o:p></span><br />
<br />
<strong><u></u></strong><br />
<strong><u></u></strong><br />
<strong><u></u></strong><br />
<strong><u>Discussion of this article is open. Please post comments below.</u></strong><br />
<div class="MsoNormal" style="line-height: 115%; margin: 0in 0in 0pt; mso-layout-grid-align: none; mso-pagination: none;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "calibri" , "sans-serif"; mso-ascii-theme-font: major-latin; mso-bidi-font-family: "Times New Roman"; mso-hansi-theme-font: major-latin;"></span></b> </div>
<div class="MsoNormal" style="line-height: 115%; margin: 0in 0in 0pt; mso-layout-grid-align: none; mso-pagination: none;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "calibri" , "sans-serif"; mso-ascii-theme-font: major-latin; mso-bidi-font-family: "Times New Roman"; mso-hansi-theme-font: major-latin;"></span></b> </div>
<div class="MsoNormal" style="line-height: 115%; margin: 0in 0in 0pt; mso-layout-grid-align: none; mso-pagination: none;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "calibri" , "sans-serif"; mso-ascii-theme-font: major-latin; mso-bidi-font-family: "Times New Roman"; mso-hansi-theme-font: major-latin;">Reason
for choosing article</span></b><span style="font-family: "calibri" , "sans-serif"; mso-ascii-theme-font: major-latin; mso-bidi-font-family: "Times New Roman"; mso-hansi-theme-font: major-latin;">: I strongly believe in NMES/TENS for pelvic floor rehab. <o:p></o:p></span></div>
<br />
<div class="MsoNormal" style="line-height: 115%; margin: 0in 0in 0pt; mso-layout-grid-align: none; mso-pagination: none;">
<span style="font-family: "calibri" , "sans-serif"; mso-ascii-theme-font: major-latin; mso-bidi-font-family: "Times New Roman"; mso-hansi-theme-font: major-latin;">I use NMES on 80% of patients with PF dysfunctions,
especially bladder control problems. I have had truly miraculous results with
NMES on some patients (case report presented at CSM 2007). I met the author at
ICS and was so excited that he was putting this info out to support clinical
decision making. <o:p></o:p></span></div>
<br />
<div class="MsoListParagraphCxSpFirst" style="line-height: 115%; margin: 0in 0in 0pt 0.25in; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l2 level1 lfo1; mso-pagination: none; text-indent: -0.25in;">
<!--[if !supportLists]--><span style="font-family: "symbol"; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font-size-adjust: none; font-stretch: normal; font: 7pt/normal "Times New Roman";">
</span></span></span><!--[endif]--><span style="font-family: "calibri" , "sans-serif"; mso-ascii-theme-font: major-latin; mso-bidi-font-family: "Times New Roman"; mso-hansi-theme-font: major-latin;">Electrical stimulation (ES) has been used over several
decades in the treatment of various lower urinary tract dysfunctions.<o:p></o:p></span></div>
<br />
<div class="MsoListParagraphCxSpMiddle" style="line-height: 115%; margin: 0in 0in 0pt 0.25in; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l2 level1 lfo1; mso-pagination: none; text-indent: -0.25in;">
<!--[if !supportLists]--><span style="font-family: "symbol"; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font-size-adjust: none; font-stretch: normal; font: 7pt/normal "Times New Roman";">
</span></span></span><!--[endif]--><span style="font-family: "calibri" , "sans-serif"; mso-ascii-theme-font: major-latin; mso-bidi-font-family: "Times New Roman"; mso-hansi-theme-font: major-latin;">The S2-S4 nerve roots provide the principle motor supply to
the bladder. Specifically the S3 root mainly innervates the detrusor muscle and
is the main target of sacral neuromodulation. <o:p></o:p></span></div>
<br />
<div class="MsoListParagraphCxSpMiddle" style="line-height: 115%; margin: 0in 0in 0pt 0.25in; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l2 level1 lfo1; mso-pagination: none; text-indent: -0.25in;">
<!--[if !supportLists]--><span style="font-family: "symbol"; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font-size-adjust: none; font-stretch: normal; font: 7pt/normal "Times New Roman";">
