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Rodney U. Anderson - One of the best experts on this subject based on the ideXlab platform.
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6 day intensive treatment protocol for refractory chronic prostatitis chronic pelvic pain syndrome using myofascial release and paradoxical Relaxation Training
The Journal of Urology, 2011Co-Authors: Rodney U. Anderson, David Wise, Timothy Sawyer, Patricia Glowe, Elaine K OrenbergAbstract:Purpose: Chronic prostatitis/chronic pelvic pain syndrome continues to elude conventional therapy. Evidence supports the concept that phenotypes of pelvic muscular tenderness and psychosocial distress respond to myofascial trigger point release and specific Relaxation Training. This case series reports long-term outcomes of a 6-day intensive combination of such therapies in refractory cases.Materials and Methods: A total of 200 men with pain for a median of 4.8 years referred themselves to Stanford University Urology for participation in an established protocol. Daily 3 to 5-hour sessions including intrapelvic/extrapelvic physiotherapy, self-treatment Training and paradoxical Relaxation Training provided a solid introduction to facilitate self-management. Subjects answered baseline and followup questionnaires at variable intervals after initiation of therapy including the National Institutes of Health Chronic Prostatitis Symptom Index, global response assessment and a psychological query.Results: We follo...
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painful myofascial trigger points and pain sites in men with chronic prostatitis chronic pelvic pain syndrome
The Journal of Urology, 2009Co-Authors: Rodney U. Anderson, David Wise, Timothy Sawyer, Angie Morey, Brian H NathansonAbstract:Purpose: A combination of manual physiotherapy and specific Relaxation Training effectively treats patients with chronic prostatitis/chronic pelvic pain syndrome. However, little information exists on myofascial trigger points and specific chronic pelvic pain symptoms. We documented relationships between trigger point sites and pain symptoms in men with chronic prostatitis/chronic pelvic pain syndrome.Materials and Methods: We randomly selected a cohort of 72 men who underwent treatment with physiotherapy and Relaxation Training from 2005 to 2008. Patients self-reported up to 7 pelvic pain sites before treatment and whether palpation of internal and external muscle trigger points reproduced the pain. Fisher's exact test was used to compare palpation responses, ie referral pain, stratified by reported pain site.Results: Pain sensation at each anatomical site was reproduced by palpating at least 2 of 10 designated trigger points. Furthermore, 5 of 7 painful sites could be reproduced at least 50% of the time...
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sexual dysfunction in men with chronic prostatitis chronic pelvic pain syndrome improvement after trigger point release and paradoxical Relaxation Training
The Journal of Urology, 2006Co-Authors: Rodney U. Anderson, David Wise, Timothy Sawyer, Christine A. ChanAbstract:Purpose: The impact of chronic pelvic pain syndrome on sexual function in men is underestimated. We quantified sexual dysfunction (ejaculatory pain, decreased libido, erectile dysfunction and ejaculatory difficulties) in men with chronic pelvic pain syndrome and assessed the effects of pelvic muscle trigger point release concomitant with paradoxical Relaxation Training.Materials and Methods: We treated 146 men with a mean age of 42 years who had had refractory chronic pelvic pain syndrome for at least 1 month with trigger point release/paradoxical Relaxation Training to release trigger points in the pelvic floor musculature. The Pelvic Pain Symptom Survey and National Institutes of Health-Chronic Prostatitis Symptom Index were used to document the severity/frequency of pain, urinary and sexual symptoms. A global response assessment was done to record patient perceptions of overall therapeutic effects at an average 5-month followup.Results: At baseline 133 men (92%) had sexual dysfunction, including ejacul...
