Evidence-Based Physical Therapy for the Pelvic Floor

Evidence-Based Physical Therapy for the Pelvic Floor

Bridging Science and Clinical Practice

2nd Edition - November 4, 2014

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  • Authors: Kari Bo, Bary Berghmans, Siv Morkved, Marijke Van Kampen
  • eBook ISBN: 9780702060731
  • Hardcover ISBN: 9780702044434

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Description

Bridging the gap between evidence-based research and clinical practice, Physical Therapy for the Pelvic Floor has become an invaluable resource to practitioners treating patients with disorders of the pelvic floor. The second edition is now presented in a full colour, hardback format, encompassing the wealth of new research in this area which has emerged in recent years. Kari Bø and her team focus on the evidence, from basic studies (theories or rationales for treatment) and RCTs (appraisal of effectiveness) to the implications of these for clinical practice, while also covering pelvic floor dysfunction in specific groups, including men, children, elite athletes, the elderly, pregnant women and those with neurological diseases. Crucially, recommendations on how to start, continue and progress treatment are also given with detailed treatment strategies around pelvic floor muscle training, biofeedback and electrical stimulation.  "..a comprehensive review of every aspect of this area including female, male and childhood issues, incontinence, prolapse, pain and sexual dysfunction." Reviewed by Beatrice McGinley on behalf of Physiotherapy Practice and Research, October 2015

Key Features

  • aligns scientific research with clinical practice
  • detailed treatment strategies
  • innovative practice guidelines supported by a sound evidence base
  • colour illustrations of pelvic floor anatomy and related neuroanatomy/ neurophysiology
  • MRIs and ultrasounds showing normal and dysfunctional pelvic floor

Table of Contents

  • 1. OVERVIEW OF PHYSICAL THERAPY FOR PELVIC FLOOR DYSFUNCTION
    Kari Bø

    2. CRITICAL APPRAISAL OF RANDOMIZED TRIALS AND SYSTEMATIC REVIEWS OF THE EFFECTS OF PHYSICAL THERAPY INTERVENTIONS FOR THE PELVIC FLOOR
    Rob Herbert

    3. FUNCTIONAL ANATOMY OF THE FEMALE PELVIC FLOOR
    James A Ashton-Miller, John OL DeLancey

    4. NEUROANATOMY AND NEUROPHYSIOLOGY OF PELVIC FLOOR MUSCLES
    David B Vodušek

    5. MEASUREMENT OF PELVIC FLOOR MUSCLE FUNCTION AND STRENGTH, AND PELVIC ORGAN PROLAPSE

    5.1 Introduction
    Kari Bø

    5.2 Visual observation and palpation
    Kari Bø

    5.3 Electromyography
    David B Vodušek

    5.4 Vaginal squeeze pressure measurement
    Kari Bø

    5.5 Pelvic floor dynamometry
    Chantale Dumoulin, Mélanie Morin

    5.6 Urethral pressure measurements
    Mohammed Belal, Paul Abrams

    5.7 Ultrasound in the assessment of PFM and pelvic organ descent
    Hans Peter Dietz

    5.8 MRI of intact and injured female pelvic floor muscles
    John OL DeLancey, James A Ashton-Miller

    6. PELVIC FLOOR AND EXERCISE SCIENCE

    6.1 Motor learning
    Kari Bø, Siv Mørkved

    6.2 Strength training
    Kari Bø, Arve Aschehoug

    7. FEMALE PELVIC FLOOR DYSFUNCTIONS AND EVIDENCE-BASED PHYSICAL THERAPY

    7.1 Female stress urinary incontinence
    Prevalence, causes and pathophysiology
    Jacques Corcos
    Lifestyle interventions
    Pauline Chiarelli
    Bladder training
    Jean F Wyman
    Pelvic floor muscle training for SUI
    Kari Bø
    Electrical stimulation for SUI
    Bary Berghmans

    7.2 Female overactive bladder
    Pelvic floor muscle training for overactive bladder
    Kari Bø
    Electrical stimulation for overactive bladder
    Bary Berghmans

    7.3 Urinary incontinence related to the peripartum period
    Siv Mørkved, Kari Bø

    7.4 Pelvic organ prolapse
    Clinical assessment of pelvic organ prolapse
    Matthew D Barber
    Use of pessaries to prevent and treat pelvic organ prolapse
    Patricia Neumann
    Pelvic floor muscle training in prevention and treatment of pelvic organ prolapse
    Kari Bø, Helena Frawley

    7.5 Female sexual dysfunction
    Assessment
    Alessandra Graziottin
    Treatment
    Alessandra Graziottin, Dania Gambini

    8. MALE PELVIC FLOOR DYSFUNCTIONS AND EVIDENCE-BASED PHYSICAL THERAPY

    8.1 Urinary incontinence and other lower urinary tract symptoms
    Marijke Van Kampen, Inge Geraerts

    8.2 Male sexual dysfunction
    Grace Dorey

    9. EVIDENCE-BASED PHYSICAL THERAPY FOR PELVIC FLOOR DYSFUNCTIONS AFFECTING BOTH WOMEN AND MEN

    9.1 Anal incontinence
    Epidemiology, anatomy and pathophysiology, and risk factors
    Bary Berghmans, Esther Bols, Ylva Sahlin, Espen Berner
    Assessment of the nature and severity of AI
    Bary Berghmans, Esther Bols
    Conservative interventions for treatment of AI
    Bary Berghmans, Esther Bols

    9.2 Pelvic floor pain and the overactive pelvic floor
    Helena Frawley

    10. EVIDENCE FOR PELVIC FLOOR PHYSICAL THERAPY IN CHILDREN
    Wendy F Bower

    11. PELVIC FLOOR PHYSICAL THERAPY IN THE ELDERLY: WHERE’S THE EVIDENCE?
    Adrian Wagg

    12. EVIDENCE FOR PELVIC FLOOR PHYSICAL THERAPY FOR NEUROLOGICAL DISEASE
    Marijke Van Kampen, Inge Geraerts

    13. PELVIC FLOOR DYSFUNCTION, PREVENTION AND TREATMENT IN ELITE ATHLETES
    Kari Bø

    14. THE DEVELOPMENT OF CLINICAL PRACTICE GUIDELINES
    Bary Berghmans, Erik Hendricks, Nol Bernards, Rob de Bie

Product details

  • No. of pages: 446
  • Language: English
  • Copyright: © Churchill Livingstone 2014
  • Published: November 4, 2014
  • Imprint: Churchill Livingstone
  • eBook ISBN: 9780702060731
  • Hardcover ISBN: 9780702044434

About the Authors

Kari Bo

Affiliations and Expertise

Exercise scientist, Norwegian School of Sports Sciences, Oslo, Norway

Bary Berghmans

Affiliations and Expertise

Epidemiologist and Researcher, Maastricht University Pelvic Care Centre, Maastricht, The Netherlands

Siv Morkved

Affiliations and Expertise

Associate Professor and Senior Researcher, Department of Community Medicine & General Practice, Norwegian University of Science and Technology, Trondheim, Norway

Marijke Van Kampen

Affiliations and Expertise

Professor in Rehabilitation Science, Katholieke Universiteit Leuven, Faculty of Kinesiology and Rehabilitation Science, University Hospital GHB, Leuven, Belgium

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