July 2016 Pelvic PT Distance Journal Club

Listen to experts in the field discuss two articles on POP
https://fccdl.in/9czfWB3Ck

Outlines are on this blog

Next call is Aug 3 - pelvic pain

Vaginal Pessary in Women with Symptomatic Pelvic Organ Prolapse

Rachel Y. K. Cheung, Jacqueline H. S. Lee, L. L. Lee, Tony K. H. Chung, and Symphorosa S. C. Chan

Obstetrics & Gynecology Journal, Volume 128, Number 1, July 2016, pg. 73-80

Cora Huit July 18, 2016

 Clinical Question

Are there improvements for women with symptomatic pelvic organ prolapse by using a vaginal pessary?

 

Association Between Pelvic Floor Muscle Trauma and Pelvic Organ Prolapse 20 Years After Delivery

Volloyhaug I, Morkved S., Salvesen KA. International Urogynecology Journal, Volume 27, Number 1, January 2016, Pages 39-47

 Cora Huit July 13, 2016

 

Clinical Question

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 > 2 in healthy women twenty years after their first delivery.

More research

1.	Is pilates as effective as conventional pelvic floor muscle exercises in the conservative treatment of post-prostatectomy urinary incontinence? A randomised controlled trial.
	Pedriali FR, Gomes CS, Soares L, Urbano MR, Moreira EC, Averbeck MA, de Almeida SH.
	Neurourol Urodyn. 2015 Mar 21. doi: 10.1002/nau.22761. [Epub ahead of print]
	PMID: 25809925 [PubMed - as supplied by publisher]
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2.	Impact of different body positions on bioelectrical activity of the pelvic floor muscles in nulliparous continent women.
	Chmielewska D, Stania M, Sobota G, Kwaśna K, Błaszczak E, Taradaj J, Juras G.
	Biomed Res Int. 2015;2015:905897. doi: 10.1155/2015/905897. Epub 2015 Feb 22.
	PMID: 25793212 [PubMed - in process] Free PMC Article
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4.	Treatment of fecal incontinence: state of the science summary for the National Institute of Diabetes and Digestive and Kidney Diseases workshop.
	Whitehead WE, Rao SS, Lowry A, Nagle D, Varma M, Bitar KN, Bharucha AE, Hamilton FA.
	Am J Gastroenterol. 2015 Jan;110(1):138-46; quiz 147. doi: 10.1038/ajg.2014.303. Epub 2014 Oct 21.
	PMID: 25331348 [PubMed - indexed for MEDLINE]
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5.	Postpartum pelvic floor muscle training and pelvic organ prolapse--a randomized trial of primiparous women.
	Bø K, Hilde G, Stær-Jensen J, Siafarikas F, Tennfjord MK, Engh ME.
	Am J Obstet Gynecol. 2015 Jan;212(1):38.e1-7. doi: 10.1016/j.ajog.2014.06.049. Epub 2014 Jun 28.
	PMID: 24983687 [PubMed - indexed for MEDLINE]
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Lecture: New ISM Perspectives for Treating Women with PGP, UI, POP, and DRA

By Diane Lee

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).

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.

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

New research in Pelvic PT

1.	Whole body vibration therapy on a treatment bed as additional means to treat postprostatectomy urinary incontinence.
	Crevenna R, Cenik F, Margreiter M, Marhold M, Sedghi Komanadj T, Keilani M.
	Wien Med Wochenschr. 2016 Jun 24. [Epub ahead of print]
	PMID: 27342596 [PubMed - as supplied by publisher]
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2.	Is a behavioral treatment for urinary incontinence beneficial to prostate cancer survivors as a follow-up care?
	Zhang AY, Fu AZ, Moore S, Zhu H, Strauss G, Kresevic D, Klein E, Ponsky L, Bodner DR.
	J Cancer Surviv. 2016 Jun 24. [Epub ahead of print]
	PMID: 27341843 [PubMed - as supplied by publisher]
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3.	Methods for a multicenter randomized trial for mixed urinary incontinence: rationale and patient-centeredness of the ESTEEM trial.
	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.
	Int Urogynecol J. 2016 Jun 10. [Epub ahead of print]
	PMID: 27287818 [PubMed - as supplied by publisher]
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4.	Pelvic Floor Biofeedback via a Smart Phone App for Treatment Of Stress Urinary Incontinence.
	Starr JA, Drobnis EZ, Cornelius C.
	Urol Nurs. 2016 Mar-Apr;36(2):88-91, 97.
	PMID: 27281866 [PubMed - in process]
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5.	Factors Associated With Efficacy of Nurse-led Bowel Training of Patients With Chronic Constipation.
	Iqbal F, Askari A, Adaba F, Choudhary A, Thomas G, Collins B, Tan E, Nicholls RJ, Vaizey CJ.
	Clin Gastroenterol Hepatol. 2015 Oct;13(10):1785-92. doi: 10.1016/j.cgh.2015.05.037. Epub 2015 Jun 4.
	PMID: 26051391 [PubMed - indexed for MEDLINE]
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