Physical therapy for female pelvic floor disorders

Bourcier, A.

doi:10.1097/00001703-199408000-00008

Cited by 21 publications

(7 citation statements)

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“…Whilst the purpose of this review was to investigate the efficacy of physical therapies for female SUI, it is important to recognize that effective treatment with PFM exercises may also be influenced by a range of factors that are not discussed here, e.g. the identification of relevant characteristics in patients who respond to treatment [ 27, 70–72], the assessment of correct PFM contraction [ 26], thorough instruction and measurement to improve motivation and adherence to training [ 25, 26, 31], and willingness to continue with home exercises [ 19].…”

Section: Discussionmentioning

confidence: 99%

Conservative treatment of stress urinary incontinence in women: a systematic review of randomized clinical trials

Berghmans

Hendriks

Bo³

et al. 1998

British Journal of Urology

254

113

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Objective To assess the eBcacy of physical therapies for intensity regimen of PFM exercises. Despite significant eCects of biofeedback after testing as an adjunct to first-line use in the treatment and prevention of stress urinary incontinence (SUI) in women, using a system-PFM exercises, there is no evidence that PFM exercises with biofeedback are more eCective than PFM exercises atic review of randomized clinical trials (RCTs). Materials and methods A computer-aided and manualalone. There is little consistency (of stimulation types and parameters) in the studies of electrical stimulation, search for published RCTs investigating treatment and prevention of SUI using physical therapies, e.g. pelvic but when the results are combined there is strong evidence to suggest that electrostimulation is superior floor muscle (PFM) exercises, with or without other treatment modalities, was carried out. The method-to sham electrostimulation, and limited evidence that there is no diCerence between electrostimulation and ological quality of the included trials was assessed using criteria based on generally accepted principles other physical therapies. In the prevention of SUI the eBcacy of PFM exercises, with or without other of interventional research. Results Twenty-four RCTs (22 treatment and two pre-adjuncts, is uncertain. Conclusions More research of high methodological qual-vention) were identified; the methodological quality of the studies included was moderate and 11 RCTs were ity is required to further evaluate the eCects of physical therapies used to treat and prevent SUI. of suBcient quality to be included in further analysis. Based on levels-of-evidence criteria, there is strong Keywords Systematic review, stress urinary incontinence, conservative treatment, prevention, physical evidence to suggest that PFM exercises are eCective in reducing the symptoms of SUI. There is limited evi-therapy, (pelvic floor muscle) exercises, biofeedback, electrical stimulation, vaginal cones dence for the eBcacy of high-intensity vs a lowwomen; the overall estimated prevalence of UI in women

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Section: Discussionmentioning

confidence: 99%

Conservative treatment of stress urinary incontinence in women: a systematic review of randomized clinical trials

Berghmans

Hendriks

Bo³

et al. 1998

British Journal of Urology

254

113

View full text Add to dashboard Cite

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“…A physiological defecation act is not only controlled by rectal and anal synergy, but also by muscular dynamics between thorax, abdomen and perineum, in addition to a correct posture. The ability in realizing correct synergic movements is in fact not always properly developed in general population (9)(10)(11)(12) . Literature data is still very poor on this topic: there's lack of a proper set of values that might help objectifying when to indicate pelvic floor rehabilitation and how to quantify results.…”

Section: Clinical-physiatric Evaluationmentioning

confidence: 99%

Outlet Obstructed Constipation and Fecal Incontinence: Is Rehabilitation Treatment the Way? Myth or Reality

Brusciano

Gambardella

Genio

et al. 2020

Arq. Gastroenterol.

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Pelvic floor rehabilitation aims to address perineal functional and anatomic alterations as well as thoraco-abdominal mechanic dysfunctions leading to procto-urologic diseases like constipation, fecal and urinary incontinence, and pelvic pain. They require a multidimensional approach, with a significant impact on patients quality of life. An exhaustive clinical and instrumental protocol to assess defecation disorders should include clinical and instrumental evaluation as well as several clinical/physiatric parameters. All these parameters must be considered in order to recognize and define any potential factor playing a role in the functional aspects of incontinence, constipation and pelvic pain. After such evaluation, having precisely identified any thoraco-abdomino-perineal anatomic and functional alterations, a pelvi-perineal rehabilitation program can be carried out to correct the abovementioned alterations and to obtain clinical improvement. The success of the rehabilitative process is linked to several factors such as a careful evaluation of the patient, aimed to select the most appropriate and specific targeted rehabilitative therapy, the therapist’s scrupulous hard work, especially as regards the patient’s emotional and psychic state, and finally the patient’s compliance in undertaking the therapy itself, especially at home. These factors may deeply influence the overall outcomes of the rehabilitative therapies, ranging from “real” success to illusion “myth”.

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“…Son indiscutibles hoy en día, los beneficios de los ejercicios de la musculatura del suelo pélvico (EMSP), en la incontinencia urinaria de esfuerzo femenina leve o moderada y masculina tras la prostatectomía. (14,15) Rev Cl EMed UCR www.revistaclinicahsjd.ucr.ac.cr 27 febrero 2015…”

Section: Ejerciciosunclassified

Rehabilitación del piso pélvico

Villalobos

Solera

2017

RC_UCR-HSJD

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The pelvic floor is compose of different muscular elements, integrated under control by the nervous system. It´s dysfunction includes multiple clinical alterations as sphicther incontinence, prolapse of pelvic organs, perception alterations, chronic pain syndromes and sexual dysfunction. Conservative treatment includes life style changes, training of muscles of the pelvic floor, biofeedback and electric stimulation. Wich objtive is to improve or solve clinical issues Rev Cl EMed UCR www.revistaclinicahsjd.ucr.ac.cr 27 febrero 2015 CONFLICTO DE INTERÉS Y/O AGRADECIMIENTOS Las autoras declaran que no existen conflictos de interés. Rev Cl EMed UCR www.revistaclinicahsjd.ucr.ac.cr 27 febrero 2015

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Physical therapy for female pelvic floor disorders

Cited by 21 publications

References 0 publications

Conservative treatment of stress urinary incontinence in women: a systematic review of randomized clinical trials

Conservative treatment of stress urinary incontinence in women: a systematic review of randomized clinical trials

Outlet Obstructed Constipation and Fecal Incontinence: Is Rehabilitation Treatment the Way? Myth or Reality

Rehabilitación del piso pélvico

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