All of our Physiospot blogs can now be found together at www.physiospot.com
Following the migration of all our Physiopsot blogs into one location all the old feeds and email alerts have become inactive. You will need to go to our new Physiospot site and sign up for your new updates.
With the expansion in the number of Physispot blogs available in 2007 it has become quite a large task to continually juggle them all and is not conducive to an effective service for our readers. We have therefore made the decision to amalgamate all the blogs into one place at www.physiospot.com. Whilst you will be able to read all the articles that have been selected as clinically relevant and posted we have developed separate areas of the site for research in different clinical areas.
By making the management process more efficient not only will we be able to devote more time to actually posting articles but it will also provide a number of additional benefits:
There is one small inconvenience to our readers which can be easily overcome. As of today the email alerts and feeds for all the old physispot blogs will cease to function. You will need to sign up again to receive the update alerts that you are interested in. Go to the update options page to sign up now for your RSS feed and Email Alerts. You can also download our toolbar to receive updates straight to your desktop and follow us on Twitter from this page.
We hope that all our readers are happy with the developments and that you enjoy the site and continue to find it useful, had we not done this we may not have been able to carry on with the juggling! Visit the new site at www.physiospot.com
D.G. Lee, L.J. Lee, L. McLaughlin
This article explores the function of the abdominal canister immediately and over time following pregnancy in relation to lumbopelvic pain, incontinence and breathing disorders. Biomechanical aspects of the myofascial piece of the clinical puzzle as it pertains to the abdominal canister during pregnancy and delivery is the focus of the first two parts of this paper. A possible physiological explanation for fascial changes secondary to altered breathing behaviour during pregnancy is presented in the third part. A case study is presented at the end of the paper to illustrate the clinical reasoning necessary to discern whether conservative treatment or surgery is necessary for restoration of function of the abdominal canister in a woman with postpartum diastasis rectus abdominis.
Journal of Bodywork and Movement Therapies, 2008, 12(4), 333-348
Stress urinary incontinence (SUI) constitutes a large-scale public health concern. The integrated continence system (ICS) developed by the authors is an evidence-based model that demonstrates how urinary incontinence is maintained through the interaction of three structural systems (intrinsic urethral closure, urethral support and lumbopelvic stability) and three modifiable factors (motor control, musculoskeletal and behavioural). The purpose of the ICS is first, to demonstrate the important role that manual physiotherapists can play in the treatment of SUI and second, to guide clinical practice decisions in order to improve clinical outcomes among women with SUI.
Manual Therapy, 2008, 13(5), 375-386
Link to Abstract
The objective of this study was to assess feasibility, acceptability and potential efficacy of group exercise and staff education intervention to promote continence in older people residing in care homes. Thirty-four care home residents, 23 with cognitive impairments, undertook physiotherapy-led group exercise and staff continence and mobility facilitation training. The results showed that group mobility training and staff education to promote continence is feasible and acceptable for use with care home residents, including those with cognitive impairment.
Clinical Rehabilitation, Vol. 22, No. 8,
714-721
Link to Abstract
D.G. Lee, L.J. Lee and L. McLaughlin
Pregnancy-related pelvic girdle pain (PRPGP) has a prevalence of approximately 45% during pregnancy and 20–25% in the early postpartum period. Current evidence suggests that the muscles and fascia of the lumbopelvic region play a significant role in musculoskeletal function as well as continence and respiration. Biomechanical aspects of the myofascial piece of the clinical puzzle as it pertains to the abdominal canister during pregnancy and delivery, in particular trauma to the linea alba and endopelvic fascia and/or the consequence of postpartum non-optimal strategies for load transfer, is the focus of the first two parts of this paper. A possible physiological explanation for fascial changes secondary to altered breathing behaviour during pregnancy is presented in the third part.
Journal of Bodywork and Movement Therapies, 1 July 2008, online article ahead of publish
Brostrøm S, Lose G
Many women suffer from urinary incontinence (UI). During and after pregnancy, women are advised to perform pelvic floor muscle training (PFMT) to prevent the development of UI. In established UI, PFMT is prescribed routinely as first-line treatment. This article argues that previous studies lack validity and that the available evidence suggests a lack of long-term efficacy of peripartum PFMT. In established UI, there seems to be a modest immediate response to PFMT. They suggest that a critical reappraisal of PFMT is needed, and judgments on the place of PFMT in current clinical practice should be reserved until further evidence, including cost-benefit analyses, has unequivocally demonstrated a clinically relevant efficacy.
Acta Obstetricia et Gynecologica Scandinavica, 2008, 87(4), 384-402
Dumoulin C, Hay-Smith J
The aim of this systematic review was to determine the effects of pelvic floor muscle training for women with urinary incontinence in comparison to no treatment, placebo or sham treatments, or other inactive control treatments. The review included randomized or quasi-randomized trials in women with stress, urge or mixed urinary incontinence. Thirteen trials involving 714 women met the inclusion criteria; however, only six trials (403 women) contributed to data analysis.
This review provides support for the widespread recommendation that pelvic floor muscle training be included in first-line conservative management programs for women with stress, urge or mixed urinary incontinence.
European Journal of Physical Medicine and Rehabilitation, 2008, 44(2), 47-63
Link to Abstract
Krhut J, Holanová R, Muronová I, Gärtner M
This study assesses both subjective and objective results of the conservative non-pharmacological therapy and its effect to the quality of life in the set of female patients with urinary incontinence of all types. 69 female patients suffering from urinary incontinence were treated in a complex way in accordance with principles of the so-called "Ostrava concept" of the conservative non-pharmacological therapy. Subjective results were evaluated before the therapy started and 6 months after using the visual-analog scale (VAS) while objective results were evaluated by the perineometric measurement of the pelvic floor.
Based on results obtained the conservative non-pharmacological therapy is an efficient treatment method in case of the incontinence. Due to its non-invasive character and the absence of adverse effects it should be considered to be the first choice treatment in case of female patient with urinary incontinence.
Ceska Gynekologic, 2007, 72(6), 406-9
