Chantale Dumoulin

Chantale Dumoulin
Université de Montréal | UdeM · School of Rehabilitation

pht, Ph.D

About

197
Publications
18,100
Reads
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5,365
Citations
Additional affiliations
January 2013 - present
Université de Montréal
Position
  • Director of specialized graduate microprogram for perineal rehabilitation
September 2012 - present
Université de Montréal
Position
  • Canadian Research Chair in Urogynecology and aging
January 2009 - present
Université de Montréal
Position
  • Principal Investigator

Publications

Publications (197)
Article
Purpose: This cross-sectional descriptive study describes available pelvic floor physiotherapy (PT) services for older women with urinary incontinence (UI) in Quebec, Canada, and identifies possible affordability barriers. Methods: From September to December 2019, Quebec physiotherapists practising pelvic floor PT were invited to complete a survey...
Article
Full-text available
Pelvic floor muscle (PFM) training is the first-line treatment for women of all ages with urinary incontinence (UI), but evidence supporting its effects on the functional anatomy of the pelvic floor is scarce in older women. We aimed to evaluate the long-term (one-year) effects of PFM training on the shape of the levator hiatus (LH) in older women...
Article
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Introduction and hypothesis This manuscript from Chapter 3 of the International Urogynecology Consultation (IUC) on Pelvic Organ Prolapse (POP) describes the current evidence and suggests future directions for research on the effect of pelvic floor muscle training (PFMT) in prevention and treatment of POP. Methods An international group of four ph...
Article
Full-text available
Introduction and hypothesis Multimodal pelvic floor physical therapy (PFPT) is recommended after gynecological malignancies to treat dyspareunia. However, data to strongly support its implementation in the cancer care continuum are lacking. The aim of this study was to explore the views and experiences of gynecological cancer survivors with dyspare...
Article
Introduction Dyspareunia frequently affects women after gynecological cancer treatment. The focus of previous studies has been on the biomedical factors contributing to dyspareunia in this population. To our knowledge, no study has yet examined the biopsychosocial factors associated with women's experiences of dyspareunia after gynecological cancer...
Article
Objective: To examine the role of physical function impairments on the change in urinary incontinence (UI) symptoms after pelvic floor muscle training in older women. Methods: This is a prospective cohort study of 70 community-dwelling participants, older than age 70 years, with at least moderate incontinence symptoms. A comprehensive pelvic flo...
Article
Full-text available
Question(s) How cost-effective is group-based pelvic floor muscle training (PFMT) for treating urinary incontinence in older women? Design Economic evaluation conducted alongside an assessor-blinded, multicentre randomised non-inferiority trial with 1-year follow-up. Participants: A total of 362 women aged ≥ 60 years with stress or mixed urinary i...
Article
Objective: To investigate whether pretreatment pain characteristics, psychological variables and pelvic floor muscle (PFM) function predict the response to physical therapy (PT) in women with provoked vestibulodynia (PVD). Methods: One hundred-five women diagnosed with PVD underwent 10 weekly sessions of individual PT comprising education, PFM e...
Article
Full-text available
Background A large proportion of gynecological cancer survivors suffer from pain during sexual intercourse, also known as dyspareunia. Following a multimodal pelvic floor physical therapy (PFPT) treatment, a reduction in pain and improvement in psychosexual outcomes were found in the short term, but no study thus far has examined whether these chan...
Article
Introduction and hypothesis: This manuscript from Chapter 1 of the International Urogynecology Consultation (IUC) on Pelvic Organ Prolapse (POP) reports on the patients' perception of disease burden associated with pelvic organ prolapse. Materials and methods: An international group containing a team of eight urogynaecologists, a physiotherapist...
Article
Full-text available
The global population aged 60 years and over rises due to increasing life expectancy. More older adults suffer from "geriatric giants". Mobility limitations, including immobility and instability , are usually accompanied by physical and cognitive decline, and can be further associated with gait changes. Improvements in physical and cognitive functi...
Article
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Purpose: This study investigates the usability of a stepping exergame in older adults with major neurocognitive disorder (MNCD) residing in a long-term care facility. Materials and Methods: A mixed methods study was conducted. Participants played exergames for 30 min on one try-out session. During the exergames, the think aloud method was used, and...
