Thursday, December 26, 2013

Pelvic Physical Therapy Distance Journal Club 2013 Summary

2013 has been another research filled year and the Pelvic PT Distance Journal club has discussed many of the year's best.  Review the year by ordering your copy of the entire year - recordings and outlines of every month. (Unfortunately I cannot include PDF of articles in this offering, another reason it is important to print or down load the articles each month.)  As a special offer this year I will include recordings and outlines for 2012 and 2011.  That's more than 38 articles outlined and discussed.  This is a great way to review research and can be used in local journal clubs or work place journal clubs. 

Cost is a very reasonable $10 (mostly the cost of shipping and supplies)
To order send your mailing address in an email to
Looking forward to a dynamic and interactive 2014. First journal club is 8, 2014 8:30 PM EST

Beth, Michelle, Trish

Sunday, December 8, 2013

McLean et al. Pelvic Floor Muscle Training in Women with Stress Urinary Incontinence Causes Hypertrophy of the Urethral Sphincters and Reduces Bladder Neck Mobility During Coughing. Neurourology and Urodynamics 32:1096-1102(2013).

Pelvic Physiotherapy Think Tank
December 4, 2013
Michelle Spicka, DPT

Objective:  To determine the effect of a 12 week pelvic floor muscle training program on urethral morphology and mobility in women with stress urinary incontinence (SUI).

Study Design/Method: 

1.       To date, there has not been investigation of the impact of pelvic floor muscle (PFM) training on urethral structure, support or mobility.

a.       Measurements of urethral trajectory and acceleration during functional tasks such as coughing have shown that women with SUI demonstrate a larger excursion of the urethra during coughing maneuvers than their continent counterparts.

b.      These results suggest that the urethra is not effectively held in place behind the pubic symphysis to ensure that it is compressed against the pelvic floor when there is an increase in intra-abdominal pressure, which in turn suggests that women with SUI have ineffective endopelvic fascia and/or PFMs that are slow or ineffective in offering support to the urethra

Quaghebeur J and Qyndaele J. Comparison of Questionnaires Used for the Evalution of Patients with Chronic Pelvic Pain. Neurology and Urodynamics. 32:1074-1079 (2013).

Pelvic Physiotherapy Think Tank
December 4, 2013
Michelle Spicka, DPT

Objective:  Comparison of questionnaires for the evaluation of symptoms and quality of life in patients with chronic pelvic pain syndrome (CPPS).

Study Design/Method: 

                Different questionnaires are used by researchers and clinicians for the evaluation of patients with CPPS but it is uncertain if their results are comparable.

The questionnaires used were:

1.       McGill pain questionnaire (MPQ)

2.       National Institutes of Health-Chronic Prostatitis Symptom Index (NIH-CPSI)

3.       Interstitial Cystitis Symptom and Problem Questionnaire (ICSI)

4.       Pelvic Pain and Urgency/Frequency Questionnaire (PUF)

Twenty-six CPPS patients were included and each participant filled out all questionnaires during consultation and at the same sequence.