</span></span></span><!--[endif]--><i style="mso-bidi-font-style: normal;"><span style="font-family: "calibri" , "sans-serif"; mso-ascii-theme-font: major-latin; mso-bidi-font-family: "Times New Roman"; mso-hansi-theme-font: major-latin;">Neuromodulation
may be defined as affecting a nerve with stimulation or medication in order to
directly impact the other nerves regulated by that nerve(?) <o:p></o:p></span></i></div>
<br />
<div class="MsoListParagraphCxSpMiddle" style="line-height: 115%; margin: 0in 0in 0pt 0.25in; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l2 level1 lfo1; mso-pagination: none; text-indent: -0.25in;">
<!--[if !supportLists]--><span style="font-family: "symbol"; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font-size-adjust: none; font-stretch: normal; font: 7pt/normal "Times New Roman";">
</span></span></span><!--[endif]--><span style="font-family: "calibri" , "sans-serif"; mso-ascii-theme-font: major-latin; mso-bidi-font-family: "Times New Roman"; mso-hansi-theme-font: major-latin;">Posterior tibial nerve (PTN) is a mixed nerve containing
L5-S3 fibers, originating again from the same spinal segments as the
parasympathetic innervations to the bladder (S2-S4) is a well established sit
for stimulation to the bladder<o:p></o:p></span></div>
<br />
<div class="MsoListParagraphCxSpLast" style="line-height: 115%; margin: 0in 0in 0pt 1in; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l2 level2 lfo1; mso-pagination: none; text-indent: -0.25in;">
<!--[if !supportLists]--><span style="color: black; font-family: "courier new"; mso-fareast-font-family: "Courier New";"><span style="mso-list: Ignore;">o<span style="font-size-adjust: none; font-stretch: normal; font: 7pt/normal "Times New Roman";">
</span></span></span><!--[endif]--><span style="color: black; font-family: "calibri" , "sans-serif"; mso-ascii-theme-font: major-latin; mso-bidi-font-family: "Times New Roman"; mso-hansi-theme-font: major-latin;">A commercial device (Urgent-PC, Uroplasty, Inc.,
Minnetonka, USA) uses PTNS over 12 sessions of the percutaneous posterior
tibial nerve stimulation (PTNS), at weekly intervals. RCT showed significant
improvement in overall OAB symptoms (60/110) compare to sham (23/110). It was
shown that PTNS responders can continue to benefit from the therapy over 12
months. <o:p></o:p></span></div>
<br />
<div class="MsoNormal" style="line-height: 115%; margin: 0in 0in 0pt; mso-layout-grid-align: none; mso-pagination: none;">
<b style="mso-bidi-font-weight: normal;"><span style="color: black; font-family: "calibri" , "sans-serif"; mso-ascii-theme-font: major-latin; mso-bidi-font-family: "Times New Roman"; mso-hansi-theme-font: major-latin;">Methods: <o:p></o:p></span></b></div>
<br />
<div class="MsoListParagraphCxSpFirst" style="line-height: 115%; margin: 0in 0in 0pt 0.25in; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l2 level1 lfo1; mso-pagination: none; text-indent: -0.25in;">
<!--[if !supportLists]--><span style="font-family: "symbol"; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font-size-adjust: none; font-stretch: normal; font: 7pt/normal "Times New Roman";">
</span></span></span><!--[endif]--><span style="font-family: "calibri" , "sans-serif"; mso-ascii-theme-font: major-latin; mso-bidi-font-family: "Times New Roman"; mso-hansi-theme-font: major-latin;">This review considers only non-invasive ES techniques,
defined as “a procedure which does not involve introduction of an instrument
into the body”; no needles, no intra-vaginal nor intra-anal electrodes; transcutaneous
electrical nerve stimulation (TENS) was defined as a technique where the
electrical stimuli are passed through the intact skin<span style="color: black;">
</span><o:p></o:p></span></div>
<br />
<div class="MsoListParagraphCxSpMiddle" style="line-height: 115%; margin: 0in 0in 0pt 0.25in; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l2 level1 lfo1; mso-pagination: none; text-indent: -0.25in;">