Preprint
Objective To examine the role of physical function impairments on the change in urinary incontinence symptoms after pelvic floor muscle training in older women. Methods This is a prospective cohort study of 70 community-dwelling women, older than 70 years, with at least moderate incontinence symptoms. A comprehensive assessment of pelvic floor and...
Article
Objective To investigate the changes in pelvic floor morphometry and muscle function after multimodal pelvic floor physiotherapy treatment in gynaecological cancer survivors suffering from painful intercourse (dyspareunia). Design Prospective interventional study. Setting Three university hospitals. Participants Thirty-one gynaecological cancer...
Article
Aims The aim of this project was to use codesign to develop a mobile application (app) for pelvic floor muscle training, with an intravaginal device (femfit®). The objective was to obtain user feedback to guide the design and development of a mobile app, consistent with the Mobile Application Rating Scale (MARS) framework. Methods Twenty-six women...
Article
Full-text available
In addition to contributing to increased training motivation, exergames are a promising approach to counteract age-related impairments. Mobility limitations, cognitive impairment, and urinary incontinence are very common in older adults. To optimally address these conditions, exergames should include interventions for strength, balance, cognition,...
Article
Background Dyspareunia affects most women after treatment for gynecologic malignancies. However, to date, evidence-based interventions remain limited and no study has examined the effects of multimodal physical therapy on psychosexual outcomes in these patients. Aim To assess the effects of multimodal physical therapy on psychosexual outcomes incl...
Article
Objective More than half of gynecological cancer survivors are affected by pain during sexual intercourse, also known as dyspareunia. Oncological treatments may result in pelvic floor muscle (PFM) alterations, which are suspected to play a key role in dyspareunia. However, to date, no study has investigated PFM function and morphometry in this popu...
Article
Les femmes âgées incontinentes semblent être plus à risque de chuter. Ainsi, le taux de chute chez les femmes âgées ayant de l'incontinence urinaire mixte est de 29 % contre 20 % chez les femmes âgées continentes [1]. Cependant, la relation entre les chutes et l'incontinence urinaire n'est pas encore bien comprise et très peu d'études l'ont analysé...
Article
In Reply We are grateful to Funada and Luo for raising the important question of the baseline characteristics and outcomes of the participants in the group-based pelvic floor muscle training (PFMT) arm of our Original Investigation¹ who requested a 20-minute private session. The baseline characteristics of the subgroup of 12 participants who reques...
Article
Aims To compare the effects of group‐based and individual physiotherapy for stress or mixed urinary incontinence (UI) on pelvic floor morphometry, pelvic floor muscle (PFM) function, and related self‐efficacy, immediately after treatment and at 1 year. Methods This is a planned secondary analysis of the group rehabilitation or individual physiothe...
Article
Objectives: Painful sexual intercourse (dyspareunia) is a distressing condition affecting a large proportion of gynecological cancer survivors, yet treatments remain limited and poorly studied. This multicenter prospective interventional study examined the feasibility, acceptability and effects of multimodal pelvic floor physical therapy in gyneco...
Article
Full-text available
Importance Urinary incontinence is one of the most prevalent health concerns experienced by older women (aged ≥60 years). Individual pelvic floor muscle training (PFMT) is the recommended first-line treatment for stress or mixed urinary incontinence in women, but human and financial resources limit its delivery. Whether group-based PFMT performs as...
Article
Background Provoked vestibulodynia is the most common subtype of chronic vulvar pain. This highly prevalent and debilitating condition is characterized by acute recurrent pain located at the entry of the vagina in response to pressure application or attempted vaginal penetration. Physical therapy is advocated as a first-line treatment for provoked...
Article
Résumé L’association entre l’incontinence urinaire (IU) d’urgenturie (IUU) ou mixte (IUM) et les chutes est bien établie dans la littérature. Plusieurs auteurs ont émis des hypothèses pour expliquer ce lien. Parmi ces hypothèses, les facteurs psychomoteurs associés à un risque de chute accru chez les femmes âgées avec IUU ou IUM seraient particuliè...
Conference Paper
Full-text available
This paper covers the design and implementation of a proof of concept for a wireless system measuring pelvic floor muscle forces based on a dynamometer. The proposed device is the main component of a novel assessment tool intended for pelvic floor muscle rehabilitation in women suffering from urinary incontinence. The proposed system allows the phy...