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INTEGRATION OF MYOFASCIAL TRIGGER POINT RELEASE AND PARADOXICAL Relaxation Training TREATMENT OF CHRONIC PELVIC PAIN IN MEN
The Journal of urology, 2005Co-Authors: Rodney U. Anderson, David Wise, Timothy Sawyer, Christine A. ChanAbstract:ABSTRACTPurpose:: A perspective on the neurobehavioral component of the etiology of chronic prostatitis (CP) and chronic pelvic pain syndrome (CPPS) is emerging. We evaluated a new approach to the treatment of CP/CPPS with the Stanford developed protocol using myofascial trigger point assessment and release therapy (MFRT) in conjunction with paradoxical Relaxation therapy (PRT).Materials and Methods:: A total of 138 men with CP/CPPS refractory to traditional therapy were treated for at least 1 month with the MFRT/PRT protocol by a team comprising a urologist, physiotherapist and psychologist. Symptoms were assessed with a pelvic pain symptom survey (PPSS) and National Institutes of Health-CP Symptom Index. Patient reported perceptions of overall effects of therapy were documented on a global response assessment questionnaire.Results:: Global response assessments of moderately improved or markedly improved, considered clinical successes, were reported by 72% of patients. More than half of patients treated ...
David Wise - One of the best experts on this subject based on the ideXlab platform.
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6 day intensive treatment protocol for refractory chronic prostatitis chronic pelvic pain syndrome using myofascial release and paradoxical Relaxation Training
The Journal of Urology, 2011Co-Authors: Rodney U. Anderson, David Wise, Timothy Sawyer, Patricia Glowe, Elaine K OrenbergAbstract:Purpose: Chronic prostatitis/chronic pelvic pain syndrome continues to elude conventional therapy. Evidence supports the concept that phenotypes of pelvic muscular tenderness and psychosocial distress respond to myofascial trigger point release and specific Relaxation Training. This case series reports long-term outcomes of a 6-day intensive combination of such therapies in refractory cases.Materials and Methods: A total of 200 men with pain for a median of 4.8 years referred themselves to Stanford University Urology for participation in an established protocol. Daily 3 to 5-hour sessions including intrapelvic/extrapelvic physiotherapy, self-treatment Training and paradoxical Relaxation Training provided a solid introduction to facilitate self-management. Subjects answered baseline and followup questionnaires at variable intervals after initiation of therapy including the National Institutes of Health Chronic Prostatitis Symptom Index, global response assessment and a psychological query.Results: We follo...
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painful myofascial trigger points and pain sites in men with chronic prostatitis chronic pelvic pain syndrome
The Journal of Urology, 2009Co-Authors: Rodney U. Anderson, David Wise, Timothy Sawyer, Angie Morey, Brian H NathansonAbstract:Purpose: A combination of manual physiotherapy and specific Relaxation Training effectively treats patients with chronic prostatitis/chronic pelvic pain syndrome. However, little information exists on myofascial trigger points and specific chronic pelvic pain symptoms. We documented relationships between trigger point sites and pain symptoms in men with chronic prostatitis/chronic pelvic pain syndrome.Materials and Methods: We randomly selected a cohort of 72 men who underwent treatment with physiotherapy and Relaxation Training from 2005 to 2008. Patients self-reported up to 7 pelvic pain sites before treatment and whether palpation of internal and external muscle trigger points reproduced the pain. Fisher's exact test was used to compare palpation responses, ie referral pain, stratified by reported pain site.Results: Pain sensation at each anatomical site was reproduced by palpating at least 2 of 10 designated trigger points. Furthermore, 5 of 7 painful sites could be reproduced at least 50% of the time...
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sexual dysfunction in men with chronic prostatitis chronic pelvic pain syndrome improvement after trigger point release and paradoxical Relaxation Training
The Journal of Urology, 2006Co-Authors: Rodney U. Anderson, David Wise, Timothy Sawyer, Christine A. ChanAbstract:Purpose: The impact of chronic pelvic pain syndrome on sexual function in men is underestimated. We quantified sexual dysfunction (ejaculatory pain, decreased libido, erectile dysfunction and ejaculatory difficulties) in men with chronic pelvic pain syndrome and assessed the effects of pelvic muscle trigger point release concomitant with paradoxical Relaxation Training.Materials and Methods: We treated 146 men with a mean age of 42 years who had had refractory chronic pelvic pain syndrome for at least 1 month with trigger point release/paradoxical Relaxation Training to release trigger points in the pelvic floor musculature. The Pelvic Pain Symptom Survey and National Institutes of Health-Chronic Prostatitis Symptom Index were used to document the severity/frequency of pain, urinary and sexual symptoms. A global response assessment was done to record patient perceptions of overall therapeutic effects at an average 5-month followup.Results: At baseline 133 men (92%) had sexual dysfunction, including ejacul...