<!--[if !supportLists]--><span style="color: black; font-family: "symbol"; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font-size-adjust: none; font-stretch: normal; font: 7pt/normal "Times New Roman";">
</span></span></span><!--[endif]--><span style="color: black; font-family: "calibri" , "sans-serif"; mso-ascii-theme-font: major-latin; mso-bidi-font-family: "Times New Roman"; mso-hansi-theme-font: major-latin;">Authors searched the electronic database PubMed
from inception until December 2013. Search terms used were “urge incontinence”,
“urgency”, “overactive bladder”, “urinary incontinence” or “detrusor
instability” in combination with “electrical stimulation”, “TENS”,
“transcutaneous electrical nerve stimulation”, “nerve stimulation”, “surface neuromodulation”,
“non-invasive stimulation”, “trial” or “study”. In addition, we followed
citations from the primary references to relevant articles which the database could
not locate. <o:p></o:p></span></div>
<br />
<div class="MsoListParagraphCxSpMiddle" style="line-height: 115%; margin: 0in 0in 0pt 0.25in; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l2 level1 lfo1; mso-pagination: none; text-indent: -0.25in;">
<!--[if !supportLists]--><span style="color: black; font-family: "symbol"; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font-size-adjust: none; font-stretch: normal; font: 7pt/normal "Times New Roman";">
</span></span></span><!--[endif]--><span style="color: black; font-family: "calibri" , "sans-serif"; mso-ascii-theme-font: major-latin; mso-bidi-font-family: "Times New Roman"; mso-hansi-theme-font: major-latin;">Exclusion criteria were: studies which were not
in English; studies of fecal incontinence treatment; those involving children,
those studying animal models; those involving percutaneous electrical
stimulation, anal stimulation, vaginal/penile stimulation or implanted devices
or those not primarily focused on storage symptoms. A flow diagram of the
selection process is shown in </span><span style="color: #2197d2; font-family: "calibri" , "sans-serif"; mso-ascii-theme-font: major-latin; mso-bidi-font-family: "Times New Roman"; mso-hansi-theme-font: major-latin;">Fig. 1</span><span style="color: black; font-family: "calibri" , "sans-serif"; mso-ascii-theme-font: major-latin; mso-bidi-font-family: "Times New Roman"; mso-hansi-theme-font: major-latin;">.</span><span style="font-family: "calibri" , "sans-serif"; mso-ascii-theme-font: major-latin; mso-bidi-font-family: "Times New Roman"; mso-hansi-theme-font: major-latin;"> <span style="color: black;"><o:p></o:p></span></span></div>
<br />
<div class="MsoListParagraphCxSpLast" style="line-height: 115%; margin: 0in 0in 0pt 0.25in; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l2 level1 lfo1; mso-pagination: none; text-indent: -0.25in;">
<!--[if !supportLists]--><span style="color: black; font-family: "symbol"; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font-size-adjust: none; font-stretch: normal; font: 7pt/normal "Times New Roman";">
</span></span></span><!--[endif]--><span style="font-family: "calibri" , "sans-serif"; mso-ascii-theme-font: major-latin; mso-bidi-font-family: "Times New Roman"; mso-hansi-theme-font: major-latin;">The primary search identified 410 articles. Using the defined
exclusion criteria authors reviewed in detail 16 articles; populations were widely
heterogeneous <span style="color: black;"><o:p></o:p></span></span></div>
<br />
<div class="MsoNormal" style="line-height: 115%; margin: 0in 0in 0pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "calibri" , "sans-serif"; mso-ascii-theme-font: major-latin; mso-bidi-font-family: "Times New Roman"; mso-hansi-theme-font: major-latin;">Sacral
stimulation Electrode placement: <o:p></o:p></span></b></div>
<br />
<div class="MsoListParagraphCxSpFirst" style="line-height: 115%; margin: 0in 0in 0pt 0.5in; mso-list: l3 level1 lfo2; text-indent: -0.25in;">
