Friday, August 28, 2015

Update your approach to Male UI

Here are a few new articles on the PFM recruitment patterns of continent males.  Hoping there will be similar info soon for patient UI but this is the best we have now.  All are free full text articles.

Dynamics of male pelvic floor muscle contraction observed with transperineal ultrasound imaging differ between voluntary and evoked coughs. -

A new method to quantify male pelvic floor displacement from 2D transperineal ultrasound images. -

Novel insight into the dynamics of male pelvic floor contractions through transperineal ultrasound imaging. -

Wednesday, August 12, 2015

August Pelvic PT Distance Journal Club recording and outlines

Guided imagery for IC and IBS check out the outlines on this blog and the recording here.  Next call Sept 2

Gut-directed guided affective imagery as an adjunct to dietary modification in irritable bowel syndrome.

Boltin, D, Sahar N, Gil E, et al. Journal of health psychology. 2015; Volume 20. Issue 6. Page 712 - 20.
Laura Scheufele, PT, DPT, WCS
August 5, 2015
Pelvic PT Distance Journal Club

Aim: Study the effect of guided affective imagery on the irritable bowel symptom severity and quality of life when combined with lifestyle modifcations in patients with IBS.
“Guided affective imagery (GAI) is a form of psychotherapy, which involves focusing on the mental images to induce relaxation. The principle behind GAI is the interruption of stress-provoking thoughts with a relaxing image, thereby inducing relaxation. “

Guided imagery for women with interstitial cystitis: results of a prospective, randomized controlled pilot study.

Carrico D, Peters K, and Diokno, A. Journal of alternative and complementary medicine. 2008. Volume 14. Issue 1. Page 53 - 60.
Laura Scheufele, PT, DPT, WCS
August 5, 2015
Pelvic PT Distance Journal club
Aim: Explore the effects of guided imagery on pelvic pain and urinary symptoms in women with IC.
Design: Prospective, randomized, controlled pilot study. Authors decided that 30 subjects (15 in each arm) would adequately provide preliminary data to decide if larger-powered study would be warranted.
“Guided imagery uses words to direct one’s thoughts and attention to imagined visual, auditory, tactile, or olfactory sensations to elicit the psychologic and physiologic response of relaxation. “
Several theories for how the physiological effect is achieved with guided imagery including Gate Control Theory of pain and endorphin release.