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INTEGRATION OF MYOFASCIAL TRIGGER POINT RELEASE AND PARADOXICAL Relaxation Training TREATMENT OF CHRONIC PELVIC PAIN IN MEN
The Journal of urology, 2005Co-Authors: Rodney U. Anderson, David Wise, Timothy Sawyer, Christine A. ChanAbstract:ABSTRACTPurpose:: A perspective on the neurobehavioral component of the etiology of chronic prostatitis (CP) and chronic pelvic pain syndrome (CPPS) is emerging. We evaluated a new approach to the treatment of CP/CPPS with the Stanford developed protocol using myofascial trigger point assessment and release therapy (MFRT) in conjunction with paradoxical Relaxation therapy (PRT).Materials and Methods:: A total of 138 men with CP/CPPS refractory to traditional therapy were treated for at least 1 month with the MFRT/PRT protocol by a team comprising a urologist, physiotherapist and psychologist. Symptoms were assessed with a pelvic pain symptom survey (PPSS) and National Institutes of Health-CP Symptom Index. Patient reported perceptions of overall effects of therapy were documented on a global response assessment questionnaire.Results:: Global response assessments of moderately improved or markedly improved, considered clinical successes, were reported by 72% of patients. More than half of patients treated ...
Timothy Sawyer - One of the best experts on this subject based on the ideXlab platform.
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6 day intensive treatment protocol for refractory chronic prostatitis chronic pelvic pain syndrome using myofascial release and paradoxical Relaxation Training
The Journal of Urology, 2011Co-Authors: Rodney U. Anderson, David Wise, Timothy Sawyer, Patricia Glowe, Elaine K OrenbergAbstract:Purpose: Chronic prostatitis/chronic pelvic pain syndrome continues to elude conventional therapy. Evidence supports the concept that phenotypes of pelvic muscular tenderness and psychosocial distress respond to myofascial trigger point release and specific Relaxation Training. This case series reports long-term outcomes of a 6-day intensive combination of such therapies in refractory cases.Materials and Methods: A total of 200 men with pain for a median of 4.8 years referred themselves to Stanford University Urology for participation in an established protocol. Daily 3 to 5-hour sessions including intrapelvic/extrapelvic physiotherapy, self-treatment Training and paradoxical Relaxation Training provided a solid introduction to facilitate self-management. Subjects answered baseline and followup questionnaires at variable intervals after initiation of therapy including the National Institutes of Health Chronic Prostatitis Symptom Index, global response assessment and a psychological query.Results: We follo...
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painful myofascial trigger points and pain sites in men with chronic prostatitis chronic pelvic pain syndrome
The Journal of Urology, 2009Co-Authors: Rodney U. Anderson, David Wise, Timothy Sawyer, Angie Morey, Brian H NathansonAbstract:Purpose: A combination of manual physiotherapy and specific Relaxation Training effectively treats patients with chronic prostatitis/chronic pelvic pain syndrome. However, little information exists on myofascial trigger points and specific chronic pelvic pain symptoms. We documented relationships between trigger point sites and pain symptoms in men with chronic prostatitis/chronic pelvic pain syndrome.Materials and Methods: We randomly selected a cohort of 72 men who underwent treatment with physiotherapy and Relaxation Training from 2005 to 2008. Patients self-reported up to 7 pelvic pain sites before treatment and whether palpation of internal and external muscle trigger points reproduced the pain. Fisher's exact test was used to compare palpation responses, ie referral pain, stratified by reported pain site.Results: Pain sensation at each anatomical site was reproduced by palpating at least 2 of 10 designated trigger points. Furthermore, 5 of 7 painful sites could be reproduced at least 50% of the time...