<!--[if !supportLists]--><span style="font-family: "symbol"; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font-size-adjust: none; font-stretch: normal; font: 7pt/normal "Times New Roman";">
</span></span></span><!--[endif]--><span style="font-family: "calibri" , "sans-serif"; mso-ascii-theme-font: major-latin; mso-bidi-font-family: "Times New Roman"; mso-hansi-theme-font: major-latin;">Peri-anal S2-S3 dermatomes 3 studies showed improvement =
reduction in detrusor over activity, parameters varied: 12 h/day, 6 h/day, <o:p></o:p></span></div>
<br />
<div class="MsoListParagraphCxSpMiddle" style="line-height: 115%; margin: 0in 0in 0pt 0.5in; mso-list: l3 level1 lfo2; text-indent: -0.25in;">
<!--[if !supportLists]--><span style="font-family: "symbol"; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font-size-adjust: none; font-stretch: normal; font: 7pt/normal "Times New Roman";">
</span></span></span><!--[endif]--><span style="font-family: "calibri" , "sans-serif"; mso-ascii-theme-font: major-latin; mso-bidi-font-family: "Times New Roman"; mso-hansi-theme-font: major-latin;">Over sacral foramina , 2x/day x 15 min</span><span style="font-family: "calibri" , "sans-serif"; mso-ascii-theme-font: major-latin; mso-hansi-theme-font: major-latin;"><o:p></o:p></span></div>
<!--[endif]--><br />
<br />
<div class="MsoNormal" style="line-height: 115%; margin: 0in 0in 0pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "calibri" , "sans-serif"; mso-ascii-theme-font: major-latin; mso-hansi-theme-font: major-latin;">Tibial Posterior Tibial Nerve
Stimulation<o:p></o:p></span></b></div>
<br />
<div class="MsoListParagraphCxSpFirst" style="line-height: 115%; margin: 0in 0in 0pt 0.5in; mso-list: l5 level1 lfo3; text-indent: -0.25in;">
<!--[if !supportLists]--><span style="font-family: "symbol"; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font-size-adjust: none; font-stretch: normal; font: 7pt/normal "Times New Roman";">
</span></span></span><!--[endif]--><span style="font-family: "calibri" , "sans-serif"; mso-ascii-theme-font: major-latin; mso-hansi-theme-font: major-latin;">Initially
developed using the SANS (Stoller afferent nerve stimulator) 34 gauge needle
electrode in SP6 acupuncture point and surface elect rode placed behind medial
malellelus <o:p></o:p></span></div>
<br />
<div class="MsoListParagraphCxSpMiddle" style="line-height: 115%; margin: 0in 0in 0pt 0.5in; mso-list: l5 level1 lfo3; text-indent: -0.25in;">
<!--[if !supportLists]--><span style="font-family: "symbol"; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font-size-adjust: none; font-stretch: normal; font: 7pt/normal "Times New Roman";">
</span></span></span><!--[endif]--><span style="font-family: "calibri" , "sans-serif"; mso-ascii-theme-font: major-latin; mso-hansi-theme-font: major-latin;">Non-implanted
electrodes are placed<span style="mso-spacerun: yes;"> </span>the above medial
malleolus and at medial aspect of calcaneus<o:p></o:p></span></div>
<br />
<div class="MsoListParagraphCxSpMiddle" style="line-height: 115%; margin: 0in 0in 0pt 0.5in; mso-list: l5 level1 lfo3; text-indent: -0.25in;">
<!--[if !supportLists]--><span style="font-family: "symbol"; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font-size-adjust: none; font-stretch: normal; font: 7pt/normal "Times New Roman";">
</span></span></span><!--[endif]--><span style="font-family: "calibri" , "sans-serif"; mso-ascii-theme-font: major-latin; mso-hansi-theme-font: major-latin;">Studies show
promising results, 1 shows good acceptance of use of device at home<o:p></o:p></span></div>
<span style="font-family: "calibri" , "sans-serif"; mso-ascii-theme-font: major-latin; mso-hansi-theme-font: major-latin;"><o:p> </o:p></span><br />
<br />
<div class="MsoNormal" style="line-height: 115%; margin: 0in 0in 0pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "calibri" , "sans-serif"; mso-ascii-theme-font: major-latin; mso-hansi-theme-font: major-latin;">Suprapubic</span></b><span style="font-family: "calibri" , "sans-serif"; mso-ascii-theme-font: major-latin; mso-hansi-theme-font: major-latin;">- study to reduce pain in PBS also showed
