November Pelvic PT Distance Journal Club

Diastasis Recti.

Recording here http://fccdl.in/ApU6gshNk

Next call Dec 9, 2015

The Immediate Effects on Inter-rectus Distance of Abdominal Crunch and Drawing-in Exercises During Pregnancy and the Postpartum Period

Mota PGF, Pascoal AGBA, Carita AIAD, Bø K.  JOSPT October 2015, volume 45, number 10

Pelvic Distance Journal Club November 2015     

Trisha Jenkyns PT, DPT, WCS            

Study Objective/Purpose

Primary goal

·         To look at 2 abdominal-strengthening exercises,

o   Drawing-in and the abdominal crunch

·         The effect of these 2 exercises on the Inter Rectus Distance (IRD) at certain time points:

o   Gestational weeks 35 to 41

o   Postpartum at 6-8, 12-14, and 24-26 weeks

Prevalence and risk factors of diastasis recti abdominis from late pregnancy to 6 months postpartum, and relationship with lumbo-pelvic pain

Mota PGF, Pascoal AGBA, Carita AIAD, Bø K. Manual Therapy 2015; 20, 200-205
Pelvic Distance Journal Club November 2015

Trisha Jenkyns PT, DPT, WCS

Study Objective/Purpose

The aim of this study was to investigate the prevalence of DRA at gestational week 35 and three time-points postpartum, possible risk factors, and the relationship between DRA and lumbo-pelvic pain. 

Brief Background: Authors note that there are no high quality clinical studies to support theories about DRA causing long term sequelae  like lumbo-pelvic pain and abnormal posture

Study Design: Longitudinal observational study following first time pregnant women from gestational week 35 till 6 months postpartum.

Pelvic Floor Muscle Activation and Strength Components

Helena Luginbuehl, et al, Neurourology and Urodynamics 34:498–506 (2015)

Elizabeth Lewis, PT, OCS, WCS

Oct. 14, 2015

Pelvic Physical Therapy Distance Journal Club

Description: This systematic review had a stated purpose of developing a better understanding of PFM activation and strength components in order to develop more specific PFM training regimens for female SUI patients.  The aim of this systematic review was to summarize/evaluate existing studies investigating PFM activation/strength components which influence female continence and SUI.

Effects of walking speeds and carrying techniques

Tanner J. Coleman, Nadia M. Hamad, Janet M. Shaw, Marlene J. Egger, Yvonne Hsu, Robert Hitchcock,  Huifeng Jin,  Chan K. Choi, Ingrid E. Nygaard

Received: 24 September 2014 /Accepted: 27 November 2014 /Published online: 20 December 20

Elizabeth Lewis, PT, OCS, WCS

Oct 14, 2015

Pelvic Physical Therapy Distance Journal Club

Clinical Question: What is known about any specific functional activities and their impact on intra-abdominal pressure?  Similar topic was discussed June 2013, see outline here. http://pelvicpt.blogspot.com/2013/06/activity-restrictions-after.html

Clinical Bottom Line: IAP can be monitored in women outside of a lab during functional activities of lift/carry and walking.  Mean IAP increases with walking speed and the most common ways of carrying a baby in a car seat (front, side or awkward carry) had significantly higher associated IAP’s than back pack carry.