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sexual dysfunction in men with chronic prostatitis chronic pelvic pain syndrome improvement after trigger point release and paradoxical Relaxation Training
The Journal of Urology, 2006Co-Authors: Rodney U. Anderson, David Wise, Timothy Sawyer, Christine A. ChanAbstract:Purpose: The impact of chronic pelvic pain syndrome on sexual function in men is underestimated. We quantified sexual dysfunction (ejaculatory pain, decreased libido, erectile dysfunction and ejaculatory difficulties) in men with chronic pelvic pain syndrome and assessed the effects of pelvic muscle trigger point release concomitant with paradoxical Relaxation Training.Materials and Methods: We treated 146 men with a mean age of 42 years who had had refractory chronic pelvic pain syndrome for at least 1 month with trigger point release/paradoxical Relaxation Training to release trigger points in the pelvic floor musculature. The Pelvic Pain Symptom Survey and National Institutes of Health-Chronic Prostatitis Symptom Index were used to document the severity/frequency of pain, urinary and sexual symptoms. A global response assessment was done to record patient perceptions of overall therapeutic effects at an average 5-month followup.Results: At baseline 133 men (92%) had sexual dysfunction, including ejacul...
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INTEGRATION OF MYOFASCIAL TRIGGER POINT RELEASE AND PARADOXICAL Relaxation Training TREATMENT OF CHRONIC PELVIC PAIN IN MEN
The Journal of urology, 2005Co-Authors: Rodney U. Anderson, David Wise, Timothy Sawyer, Christine A. ChanAbstract:ABSTRACTPurpose:: A perspective on the neurobehavioral component of the etiology of chronic prostatitis (CP) and chronic pelvic pain syndrome (CPPS) is emerging. We evaluated a new approach to the treatment of CP/CPPS with the Stanford developed protocol using myofascial trigger point assessment and release therapy (MFRT) in conjunction with paradoxical Relaxation therapy (PRT).Materials and Methods:: A total of 138 men with CP/CPPS refractory to traditional therapy were treated for at least 1 month with the MFRT/PRT protocol by a team comprising a urologist, physiotherapist and psychologist. Symptoms were assessed with a pelvic pain symptom survey (PPSS) and National Institutes of Health-CP Symptom Index. Patient reported perceptions of overall effects of therapy were documented on a global response assessment questionnaire.Results:: Global response assessments of moderately improved or markedly improved, considered clinical successes, were reported by 72% of patients. More than half of patients treated ...
Christine A. Chan - One of the best experts on this subject based on the ideXlab platform.
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sexual dysfunction in men with chronic prostatitis chronic pelvic pain syndrome improvement after trigger point release and paradoxical Relaxation Training
The Journal of Urology, 2006Co-Authors: Rodney U. Anderson, David Wise, Timothy Sawyer, Christine A. ChanAbstract:Purpose: The impact of chronic pelvic pain syndrome on sexual function in men is underestimated. We quantified sexual dysfunction (ejaculatory pain, decreased libido, erectile dysfunction and ejaculatory difficulties) in men with chronic pelvic pain syndrome and assessed the effects of pelvic muscle trigger point release concomitant with paradoxical Relaxation Training.Materials and Methods: We treated 146 men with a mean age of 42 years who had had refractory chronic pelvic pain syndrome for at least 1 month with trigger point release/paradoxical Relaxation Training to release trigger points in the pelvic floor musculature. The Pelvic Pain Symptom Survey and National Institutes of Health-Chronic Prostatitis Symptom Index were used to document the severity/frequency of pain, urinary and sexual symptoms. A global response assessment was done to record patient perceptions of overall therapeutic effects at an average 5-month followup.Results: At baseline 133 men (92%) had sexual dysfunction, including ejacul...