decr urinary frequency, efficacy for use in OAB is unproven<o:p></o:p></span></div>
<br />
<div class="MsoNormal" style="line-height: 115%; margin: 0in 0in 0pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "calibri" , "sans-serif"; mso-ascii-theme-font: major-latin; mso-hansi-theme-font: major-latin;">Are the acute effects of
stimulation of clinical significance?</span></b><span style="font-family: "calibri" , "sans-serif"; mso-ascii-theme-font: major-latin; mso-hansi-theme-font: major-latin;"><span style="mso-spacerun: yes;"> </span><o:p></o:p></span></div>
<br />
<div class="MsoListParagraphCxSpFirst" style="line-height: 115%; margin: 0in 0in 0pt 0.5in; mso-list: l6 level1 lfo8; text-indent: -0.25in;">
<!--[if !supportLists]--><span style="font-family: "symbol"; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font-size-adjust: none; font-stretch: normal; font: 7pt/normal "Times New Roman";">
</span></span></span><!--[endif]--><span style="font-family: "calibri" , "sans-serif"; mso-ascii-theme-font: major-latin; mso-hansi-theme-font: major-latin;">Researchers
have tried to answer this by assessing the immediate effects of ES during a
urodynamic study<o:p></o:p></span></div>
<br />
<div class="MsoListParagraphCxSpMiddle" style="line-height: 115%; margin: 0in 0in 0pt 0.5in; mso-list: l0 level1 lfo4; text-indent: -0.25in;">
<!--[if !supportLists]--><span style="font-family: "symbol"; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font-size-adjust: none; font-stretch: normal; font: 7pt/normal "Times New Roman";">
</span></span></span><!--[endif]--><span style="font-family: "calibri" , "sans-serif"; mso-ascii-theme-font: major-latin; mso-hansi-theme-font: major-latin;">A study on
SCI patients receiving ES to thigh showed Increased maximum cystometry capacity
MCC and decreased maximum detrusor pressure MDP, improved continence<o:p></o:p></span></div>
<br />
<div class="MsoListParagraphCxSpMiddle" style="line-height: 115%; margin: 0in 0in 0pt 0.5in; mso-list: l0 level1 lfo4; text-indent: -0.25in;">
<!--[if !supportLists]--><span style="font-family: "symbol"; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font-size-adjust: none; font-stretch: normal; font: 7pt/normal "Times New Roman";">
</span></span></span><!--[endif]--><span style="font-family: "calibri" , "sans-serif"; mso-ascii-theme-font: major-latin; mso-hansi-theme-font: major-latin;">A study on
ES over S3 dermatome did not clearly demonstrated effects on MCC, but improved
decrease in MDP<o:p></o:p></span></div>
<br />
<div class="MsoListParagraphCxSpLast" style="line-height: 115%; margin: 0in 0in 0pt 0.5in; mso-list: l0 level1 lfo4; text-indent: -0.25in;">
<!--[if !supportLists]--><span style="font-family: "symbol"; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font-size-adjust: none; font-stretch: normal; font: 7pt/normal "Times New Roman";">
</span></span></span><!--[endif]--><span style="font-family: "calibri" , "sans-serif"; mso-ascii-theme-font: major-latin; mso-hansi-theme-font: major-latin;">Studies in
neurologic patients 50% improvement in MCC, other studies no sig difference<o:p></o:p></span></div>
<br />
<div class="MsoNormal" style="line-height: 115%; margin: 0in 0in 0pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "calibri" , "sans-serif"; mso-ascii-theme-font: major-latin; mso-hansi-theme-font: major-latin;">Which stimulation parameters? <o:p></o:p></span></b></div>
<br />
<div class="MsoListParagraphCxSpFirst" style="line-height: 115%; margin: 0in 0in 0pt 0.5in; mso-layout-grid-align: none; mso-list: l4 level1 lfo5; mso-pagination: none; text-indent: -0.25in;">
<!--[if !supportLists]--><span style="font-family: "symbol"; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: EN-US;"><span style="mso-list: Ignore;">·<span style="font-size-adjust: none; font-stretch: normal; font: 7pt/normal "Times New Roman";">
