Pub Date : 2023-08-21DOI: 10.1097/jwh.0000000000000287
J. McAuley, Amanda T. Mahoney, M. Austin
{"title":"The Executive Summary: Clinical Practice Guidelines: Rehabilitation Interventions for Urgency Urinary Incontinence, Urinary Urgency, and/or Urinary Frequency in Adult Women","authors":"J. McAuley, Amanda T. Mahoney, M. Austin","doi":"10.1097/jwh.0000000000000287","DOIUrl":"https://doi.org/10.1097/jwh.0000000000000287","url":null,"abstract":"","PeriodicalId":74018,"journal":{"name":"Journal of women's health physical therapy","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47609913","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-08-21DOI: 10.1097/jwh.0000000000000286
J. Adrienne McAuley, Amanda T. Mahoney, Mary M. Austin
Background/Rationale: The body of evidence for interventions specific to urgency urinary incontinence (UUI), urinary urgency, and/or urinary frequency is not as readily accessible to consumers or health care providers when compared with stress urinary incontinence. This clinical practice guideline (CPG) is presented to help inform readers of the current evidence for physical therapy intervention of UUI, urinary urgency, and/or urinary frequency, as well as identify the areas in which further research is needed. Purpose of the CPG: The aim of this CPG is to provide evidence-based recommendations for rehabilitation interventions of UUI, urinary urgency, or urinary frequency in adult women. Methodology: Five electronic databases (OVID Medline, EMBASE, Cochrane Library, CINAHL, and ProQuest) were used to search for scientific literature published from January 1, 1995, to June 30, 2017. Critical readers formally assessed the procured articles. The authors collaborated to establish the levels of evidence and create the recommendations. Results: Thirty-one articles informed the development of 7 of the recommendations for intervention of UUI, urinary urgency, and/or urinary frequency. Summary tables of the articles that support each of the recommendations are presented. Two additional recommendations for best practice are presented as expert opinion. Conclusion: The CPG offers guidance to health care providers and patients for the treatment of urinary urge incontinence, urinary urgency, and urinary frequency. Recommendations, in order of strength of evidence, include behavioral interventions and pelvic floor muscle training (grade A) followed by electrical stimulation (grade B), and then lifestyle modifications (grades B and C). See the Supplemental Digital Content Video Abstract, available at: http://links.lww.com/JWHPT/A115.
{"title":"Clinical Practice Guidelines: Rehabilitation Interventions for Urgency Urinary Incontinence, Urinary Urgency, and/or Urinary Frequency in Adult Women","authors":"J. Adrienne McAuley, Amanda T. Mahoney, Mary M. Austin","doi":"10.1097/jwh.0000000000000286","DOIUrl":"https://doi.org/10.1097/jwh.0000000000000286","url":null,"abstract":"Background/Rationale: The body of evidence for interventions specific to urgency urinary incontinence (UUI), urinary urgency, and/or urinary frequency is not as readily accessible to consumers or health care providers when compared with stress urinary incontinence. This clinical practice guideline (CPG) is presented to help inform readers of the current evidence for physical therapy intervention of UUI, urinary urgency, and/or urinary frequency, as well as identify the areas in which further research is needed. Purpose of the CPG: The aim of this CPG is to provide evidence-based recommendations for rehabilitation interventions of UUI, urinary urgency, or urinary frequency in adult women. Methodology: Five electronic databases (OVID Medline, EMBASE, Cochrane Library, CINAHL, and ProQuest) were used to search for scientific literature published from January 1, 1995, to June 30, 2017. Critical readers formally assessed the procured articles. The authors collaborated to establish the levels of evidence and create the recommendations. Results: Thirty-one articles informed the development of 7 of the recommendations for intervention of UUI, urinary urgency, and/or urinary frequency. Summary tables of the articles that support each of the recommendations are presented. Two additional recommendations for best practice are presented as expert opinion. Conclusion: The CPG offers guidance to health care providers and patients for the treatment of urinary urge incontinence, urinary urgency, and urinary frequency. Recommendations, in order of strength of evidence, include behavioral interventions and pelvic floor muscle training (grade A) followed by electrical stimulation (grade B), and then lifestyle modifications (grades B and C). See the Supplemental Digital Content Video Abstract, available at: http://links.lww.com/JWHPT/A115.","PeriodicalId":74018,"journal":{"name":"Journal of women's health physical therapy","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135770867","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-02-03DOI: 10.1097/jwh.0000000000000265
Michael Steimling, Michael Roberto, Melinda Steimling
{"title":"Running Gait Retraining in the Management of a Multiparous Runner With Chronic Stress Urinary Incontinence: A Case Study","authors":"Michael Steimling, Michael Roberto, Melinda Steimling","doi":"10.1097/jwh.0000000000000265","DOIUrl":"https://doi.org/10.1097/jwh.0000000000000265","url":null,"abstract":"","PeriodicalId":74018,"journal":{"name":"Journal of women's health physical therapy","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41491919","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.1097/jwh.0000000000000267
Cynthia M. Chiarello
{"title":"New Name, New Format!","authors":"Cynthia M. Chiarello","doi":"10.1097/jwh.0000000000000267","DOIUrl":"https://doi.org/10.1097/jwh.0000000000000267","url":null,"abstract":"","PeriodicalId":74018,"journal":{"name":"Journal of women's health physical therapy","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43519785","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.1097/JWH.0000000000000258
A. Tremback-Ball, Emily Hammond, Abigail Applegate, Emma Caldwell, Hayley Witmer
Background: Primary dysmenorrhea, or painful menstruation, is common in menstruating females. However, in some it can cause intense pain, disrupt activities of daily living, and impact quality of life. The treatment of dysmenorrhea does not traditionally include physical therapy. Objectives: A systematic review was conducted to explore the role of physical therapy in treating dysmenorrhea. Study Design: Systematic review. Methods: A search was performed in August 2020 and January 2022 using EBSCOhost, Academic Search Ultimate, CINAHL Complete, and MEDLINE. Search terms included exercise or physical activity or fitness AND dysmenorrhea or menstrual pain or painful menstruation. Inclusion criteria were articles that were peer-reviewed, published in the last 10 years, and available in full text in English. All articles included in the review were analyzed for quality on a hierarchy of evidence scale. Results: Twenty-two results were included in this systematic review. Nineteen articles were level 2 and 3 articles were level 3 on the hierarchy of evidence scale. The Visual Analog Scale and Menstrual Distress Questionnaire were the widely utilized outcome measures used to determine the effectiveness of the interventions. Interventions including aerobic exercise, stretching, kinesio taping, aquatic therapy, acupressure, yoga, core stability, positional activities, spinal manipulation, and patient education have shown to be effective. Conclusions: Physical therapy can assist in the reduction of pain and other symptoms associated with dysmenorrhea. Overall, articles indicated that aerobic exercise, stretching, and core stability yielded the greatest improvement in patient symptoms of dysmenorrhea. Physicians should consider recommending physical therapy to patients with symptoms that disrupt their activities of daily living.