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INTEGRATION OF MYOFASCIAL TRIGGER POINT RELEASE AND PARADOXICAL Relaxation Training TREATMENT OF CHRONIC PELVIC PAIN IN MEN
The Journal of urology, 2005Co-Authors: Rodney U. Anderson, David Wise, Timothy Sawyer, Christine A. ChanAbstract:ABSTRACTPurpose:: A perspective on the neurobehavioral component of the etiology of chronic prostatitis (CP) and chronic pelvic pain syndrome (CPPS) is emerging. We evaluated a new approach to the treatment of CP/CPPS with the Stanford developed protocol using myofascial trigger point assessment and release therapy (MFRT) in conjunction with paradoxical Relaxation therapy (PRT).Materials and Methods:: A total of 138 men with CP/CPPS refractory to traditional therapy were treated for at least 1 month with the MFRT/PRT protocol by a team comprising a urologist, physiotherapist and psychologist. Symptoms were assessed with a pelvic pain symptom survey (PPSS) and National Institutes of Health-CP Symptom Index. Patient reported perceptions of overall effects of therapy were documented on a global response assessment questionnaire.Results:: Global response assessments of moderately improved or markedly improved, considered clinical successes, were reported by 72% of patients. More than half of patients treated ...
Nor Zuraida Zainal - One of the best experts on this subject based on the ideXlab platform.
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impact of applied progressive deep muscle Relaxation Training on the health related quality of life among prostate cancer patients a quasi experimental trial
Preventive Medicine, 2013Co-Authors: Mohamad Rodi Isa, Foong Ming Moy, Azad Hassan Abdul Razack, Zulkifli Md Zainuddin, Nor Zuraida ZainalAbstract:Abstract Purpose To determine the impact of applied progressive muscle Relaxation Training on health related quality of life among prostate cancer patients. Method A quasi-experimental study was conducted at the University Malaya Medical Centre (UMMC) and Universiti Kebangsaan Malaysia Medical Centre (UKMMC) over six months. Patients from UMMC received the intervention and patients from UKMMC as a comparison group. The general health related quality of life was measured using Short Form-36 (SF-36). Results A total of 77 patients from the intervention group and 78 patients from the comparison group participated in the study. At the end of the study, only 90.9% in intervention group and 87.2% in comparison group completed the study. There were significant differences between intervention and comparison groups for mental component summary (MCS) (p = 0.032) and overall health related quality of life (p = 0.042) scores. However, there was no significant difference between groups for physical component summary (PCS) (p = 0.965). Conclusion The improvement in MCS and overall QOL showed the potential of APMRT in the management of prostate cancer patients. Future studies should be carried out over a longer duration to provide stronger evidence for the introduction of Relaxation therapy among prostate cancer patients as a coping strategy to improve their QOL.
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impact of applied progressive deep muscle Relaxation Training on the level of depression anxiety and stress among prostate cancer patients a quasi experimental study
Asian Pacific Journal of Cancer Prevention, 2013Co-Authors: Mohamad Rodi Isa, Foong Ming Moy, Azad Hassan Abdul Razack, Zulkifli Md Zainuddin, Nor Zuraida ZainalAbstract:Background: The aim of this study was to determine the impact of applied progressive muscle Relaxation Training on the levels of depression, anxiety and stress among prostate cancer patients. Materials and Methods: A quasi-experimental study was conducted at the University Malaya Medical Centre (UMMC) and Universiti Kebangsaan Malaysia Medical Centre (UKMMC) over six months. Prostate cancer patients from UMMC received the intervention and patients from UKMMC were taken as controls. The level of depression, anxiety and stress were measured using Depression, Anxiety Stress Scales - 21 (DASS-21). Results: A total of 77 patients from the UMMC and 78 patients from the UKMMC participated. At the end of the study, 90.9% and 87.2% of patients from the UMMC and UKMMC groups completed the study respectively. There were significant improvements in anxiety (p<0.001, partial η 2 =0.198) and stress (p<0.001, partial η 2 =0.103) at the end of the study in those receiving muscle Training. However, there was no improvement in depression (p=0.956). Conclusions: The improvement in anxiety and stress showed the potential of APMRT in the management of prostate cancer patients. Future studies should be carried out over a longer duration to provide stronger evidence for the introduction of Relaxation therapy among prostate cancer patients as a coping strategy to improve their anxiety and stress.