</span></span></span><!--[endif]--><span style="font-family: "calibri" , "sans-serif"; mso-ascii-theme-font: major-latin; mso-bidi-font-family: "Times New Roman"; mso-fareast-language: EN-US; mso-hansi-theme-font: major-latin;">The location of electrodes and
range of stimulus parameters are likely to be critical factors in all forms of
stimulation. <o:p></o:p></span></div>
<br />
<div class="MsoListParagraphCxSpMiddle" style="line-height: 115%; margin: 0in 0in 0pt 0.5in; mso-layout-grid-align: none; mso-list: l4 level1 lfo5; mso-pagination: none; text-indent: -0.25in;">
<!--[if !supportLists]--><span style="font-family: "symbol"; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: EN-US;"><span style="mso-list: Ignore;">·<span style="font-size-adjust: none; font-stretch: normal; font: 7pt/normal "Times New Roman";">
</span></span></span><!--[endif]--><span style="font-family: "calibri" , "sans-serif"; mso-ascii-theme-font: major-latin; mso-bidi-font-family: "Times New Roman"; mso-fareast-language: EN-US; mso-hansi-theme-font: major-latin;">Relevant stimulus parameters
include pulse width; pulse repetition frequency; burst length (if applicable)
and stimulus intensity (preferably quoted as current as voltage stimulation
coupled with uncertain electrode-tissue interface impedance leads to
uncertainty as to delivered stimulus strength). The technical description of
the stimuli used in some studies does not give all these details.<o:p></o:p></span></div>
<br />
<div class="MsoListParagraphCxSpLast" style="line-height: 115%; margin: 0in 0in 0pt 0.5in; mso-layout-grid-align: none; mso-list: l4 level1 lfo5; mso-pagination: none; text-indent: -0.25in;">
<!--[if !supportLists]--><span style="font-family: "symbol"; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: EN-US;"><span style="mso-list: Ignore;">·<span style="font-size-adjust: none; font-stretch: normal; font: 7pt/normal "Times New Roman";">
</span></span></span><!--[endif]--><span style="font-family: "calibri" , "sans-serif"; mso-ascii-theme-font: major-latin; mso-bidi-font-family: "Times New Roman"; mso-fareast-language: EN-US; mso-hansi-theme-font: major-latin;">Stimulus intensity in question-
below motor threshold? Above perception threshold? To anal wink? <o:p></o:p></span></div>
<br />
<div class="MsoNormal" style="line-height: 115%; margin: 0in 0in 0pt; mso-layout-grid-align: none; mso-pagination: none;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "calibri" , "sans-serif"; mso-ascii-theme-font: major-latin; mso-bidi-font-family: "Times New Roman"; mso-fareast-language: EN-US; mso-hansi-theme-font: major-latin;">Sham? <a href="https://www.blogger.com/null" name="_GoBack"></a><o:p></o:p></span></b></div>
<br />
<div class="MsoListParagraphCxSpFirst" style="line-height: 115%; margin: 0in 0in 0pt 0.5in; mso-layout-grid-align: none; mso-list: l7 level1 lfo6; mso-pagination: none; text-indent: -0.25in;">
<!--[if !supportLists]--><span style="font-family: "symbol"; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: EN-US;"><span style="mso-list: Ignore;">·<span style="font-size-adjust: none; font-stretch: normal; font: 7pt/normal "Times New Roman";">
</span></span></span><!--[endif]--><span style="font-family: "calibri" , "sans-serif"; mso-ascii-theme-font: major-latin; mso-bidi-font-family: "Times New Roman"; mso-fareast-language: EN-US; mso-hansi-theme-font: major-latin;">Sham ES is difficult to produce 2
to sensation<o:p></o:p></span></div>
<br />
<div class="MsoListParagraphCxSpMiddle" style="line-height: 115%; margin: 0in 0in 0pt 0.5in; mso-layout-grid-align: none; mso-list: l7 level1 lfo6; mso-pagination: none; text-indent: -0.25in;">
<!--[if !supportLists]--><span style="font-family: "symbol"; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: EN-US;"><span style="mso-list: Ignore;">·<span style="font-size-adjust: none; font-stretch: normal; font: 7pt/normal "Times New Roman";">
</span></span></span><!--[endif]--><span style="font-family: "calibri" , "sans-serif"; mso-ascii-theme-font: major-latin; mso-bidi-font-family: "Times New Roman"; mso-fareast-language: EN-US; mso-hansi-theme-font: major-latin;">One method : Habituation as sham-