{"title":"Effectiveness of Physical Therapy Interventions for Women With Dysmenorrhea: A Systematic Review","authors":"A. Tremback-Ball, Emily Hammond, Abigail Applegate, Emma Caldwell, Hayley Witmer","doi":"10.1097/JWH.0000000000000258","DOIUrl":"https://doi.org/10.1097/JWH.0000000000000258","url":null,"abstract":"Background: Primary dysmenorrhea, or painful menstruation, is common in menstruating females. However, in some it can cause intense pain, disrupt activities of daily living, and impact quality of life. The treatment of dysmenorrhea does not traditionally include physical therapy. Objectives: A systematic review was conducted to explore the role of physical therapy in treating dysmenorrhea. Study Design: Systematic review. Methods: A search was performed in August 2020 and January 2022 using EBSCOhost, Academic Search Ultimate, CINAHL Complete, and MEDLINE. Search terms included exercise or physical activity or fitness AND dysmenorrhea or menstrual pain or painful menstruation. Inclusion criteria were articles that were peer-reviewed, published in the last 10 years, and available in full text in English. All articles included in the review were analyzed for quality on a hierarchy of evidence scale. Results: Twenty-two results were included in this systematic review. Nineteen articles were level 2 and 3 articles were level 3 on the hierarchy of evidence scale. The Visual Analog Scale and Menstrual Distress Questionnaire were the widely utilized outcome measures used to determine the effectiveness of the interventions. Interventions including aerobic exercise, stretching, kinesio taping, aquatic therapy, acupressure, yoga, core stability, positional activities, spinal manipulation, and patient education have shown to be effective. Conclusions: Physical therapy can assist in the reduction of pain and other symptoms associated with dysmenorrhea. Overall, articles indicated that aerobic exercise, stretching, and core stability yielded the greatest improvement in patient symptoms of dysmenorrhea. Physicians should consider recommending physical therapy to patients with symptoms that disrupt their activities of daily living.","PeriodicalId":74018,"journal":{"name":"Journal of women's health physical therapy","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"61633793","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.1097/jwh.0000000000000268
{"title":"APTA 2023 Combined Sections Meeting Posters and Platforms","authors":"","doi":"10.1097/jwh.0000000000000268","DOIUrl":"https://doi.org/10.1097/jwh.0000000000000268","url":null,"abstract":"","PeriodicalId":74018,"journal":{"name":"Journal of women's health physical therapy","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44932925","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-10-14DOI: 10.1097/jwh.0000000000000250
Elizabeth Trouten Volpe
{"title":"Intrauterine Devices, Pelvic Pain, and Physical Therapy: A Case Report","authors":"Elizabeth Trouten Volpe","doi":"10.1097/jwh.0000000000000250","DOIUrl":"https://doi.org/10.1097/jwh.0000000000000250","url":null,"abstract":"","PeriodicalId":74018,"journal":{"name":"Journal of women's health physical therapy","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48027769","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-10-01DOI: 10.1097/jwh.0000000000000253
{"title":"The Effect of Imposed Pelvic Inclination Angle on Pelvic Floor Muscle Activity—A Pilot Study Using Ultrasound Imaging, Digital Inclinometry and Surface Electromyography: Erratum","authors":"","doi":"10.1097/jwh.0000000000000253","DOIUrl":"https://doi.org/10.1097/jwh.0000000000000253","url":null,"abstract":"","PeriodicalId":74018,"journal":{"name":"Journal of women's health physical therapy","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41449177","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-10-01DOI: 10.1097/JWH.0000000000000249
Andrea Wood, T. Glynn, L. Cahalin
Pelvic health physical therapy's primary role in gastroenterology-related care has been primarily viewed as biofeedback therapy of the pelvic floor muscles in the medical literature; however, emerging research suggests that expanding this role toward a whole-body approach may be optimal. Common gastroenterology-related referrals to pelvic health physical therapy include chronic constipation, fecal incontinence, levator ani syndrome, and mixed presentations of those mentioned previously. Many of these common referral diagnoses fall under the umbrella of disorders of gut-brain interaction (DGBIs) and have associated impairments involving multiple bodily systems. Pelvic health physical therapists have a robust knowledge of multiple bodily systems and are well-positioned providers for individuals with DGBIs as part of an interdisciplinary team and can incorporate an expanded plan of care outside of direct pelvic floor muscle interventions for best practice. Additional components of a plan of care for individuals with DGBIs that the following article reviews include the incorporation of physical activity and targeting cardiopulmonary measures, mental health considerations, and nutrition-based advice.
