The Experts below are selected from a list of 42423 Experts worldwide ranked by ideXlab platform
Eun-hee Yoo - One of the best experts on this subject based on the ideXlab platform.
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Pelvic Floor muscle rehabilitation
Obstetrics & gynecology science, 2006Co-Authors: Eun-hee YooAbstract:Since Dr. Kegel first reported good outcomes for Pelvic Floor muscle training in women with urinary incontinence this therapy has become used for women with various Pelvic Floor disorders. The incidence of Pelvic Floor disorders such as urinary incontinence and Pelvic organ prolapse has been steadily increasing. Although surgery or medications are commonly used, behavioral modification and Pelvic Floor rehabilitation are gaining in popularity both as primary treatment and as alternatives to surgery. The goal of this article is to review the Pelvic Floor rehabilitation with emphasis on biofeedback and electrical stimulation and examine the evidence of effectiveness and application of Pelvic Floor rehabilitation.
Christian Dehlendorff - One of the best experts on this subject based on the ideXlab platform.
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Pelvic Floor muscle function in women with Pelvic Floor dysfunction a retrospective chart review 1992 2008
International Urogynecology Journal, 2014Co-Authors: Sigrid Tibaek, Christian DehlendorffAbstract:Introduction and hypothesis The objectives of this study were to investigate the level of Pelvic Floor muscle (PFM) function in women with Pelvic Floor dysfunction (PFD) referred by gynaecologists and urologists for in-hospital Pelvic Floor muscle training (PFMT), and to identity associated factors for a low level of PFM function.
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Pelvic Floor muscle function in women with Pelvic Floor dysfunction
International Urogynecology Journal, 2013Co-Authors: Sigrid Tibaek, Christian DehlendorffAbstract:Introduction and hypothesis The objectives of this study were to investigate the level of Pelvic Floor muscle (PFM) function in women with Pelvic Floor dysfunction (PFD) referred by gynaecologists and urologists for in-hospital Pelvic Floor muscle training (PFMT), and to identity associated factors for a low level of PFM function.
Jerry L. Lowder - One of the best experts on this subject based on the ideXlab platform.
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Pelvic Floor myofascial pain severity and Pelvic Floor disorder symptom bother: is there a correlation?
American Journal of Obstetrics and Gynecology, 2019Co-Authors: Melanie R. Meister, Asante Badu, Siobhan Sutcliffe, C Ghetti, Jerry L. LowderAbstract:Background Pelvic Floor myofascial pain, which is predominantly identified in the muscles of the levator ani and obturator internus, has been observed in women with chronic Pelvic pain and other Pelvic Floor disorder symptoms, and is hypothesized to contribute to their symptoms. Objectives To describe the prevalence of Pelvic Floor myofascial pain in patients presenting with Pelvic Floor disorder symptoms and to investigate whether severity of Pelvic Floor myofascial pain on examination correlates with degree of Pelvic Floor disorder symptom bother. Study Design All new patients seen at 1 tertiary referral center between 2014 and 2016 were included in this retrospectively assembled cross-sectional study. Pelvic Floor myofascial pain was determined by transvaginal palpation of the bilateral obturator internus and levator ani muscles and scored as a discrete number on an 11-point verbal pain rating scale (range, 0–10) at each site. Scores were categorized as none (0), mild (1–3), moderate (4–6), and severe (7–10) for each site. Pelvic Floor disorder symptom bother was assessed by the Pelvic Floor Distress Inventory short form scores. The correlation between these 2 measures was calculated using Spearman rank and partial rank correlation coefficients. Results A total of 912 new patients were evaluated. After exclusion of 79 with an acute urinary tract infection, 833 patients were included in the final analysis. Pelvic Floor myofascial pain (pain rated >0 in any muscle group) was identified in 85.0% of patients: 50.4% rated as severe, 25.0% moderate, and 9.6% mild. In unadjusted analyses and those adjusted for postmenopausal status, severity of Pelvic Floor myofascial pain was significantly correlated with subjective prolapse symptoms such as Pelvic pressure and heaviness but not with objective prolapse symptoms (seeing or feeling a vaginal bulge or having to push up on a bulge to start or complete urination) or leading edge. Severity of myofascial pain at several individual Pelvic Floor sites was also independently correlated with lower urinary tract symptoms, including pain in the lower abdomen (myofascial pain at all sites) and difficulty emptying the bladder (right obturator internus and left levator ani); and with defecatory dysfunction, including sensation of incomplete rectal emptying (pain at all sites combined and the right obturator internus), anal incontinence to flatus (pain at all sites combined), and pain with defecation (pain at all sites combined, and the right obturator internus and left levator ani). Conclusion Pelvic Floor myofascial pain was common in patients seeking evaluation for Pelvic Floor disorder symptoms. Location and severity of Pelvic Floor myofascial pain was significantly correlated with degree of symptom bother, even after controlling for postmenopausal status. Given the high prevalence of Pelvic Floor myofascial pain in these patients and correlation between pain severity and degree of symptom bother, a routine assessment for Pelvic Floor myofascial pain should be considered for all patients presenting for evaluation of Pelvic Floor symptoms.