tell the pt that they are getting used to stim then turn intensity to 0<o:p></o:p></span></div>
<br />
<div class="MsoListParagraphCxSpLast" style="line-height: 115%; margin: 0in 0in 0pt 0.5in; mso-layout-grid-align: none; mso-list: l7 level1 lfo6; mso-pagination: none; text-indent: -0.25in;">
<!--[if !supportLists]--><span style="font-family: "symbol"; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: EN-US;"><span style="mso-list: Ignore;">·<span style="font-size-adjust: none; font-stretch: normal; font: 7pt/normal "Times New Roman";">
</span></span></span><!--[endif]--><span style="font-family: "calibri" , "sans-serif"; mso-ascii-theme-font: major-latin; mso-bidi-font-family: "Times New Roman"; mso-fareast-language: EN-US; mso-hansi-theme-font: major-latin;">One study did not tell
participants that them may receive sham stim- ethical? <o:p></o:p></span></div>
<br />
<div class="MsoNormal" style="line-height: 115%; margin: 0in 0in 0pt; mso-layout-grid-align: none; mso-pagination: none;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "calibri" , "sans-serif"; mso-ascii-theme-font: major-latin; mso-bidi-font-family: "Times New Roman"; mso-fareast-language: EN-US; mso-hansi-theme-font: major-latin;">Conclusion</span></b><span style="font-family: "calibri" , "sans-serif"; mso-ascii-theme-font: major-latin; mso-bidi-font-family: "Times New Roman"; mso-fareast-language: EN-US; mso-hansi-theme-font: major-latin;">: </span><span style="font-family: "calibri" , "sans-serif"; mso-ascii-theme-font: major-latin; mso-bidi-font-family: "Times New Roman"; mso-hansi-theme-font: major-latin;">The current consensus is that
the most promising site of stimulation is the S3 area of the spinal cord over
the sacral region or over the posterior tibial nerve, but it is not clear which
approach to stimulus delivery is the most effective. Little is known about the
underlying mechanisms of action and which exact structures need to be
stimulated. <o:p></o:p></span></div>
<br />
<div class="MsoNormal" style="line-height: 115%; margin: 0in 0in 0pt; mso-layout-grid-align: none; mso-pagination: none;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "calibri" , "sans-serif"; mso-ascii-theme-font: major-latin; mso-bidi-font-family: "Times New Roman"; mso-fareast-language: EN-US; mso-hansi-theme-font: major-latin;">Questions for discussion: <o:p></o:p></span></b></div>
<br />
<div class="MsoListParagraph" style="line-height: 115%; margin: 0in 0in 0pt 0.5in; mso-layout-grid-align: none; mso-list: l1 level1 lfo7; mso-pagination: none; text-indent: -0.25in;">
<!--[if !supportLists]--><span style="font-family: "symbol"; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: EN-US;"><span style="mso-list: Ignore;">·<span style="font-size-adjust: none; font-stretch: normal; font: 7pt/normal "Times New Roman";">
</span></span></span><!--[endif]--><b style="mso-bidi-font-weight: normal;"><span style="font-family: "calibri" , "sans-serif"; mso-ascii-theme-font: major-latin; mso-bidi-font-family: "Times New Roman"; mso-fareast-language: EN-US; mso-hansi-theme-font: major-latin;">How often do you use TENS/NMES? <o:p></o:p></span></b></div>
<br />
<div class="MsoNormal" style="line-height: 115%; margin: 0in 0in 0pt; mso-layout-grid-align: none; mso-pagination: none;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "calibri" , "sans-serif"; mso-ascii-theme-font: major-latin; mso-bidi-font-family: "Times New Roman"; mso-fareast-language: EN-US; mso-hansi-theme-font: major-latin;"><o:p> </o:p></span></b></div>
<div class="MsoListParagraph" style="line-height: 115%; margin: 0in 0in 0pt 0.5in; mso-layout-grid-align: none; mso-list: l1 level1 lfo7; mso-pagination: none; text-indent: -0.25in;">
<!--[if !supportLists]--><span style="font-family: "symbol"; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: EN-US;"><span style="mso-list: Ignore;">·<span style="font-size-adjust: none; font-stretch: normal; font: 7pt/normal "Times New Roman";">