Article
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Purpose of Review To review and discuss the efficacy of pelvic floor muscle training (PFMT) for urinary incontinence (UI) in older women. Recent Findings As opposed to UI in young and middle-aged women, UI in older women is often multifactorial. One randomized control trial (RCT) and secondary analyses from four RCTs suggest that healthy older wom...
Article
Full-text available
Background Recruitment of participants is crucial to the success of any trial as it can have a major impact on study costs, the duration of the study itself, and, more critically, trial failure. Given that vulvodynia particularly affects young women, the use of social media and e-recruitment could prove efficient for enrollment. Aim To compare the...
Article
Full-text available
Aims The purpose of this scoping review was to map out the existing literature on caffeine intake and lower urinary tract symptoms (LUTS) in adults. Methods In this scoping review, we searched for all studies available until June 2019 in MEDLINE, Embase, CINAHL, Cochrane Central Register, PsycINFO, LILACS, LiSSa, Web of Science, and Joanna Briggs...
Article
Full-text available
Objective: This study aims to investigate the mechanism of action of pelvic floor muscle training (PFMT) for the improvement of the signs and symptoms of genitourinary syndrome of menopause (GSM) in postmenopausal women with GSM and urinary incontinence (UI). Methods: Twenty-nine women were included in the secondary analysis of a single-arm feasibi...
Article
A well-functioning pelvic floor muscle plays an important role in maintaining urinary continence. The aim of this study was to describe and compare the intravaginal pressure profile using a multisensor device along the vaginal length in women with and without urinary incontinence (UI), while performing pelvic floor muscle tasks. Fifty-four adult pr...
Article
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Aims: The fall rate in urgency urinary incontinence (UUI) and mixed UI (MUI) older women is higher when compared with that of continent women. One hypothesis is that a strong desire to void (SDV) could alter gait parameters and therefore increase the risk of falls. The aim of this study was to investigate and compare the effect of SDV on gait para...
Article
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Aims: To test the reliability and validity of intravaginal pressure measurements acquired during pelvic floor muscle (PFM) tasks in different body positions using the FemFit®, a new intravaginal pressure device. Methods: Twenty healthy adult women participated in this study. Two assessment sessions were conducted. Intravaginal pressure measureme...
Article
Full-text available
Background: Rehabilitation interventions are diverse - making decisions about pooling data in meta-analyses challenging. Intervention reporting templates such as the Consensus on Exercise Reporting Template (CERT) may help reviewers document intervention variability. Aim: To assess inter-rater agreement and utility of CERT used to assess complet...
Article
Full-text available
Background: Pelvic floor muscle training is the most commonly used physical therapy treatment for women with urinary incontinence. Objectives: To assess the effects of Pelvic floor muscle training for women with urinary incontinence in comparison to a control treatment and to summarize relevant economic findings. Methods: Cochrane Incontinence Grou...
Article
Objectives: Treatments for genitourinary syndrome of menopause (GSM) may not be suitable for all women, may not be completely effective, and may cause adverse effects. Therefore, there is a need to explore new treatment approaches. The objectives were to evaluate the feasibility of using a pelvic floor muscle training (PFMT) program in postmenopaus...
Article
Full-text available
Purpose: After the age of 65, urinary incontinence (UI) occurs in one of every two women. A positive correlation between falls and urgency UI (UUI) or mixed UI (MUI) has also been identified. However, lower extremity impairments in older women with UUI or MUI have not been thoroughly investigated. The primary goal of this study was to compare lower...
Article
Résumé Introduction Colliger la terminologie concernant les troubles pelvi-périnéaux de la femme à partir d’un consensus basé sur la pratique clinique est devenu un besoin avéré. Méthodologie Cet article fait la synthèse des travaux des membres et représentants élus des Comités de standardisation et de terminologie de deux sociétés savantes inter...
Article
Full-text available
Female pelvic floor muscles form a diaphragm that spans the entire pelvic cavity. They consist of the fibers of the coccygeus and the levator ani muscles, the latter of which is composed of five parts. Together with their fascia, the pelvic floor muscles provide support for the urethra, the vagina, and the rectum and constrict the urethral, vaginal...
