Sunday, January 18, 2015

Trigger points in pelvic pain - Comment on December's journal club by Sandra Gallagher

The  pain article that we discussed last night selected research data that supported what they wanted to develop as a protocol. A full review of trigger point research might not lead one to the same conclusion they made.  

I am not sure if you already reviewed this study in your distance learning calls.  

In my experience I hear people misrepresent the research or overstate the findings.  The Fitzgerald test was primarily looking at feasibility of a study considering would patient want to participate and can therapist adhere to the protocol.  it was a small n.  these are some points from the article that I think people who want to use it as justification for the internal painful MFR don't see or overlook.   

Sunday, January 11, 2015

January Pelvic PT Distance Journal Club

Outlines posted on blog


Looking for experts in prostatectomy related UI to participate in a discussion of conservative treatment. Please email Beth your experience if you are interested in participation.  Would like to get the group together in February.  

Most older women recover baseline functional status following pelvic organ prolapse surgery, Oliphant SS, et al. Int Urogynecol J 25;1425-1432 (2014)

Beth Shelly
Pelvic PT Distance Journal Club Jan 7, 2015


POP affects 50% of women over 50 yo
POP surgery is the most common gyn surgery for women over 50 yo - estimated $1 billion per year
40% of women undergoing POP surgery are over 60 yo
Americans are getting older
Elderly women undergoing POP surgery is expected to increase - not if PT has anything to say about it
Other studies have shown persistent post operative loss of function between 3% to 11%
Poor baseline functional status and pre op depression were independent factors in longer time to return to baseline

Self induced plantar flexion objectively reduces wave amplitude of detrussor overactivity and subjectively improve urinary urgency" a pilot study. Stav K, et al. Neurourol and Urodynam 33:1247-1250 (2014).

 Beth Shelly
Pelvic PT Distance Journal Club Jan 7, 2015


Pathophysiology of urgency is not fully understood
Previous studies have shown decrease in urgency by:
·         repetitive swallowing
·        anal stimulation
·         penile squeeze
·         crouching
Authors state that patient have decreased urgency by standing on their toes