</span></span></span><!--[endif]--><b style="mso-bidi-font-weight: normal;"><span style="font-family: "calibri" , "sans-serif"; mso-ascii-theme-font: major-latin; mso-bidi-font-family: "Times New Roman"; mso-fareast-language: EN-US; mso-hansi-theme-font: major-latin;">What parameters? <o:p></o:p></span></b></div>
<br />
<div class="MsoNormal" style="line-height: 115%; margin: 0in 0in 0pt; mso-layout-grid-align: none; mso-pagination: none;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "calibri" , "sans-serif"; mso-ascii-theme-font: major-latin; mso-bidi-font-family: "Times New Roman"; mso-fareast-language: EN-US; mso-hansi-theme-font: major-latin;"><o:p> </o:p></span></b></div>
<div class="MsoListParagraph" style="line-height: 115%; margin: 0in 0in 0pt 0.5in; mso-layout-grid-align: none; mso-list: l1 level1 lfo7; mso-pagination: none; text-indent: -0.25in;">
<!--[if !supportLists]--><span style="font-family: "symbol"; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: EN-US;"><span style="mso-list: Ignore;">·<span style="font-size-adjust: none; font-stretch: normal; font: 7pt/normal "Times New Roman";">
</span></span></span><!--[endif]--><b style="mso-bidi-font-weight: normal;"><span style="font-family: "calibri" , "sans-serif"; mso-ascii-theme-font: major-latin; mso-bidi-font-family: "Times New Roman"; mso-fareast-language: EN-US; mso-hansi-theme-font: major-latin;">Do you issue units for home use? <o:p></o:p></span></b></div>
<br />
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Beth Shelly, PT, DPT, WCS, BCB PMDhttp://www.blogger.com/profile/18335006843823236252noreply@blogger.com2tag:blogger.com,1999:blog-3717056489241763528.post-83944638374414403062016-05-13T14:53:00.002-05:002016-05-13T14:53:31.441-05:00Urinary incontinence symptoms and impact on quality of life in patients seeking outpatient physical therapy services<div class="separator" style="clear: both; text-align: center;">
<a href="https://4.bp.blogspot.com/-sc7Y1oaF2Fk/VDsrSwDJbbI/AAAAAAAAAIA/0Cir6liwtPIMHrHZOw_VF1shnTVzCssygCKgB/s1600/web%2Bjournal%2Bclub.JPG" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" height="125" src="https://4.bp.blogspot.com/-sc7Y1oaF2Fk/VDsrSwDJbbI/AAAAAAAAAIA/0Cir6liwtPIMHrHZOw_VF1shnTVzCssygCKgB/s200/web%2Bjournal%2Bclub.JPG" width="200"></a></div>
<span style="font-family: "Calibri","sans-serif"; mso-ascii-theme-font: major-latin; mso-hansi-theme-font: major-latin;">Meryl Alappattu, Cynthia Neville, Jason Beneciuk & Mark Bishop</span><br>
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<span style="font-family: "Calibri","sans-serif"; mso-ascii-theme-font: major-latin; mso-hansi-theme-font: major-latin;">(2016) , Physiotherapy Theory and Practice, 32:2, 107-112</span></div>
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Neville, PT, DPT, WCS for Pelvic Physiotherapy Journal Club May 4, 2016<o:p></o:p></span></i></div>
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<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Calibri","sans-serif"; mso-ascii-theme-font: major-latin; mso-hansi-theme-font: major-latin;">Why I wanted to review
this article:</span></b><span style="font-family: "Calibri","sans-serif"; mso-ascii-theme-font: major-latin; mso-hansi-theme-font: major-latin;"> Brooks Rehabilitation is the largest provider of OP PT services in the
state of Florida serving upwards of 25,000 unique OP/year. When I arrived to
start a WH program there, I instituted a screening program to identify current
patients who might benefit from PT rx for UI, to generate referrals to the
program, and collect outcomes. <span style="mso-spacerun: yes;"> </span>This
article is one of several articles stemming from this database. <o:p></o:p></span></div>
<a href="http://pelvicpt.blogspot.com/2016/05/urinary-incontinence-symptoms-and.html#more">Read more »</a>Beth Shelly, PT, DPT, WCS, BCB PMDhttp://www.blogger.com/profile/18335006843823236252noreply@blogger.com0