The effect of manual physical therapy in patients diagnosed with interstitial cystitis, high-tone pelvic floor dysfunction, and sacroiliac dysfunction.

The Pelvic Floor Institute, Graduate Hospital, Philadelphia, Pennsylvania, USA.
Urology (Impact Factor: 2.13). 07/2001; 57(6 Suppl 1):121-2. DOI: 10.1016/S0090-4295(01)01074-3
Source: PubMed
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    ABSTRACT: For several decades, biofeedback has been utilized to help patients gain control of urinary problems. First described in the 1950s, pelvic floor muscle training employing biofeedback techniques has re-emerged as many patients seek to improve their urinary symptoms without medications or invasive procedures. Developing evidence and clinical agreement suggest that the pelvic floor musculature plays an important and often overlooked role in the etiology of lower urinary tract symptoms. New techniques involving computerized visual feedback and electrical stimulation or magnetic stimulation seek to improve the efficacy of pelvic floor muscle exercises. However, findings from the literature for increased response to these exercises with intensity of biofeedback programs are conflicting. While they pose few risks or side effects, biofeedback programs are a time-consuming exercise for patients and providers. As we explore the promising role of pelvic floor rehabilitation in treatment of pelvic floor disorders, we must continue to assess the efficacy and cost-effectiveness of biofeedback as an adjunct to pelvic floor muscle exercises.
    Current Bladder Dysfunction Reports 03/2012; 7(1).
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    ABSTRACT: Background: Pelvic floor (PF) hypertonic disorders are a group of conditions that present with muscular hypertonia or spasticity, resulting in a diminished capacity to isolate, contract and relax an individual muscle. Their presentation includes voiding and sexual dysfunctions, pelvic/perineal pain and constipation. Various factors are associated with these conditions, such as complicated vaginal birth, muscular injury, scar tissue formation and neuropathies. Study Design: the case of a single patient will be presented, together with the management strategies employed. Case Description: The case of a woman with hereditary spastic paraplegia/paraparesis is presented, with a history of muscle spasticity, urinary and fecal complaints since childhood. She presented to this institution seeking treatment for pelvic pain, pain during intercourse, constipation and micturition problems. A physical therapy protocol was developed, with the trial of several treatment modalities. Thiele’s perineal massage, abdominal massage and pelvic floor strengthening were first tried, followed by cryotherapy, which had low adherence, and by pelvic floor muscles stretching exercises using an insufflated vaginal probe. Outcome: after some failed attempts, perineal and pelvic floor stretching proved to be very efficacious therapies for this patient´s complaint, leading to improved pain during intercourse, constipation, pelvic pain and urinary stream.Discussion: pelvic floor spasticity can lead to severe disability and interfere with daily basic functions, such as micturition and evacuation. Physical therapy plays an essential role in the management of these patients, and can lead to significant improvement in quality of life.
    Case Reports in Obstetrics and Gynecology. 11/2014;
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    ABSTRACT: The aim of this study is to explore non-steroid anti-inflammation drugs (NSAIDs) potency for pelvic floor muscle pain by measuring local concentration in a rat model.
    Yonsei Medical Journal 07/2014; 55(4):1095-100. · 1.26 Impact Factor

Kristene E Whitmore