Article
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2019 Canadian guideline for physical activity throughout pregnancy: letter to the editor. British Journal of Sport Medicine, First published online: January 4, 2019. --> https://blogs.bmj.com/bjsm/2019/01/04/comment-and-questions-to-mottola-et-al-2019-canadian-guideline-for-physical-activity-throughout-pregnancy/
Presentation
Urinary Incontinence. In StrokeEngine; a web-based knowledge transfer tool for patients, professionals and policy makers involved with stroke patients. (English and French Version). https://www.strokengine.ca/en/intervention/urinary-incontinence/
Article
Objective: The Most Bothersome Symptom Approach (MBSA) assesses symptom severity of genitourinary syndrome of menopause (GSM), and identifies the symptom with the greatest burden. The Atrophy Symptoms Questionnaire (ASQ) assesses the impact of GSM symptoms on the activities of daily living. The psychometric properties of these outcomes remain to b...
Article
Full-text available
Introduction Developing technologies to help older adults to age in place is paramount in coping with health challenges related to the ageing population. Camera-based technologies are efficient for home monitoring; however, few studies exist of users' perceptions of these technologies. To monitor night walks and the person-environment interaction,...
Article
Full-text available
Background: Pelvic floor muscle training (PFMT) is the most commonly used physical therapy treatment for women with stress urinary incontinence (SUI). It is sometimes also recommended for mixed urinary incontinence (MUI) and, less commonly, urgency urinary incontinence (UUI).This is an update of a Cochrane Review first published in 2001 and last u...
Article
Abrams P, Andersson KE, Apostolidis A, Birder L, Bliss D, Brubaker L, Cardozo L, Castro-Diaz D, O'Connell PR, Cottenden A, Cotterill N, de Ridder D, Dmochowski R, Dumoulin C, Fader M, Fry C, Goldman H, Hanno P, Homma Y, Khullar V, Maher C, Milsom I, Newman D, Nijman RJM, Rademakers K, Robinson D, Rosier P, Rovner E, Salvatore S, Takeda M, Wagg A, W...
Article
Full-text available
Introduction: Provoked vestibulodynia (PVD) can be categorized as primary PVD affecting women from their first sexual intercourse or secondary PVD, which appears after a period of pain-free intercourse. There is growing evidence that these subgroups may be distinct entities presenting different pathophysiological mechanisms. Although there are doc...
Article
Full-text available
Aims Test‐retest reliability assessment of the dorsal clitoral artery's blood flow at rest and after muscle activation has never been documented. If this outcome measure is to be used in conditions impeding vascularity, it requires a psychometric evaluation. The aim of this study was to assess the inter‐session test‐retest reliability of clitoral b...
Article
Full-text available
Introduction and hypothesis: The internal pudendal artery (IPA) is one of the main arteries supplying the pelvic floor muscles (PFMs) and vulvo-vaginal tissues. Its assessment with color Doppler ultrasound has been documented previously, but the reliability of IPA measurements has never been assessed. This study evaluates the test-retest reliabili...
Article
Full-text available
Objective: To investigate the association between fear-avoidance variables, pelvic floor muscle (PFM) function and pain intensity in women with provoked vestibulodynia (PVD) as well as the moderator effect of partner support. Methods: A total of 173 women diagnosed with PVD participated in the study. Fear-avoidance variables were evaluated with...
Article
Full-text available
Background Urinary incontinence (UI), one of the most prevalent health concerns confronting women aged over 60 years, affects up to 55% of older community-dwelling women—20–25% with severe symptoms. Clinical practice guidelines recommend individualized pelvic floor muscle training (PFMT) as a first-line treatment for stress or mixed UI in women, al...
Article
Full-text available
Purpose: Urinary incontinence (UI) affects as many as 50% of women aged 60 years and older, but UI pathophysiology, specifically in elderly women, remains unclear. A better understanding of morphometric differences between continent and urinary incontinent elderly women is needed to improve the effectiveness of conservative treatment approaches. W...
Article
Full-text available
Although ambient technologies are promising to Aging-in-place, few were studied at home. In a project aiming at monitoring night walks of older women at risk of falls, a videomonitoring system (VS) was implemented at home. The study aimed to explore their perception about the VS. Using a multiple case study design, the study included six women with...
Chapter
Full-text available
https://www.ics.org/publications/ici_6/Incontinence_6th_Edition_2017_eBook_v2.pdf
Article
Full-text available
Background: There is a well-recognised association between falls and lower urinary tract symptoms (LUTS) in older adults, with estimates of odd ratios for falls in the presence of LUTS ranging between 1.5 and 2.3. Falls and LUTS are both highly prevalent among older people and both are markers of frailty, with significant associated morbidity, mor...