Victoria L Handa - One of the best experts on this subject based on the ideXlab platform.
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Pelvic Floor muscle strength and the incidence of Pelvic Floor disorders after vaginal and cesarean delivery
American Journal of Obstetrics and Gynecology, 2020Co-Authors: Joan L Blomquist, Alvaro Munoz, Megan Carroll, Victoria L HandaAbstract:Background Pelvic Floor disorders (including urinary and anal incontinence and Pelvic organ prolapse) are associated with childbirth. Injury to the Pelvic Floor muscles during vaginal childbirth, such as avulsion of the levator ani muscle, is associated with weaker Pelvic Floor muscle strength. As weak Pelvic Floor muscle strength may be a modifiable risk factor for the later development of Pelvic Floor disorders, it is important to understand how Pelvic Floor muscle strength affects the course of Pelvic Floor disorders over time. Objective To investigate the association between Pelvic Floor muscle strength and the incidence of Pelvic Floor disorders, and to identify maternal and obstetrical characteristics that modify the association. Materials and Methods This is a longitudinal study investigating Pelvic Floor disorders after childbirth. Participants were recruited 5–10 years after their first delivery and were assessed for Pelvic Floor disorders annually for up to 9 years. Stress incontinence, overactive bladder, and anal incontinence were assessed at each annual visit using the Epidemiology of Prolapse and Incontinence Questionnaire. Pelvic organ prolapse was assessed on physical examination, and was defined as descent of the vaginal walls or cervix beyond the hymen during forceful Valsalva. The primary exposure of interest was Pelvic Floor muscle strength, defined as the peak pressure during a voluntary Pelvic muscle contraction (measured with a perineometer). The relationship between Pelvic Floor muscle strength and the cumulative incidence (time to event) of each Pelvic Floor disorder was evaluated using lognormal models, stratified by vaginal vs cesarean delivery. The relative hazard for each Pelvic Floor disorder (among those women free of the disorder at enrollment and thus more than 5–10 years from first delivery), was estimated using semiparametric proportional hazard models as a function of delivery mode, Pelvic Floor muscle strength, and other covariates. Results Of 1143 participants, the median age was 40 (interquartile range, 36.6–43.7) years, and 73% were multiparous. On perineometry, women with at least 1 vaginal delivery were more likely to have a low peak pressure, defined as Conclusion After vaginal delivery, but not cesarean delivery, the cumulative incidence of Pelvic organ prolapse, stress incontinence, and overactive bladder is associated with Pelvic muscle strength, but the associations attenuate when adjusting for genital hiatus and body mass index.
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Vaginal childbirth and Pelvic Floor disorders
Women's health (London England), 2013Co-Authors: Hafsa U. Memon, Victoria L HandaAbstract:Childbirth is an important event in a woman’s life. Vaginal childbirth is the most common mode of delivery and it has been associated with increased incidence of Pelvic Floor disorders later in life. In this article, the authors review and summarize current literature associating Pelvic Floor disorders with vaginal childbirth. Stress urinary incontinence and Pelvic organ prolapse are strongly associated with vaginal childbirth and parity. The exact mechanism of injury associating vaginal delivery with Pelvic Floor disorders is not known, but is likely multifactorial, potentially including mechanical and neurovascular injury to the Pelvic Floor. Observational studies have identified certain obstetrical exposures as risk factors for Pelvic Floor disorders. These factors often coexist in clusters; hence, the isolated effect of these variables on the Pelvic Floor is difficult to study.
Tony K.h. Chung - One of the best experts on this subject based on the ideXlab platform.
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Responsiveness of the Pelvic Floor Distress Inventory and Pelvic Floor Impact Questionnaire in women undergoing treatment for Pelvic Floor disorders.
International urogynecology journal, 2012Co-Authors: Symphorosa Shing Chee Chan, Rachel Yau Kar Cheung, Beatrice P. Y. Lai, Kwong Wai Choy, Lai Loi Lee, Tony K.h. ChungAbstract:Introduction and hypothesis This study evaluated the responsiveness and minimal important differences (MID) of the Chinese Pelvic Floor Distress Inventory (PFDI) and Pelvic Floor Impact Questionnaire (PFIQ) in women undergoing urodynamic stress incontinence (USI) and/or Pelvic organ prolapse (POP) treatment.
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Chinese validation of Pelvic Floor Distress Inventory and Pelvic Floor Impact Questionnaire
International urogynecology journal, 2011Co-Authors: Symphorosa Shing Chee Chan, Rachel Yau Kar Cheung, Alice Ka Wah Yiu, Beatrice P. Y. Lai, Kwong Wai Choy, Tony K.h. ChungAbstract:Introduction and hypothesis The purpose of this study was to investigate the reliability and validity of the Chinese version of Pelvic Floor Distress Inventory (PFDI) and Pelvic Floor Impact Questionnaire (PFIQ).
