Consensus statement AIGO/SICCR diagnosis and treatment of chronic constipation and obstructed defecation (Part II: Treatment)

Bove A, Bellini M, Battaglia E, et al. World J Gastroenterol. 2012 September 28;18(36):4994-5013. Focusing on biofeedback treatment/”Rehabilitative Treatment”

AIGO: Italian Association of Hospital Gastroenterologists

SICCR: Italian Society of Colo-Rectal Surgery

Laura Scheufele PT, DPT, WCS

August 5, 2014

Background from Consensus statement AIGO/SICCR: Diagnosis and treatment of chronic constipation and obstructed defecation (part I: Diagnosis)

The Joint Committee AIGO/SICCR is made up of members of these two scientific societies, elected on the basis of their experience in treating functional and organic problems of the colon and rectum.

Biofeedback for treatment of chronic idiopathic constipation in adults.

Woodward S, Norton C, Chiarelli P. Cochrane Database of Systematic Reviews 2014, Issue 3. Art. No.: CD008486. DOI: 10.1002/14651858.CD008486.pub2.

Laura Scheufele, PT, DPT, WCS

August 6, 2014

Purpose: Examine the effectiveness and side effects of biofeedback (BF) therapy used for the treatment of chronic constipation in adults who are unable to relax the muscles ,which control bowel movements.

Aim: Answer the question “Does biofeedback decrease physical or psychological morbidity and symptom distress and improve QoL in patients with a diagnosis of chronic constipation (functional constipation.)

July 9th Pelvic PT Distance Journal Club recording

http://rs2386.freeconferencecall.com:80/fcc/cgi-bin/play.mp3/2096471000-436790-44.mp3

Next call August 6, 2014

Hip dysfunction-related urinary incontinence: a prospective analysis of 189 female patients undergoing total hip arthroplasty. Tamaki T, Oinuma K, Shiratsuchi H, et al. International J Urol. 2014; DOI: 10.1111/iju.2014.

MJ Strauhal, PT, DPT, BCB-PMD

July 9, 2014 Pelvic PT Distance Journal Club

Purpose of the study:  to evaluate the symptoms of urinary incontinence (UI) before and after total hip arthroplasty (THA)

·         Study was done at the Funabashi Orthopedic Hospital, Japan

Background:

·         Osteoarthritis (OA) of the hip is an important cause of pain and disability

·         In Japan, prevalence of secondary OA from congenital dislocation or acetabular dysplasia is high among elderly women

·         THA is one of the most frequent surgeries carried out to improve QOL related to OA

·         In daily practice, patients report improvement in UI post THA

Is urinary incontinence the hidden secret complications after total hip arthroplasty? Baba T, Homma Y, Takazawa N, et al. Eur J Orthop Surg Traumatol. 2014; DOI 10.1007/s00590-014-1413-4.

MJ Strauhal, PT, DPT, BCB-PMD

July 9, 2014 Pelvic PT Distance Journal Club

Purpose of the study:  to investigate whether the posterior approach (PA) total hip arthroplasty (THA) differs from the anterior approach (AA) THA in influence on urinary incontinence (UI)

·         Study was done at the Department of Orthopedic Surgery, Juntendo University School of Medicine, Tokyo, Japan

Background: 

·         PA description

o   Patient position is lateral recumbent

o   Surgical method thought to be safer, provides wider visual field

o   Differences in muscle strength and walking ability compared to the AP were limited to the early post-op period; muscle strength at 6-12 months do not differ between PA and AP

o   Gluteus maximus is divided, short external rotators (ER) including the obturator internus are detached

o   T-shaped incision in the articular capsule, femoral head resected, prosthetic implanted

o   Short ER are sutured to their original position as much as possible