{"title":"The Rehabilitation of Individuals With Gastrointestinal Issues Beyond Pelvic Floor Muscle Function: Considering a Larger Picture for Best Practice","authors":"Andrea Wood, T. Glynn, L. Cahalin","doi":"10.1097/JWH.0000000000000249","DOIUrl":"https://doi.org/10.1097/JWH.0000000000000249","url":null,"abstract":"Pelvic health physical therapy's primary role in gastroenterology-related care has been primarily viewed as biofeedback therapy of the pelvic floor muscles in the medical literature; however, emerging research suggests that expanding this role toward a whole-body approach may be optimal. Common gastroenterology-related referrals to pelvic health physical therapy include chronic constipation, fecal incontinence, levator ani syndrome, and mixed presentations of those mentioned previously. Many of these common referral diagnoses fall under the umbrella of disorders of gut-brain interaction (DGBIs) and have associated impairments involving multiple bodily systems. Pelvic health physical therapists have a robust knowledge of multiple bodily systems and are well-positioned providers for individuals with DGBIs as part of an interdisciplinary team and can incorporate an expanded plan of care outside of direct pelvic floor muscle interventions for best practice. Additional components of a plan of care for individuals with DGBIs that the following article reviews include the incorporation of physical activity and targeting cardiopulmonary measures, mental health considerations, and nutrition-based advice.","PeriodicalId":74018,"journal":{"name":"Journal of women's health physical therapy","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41742069","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-10-01DOI: 10.1097/JWH.0000000000000254
Pamela Kays
Background: Evidence indicates that women with chronic pelvic pain (CPP) frequently experience negative patient-provider interactions (PPIs) that contribute to diagnosis delays, comorbidity with other conditions, and psychological and socioenvironmental complications. However, specific components of PPIs and their effect on diagnosis and care for women with CPP are poorly understood. Objectives: To determine the themes and patterns of PPIs affecting health care experiences for women with CPP. Study Design: Phenomenological qualitative study using semistructured, in-depth interviews. Methods: Thirteen women, aged 18 to 65 years, with CPP for a minimum of 6 months participated. Transcribed data from standardized, in-person interviews were analyzed with qualitative analysis software to manually code thematic nodes. For interpretive phenomenological analysis, an open and inductive approach with constant comparison was used. Results: Emergent themes were consequences and effects of PPIs on health care. The described consequences of these interactions for women with CPP included increased emotional toll and decreased trust. The effects of these interactions on diagnosis and care influenced health care experiences related to information and resources provided, diagnosis, medical error (eg, misdiagnosis and inappropriate treatment), and plan (eg, treatment, management, and referral). Conclusion: Results of the current analysis demonstrated certain components of PPIs adversely affected health care experiences for women with CPP by contributing to the emotional burden of living with CPP, interfering with communication and trust between patients and providers, and impeding proper diagnosis and treatment for these patients.
{"title":"Effects of Patient-Provider Interactions on Diagnosis and Care for Women With Chronic Pelvic Pain: A Qualitative Study","authors":"Pamela Kays","doi":"10.1097/JWH.0000000000000254","DOIUrl":"https://doi.org/10.1097/JWH.0000000000000254","url":null,"abstract":"Background: Evidence indicates that women with chronic pelvic pain (CPP) frequently experience negative patient-provider interactions (PPIs) that contribute to diagnosis delays, comorbidity with other conditions, and psychological and socioenvironmental complications. However, specific components of PPIs and their effect on diagnosis and care for women with CPP are poorly understood. Objectives: To determine the themes and patterns of PPIs affecting health care experiences for women with CPP. Study Design: Phenomenological qualitative study using semistructured, in-depth interviews. Methods: Thirteen women, aged 18 to 65 years, with CPP for a minimum of 6 months participated. Transcribed data from standardized, in-person interviews were analyzed with qualitative analysis software to manually code thematic nodes. For interpretive phenomenological analysis, an open and inductive approach with constant comparison was used. Results: Emergent themes were consequences and effects of PPIs on health care. The described consequences of these interactions for women with CPP included increased emotional toll and decreased trust. The effects of these interactions on diagnosis and care influenced health care experiences related to information and resources provided, diagnosis, medical error (eg, misdiagnosis and inappropriate treatment), and plan (eg, treatment, management, and referral). Conclusion: Results of the current analysis demonstrated certain components of PPIs adversely affected health care experiences for women with CPP by contributing to the emotional burden of living with CPP, interfering with communication and trust between patients and providers, and impeding proper diagnosis and treatment for these patients.","PeriodicalId":74018,"journal":{"name":"Journal of women's health physical therapy","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45187036","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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