Pub Date : 2020-08-07DOI: 10.1097/JWH.0000000000000175
R. Maher, Jenna Iberle
Supplemental Digital Content is Available in the Text. Background: No gold standard exists for assessing pelvic floor muscle (PFM) function. However, a significant correlation exists between digital palpation and transabdominal ultrasound imaging (TAUS), with studies indicating that the coccyx moves during contractions. Objectives: To determine concurrent validity of external coccyx motion palpation (CMP) versus TAUS to identify the former's validity in assessing PFM function. Study Design: A cross-sectional observational study. Methods: Sixty-four women were screened. Those who could perform a PFM contraction were enrolled (n = 37; mean 31.5 years). A single investigator was assigned to either TAUS or CMP. Participants were randomly assigned to perform either a PFM contraction, bearing down, or nothing under randomly assigned testing positions: standing, sitting, and side-lying while simultaneous TAUS and CMP occurred. Investigators were blinded to each other's assessment, and participant-assigned tasks. Participants were blinded to TAUS. Results: Sensitivity and specificity were 94% and 79%, respectively, for CMP versus TAUS. χ2 tests and phi coefficient (ϕ) revealed a significant strong relationship between TAUS and CMP across positions: standing χ2(1, n = 37) = 17.87, P < .001, ϕ = 0.7; sitting χ2(1, n = 37) = 15.79, P < .001, ϕ = 0.65; and side-lying χ2(1, n = 37) = 17.88, P < .001, ϕ = 0.7, respectively. Conclusions: CMP is a valid screening method that can be used by all clinicians. It may decrease unnecessary internal digital assessment while being more acceptable to women who decline an internal digital assessment, or in pregnant women for whom a digital assessment may be contraindicated. We have included a Video Abstract that highlights our ultrasound cine-loops and findings in our article (see the Video Abstract, Supplemental Digital Content, available at: http://links.lww.com/JWHPT/A31).
{"title":"Concurrent Validity of Noninvasive Coccygeal Motion Palpation and Transabdominal Ultrasound Imaging in the Assessment of Pelvic Floor Function in Women","authors":"R. Maher, Jenna Iberle","doi":"10.1097/JWH.0000000000000175","DOIUrl":"https://doi.org/10.1097/JWH.0000000000000175","url":null,"abstract":"Supplemental Digital Content is Available in the Text. Background: No gold standard exists for assessing pelvic floor muscle (PFM) function. However, a significant correlation exists between digital palpation and transabdominal ultrasound imaging (TAUS), with studies indicating that the coccyx moves during contractions. Objectives: To determine concurrent validity of external coccyx motion palpation (CMP) versus TAUS to identify the former's validity in assessing PFM function. Study Design: A cross-sectional observational study. Methods: Sixty-four women were screened. Those who could perform a PFM contraction were enrolled (n = 37; mean 31.5 years). A single investigator was assigned to either TAUS or CMP. Participants were randomly assigned to perform either a PFM contraction, bearing down, or nothing under randomly assigned testing positions: standing, sitting, and side-lying while simultaneous TAUS and CMP occurred. Investigators were blinded to each other's assessment, and participant-assigned tasks. Participants were blinded to TAUS. Results: Sensitivity and specificity were 94% and 79%, respectively, for CMP versus TAUS. χ2 tests and phi coefficient (ϕ) revealed a significant strong relationship between TAUS and CMP across positions: standing χ2(1, n = 37) = 17.87, P < .001, ϕ = 0.7; sitting χ2(1, n = 37) = 15.79, P < .001, ϕ = 0.65; and side-lying χ2(1, n = 37) = 17.88, P < .001, ϕ = 0.7, respectively. Conclusions: CMP is a valid screening method that can be used by all clinicians. It may decrease unnecessary internal digital assessment while being more acceptable to women who decline an internal digital assessment, or in pregnant women for whom a digital assessment may be contraindicated. We have included a Video Abstract that highlights our ultrasound cine-loops and findings in our article (see the Video Abstract, Supplemental Digital Content, available at: http://links.lww.com/JWHPT/A31).","PeriodicalId":74018,"journal":{"name":"Journal of women's health physical therapy","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47692500","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 : 2020-07-30DOI: 10.1097/jwh.0000000000000174
J. Boissonnault, Allyson Kuhn, M. Meeker, S. Strong, R. Stephenson
Supplemental Digital Content is Available in the Text. Background: The current International Organization of Physical Therapists in Pelvic and Women's Health (IOPTPWH) “scope of practice” document was disseminated in 2013 and based on a survey fielded in 1999-2000. The scope of practice within this field is evolving, necessitating an updated “scope of practice” document. Objective: To collect data from IOPTPWH member organizations' chief delegates on the focus and practice of their organizations. Study Design: Online survey. Methods and Measure: A validated survey was electronically fielded to the 30 IOPTPWH member organizations. Chief delegates responded on behalf of their member organizations. Multiple choice and open-ended questions were asked. Responses and frequency counts were analyzed. Results: Nineteen of the 30 member organizations responded to the survey. All respondents reported that their organizations focused on at least 1 subcondition within obstetrics and urological/pelvic floor dysfunction. Fifteen of the 19 member organizations reported a focus on at least 1 subcondition within gastrointestinal health, reproductive health, pelvic pain, and sexual disorders. Responses presented an increase in organizational focus on men, children, and transgender individuals. Conclusions: Practice in women's health physical therapy is evolving, as evidenced by changes in organizational focus on particular patient populations and conditions noted by survey respondents. Findings from this survey may serve as a resource for the development of an updated IOPTPWH “scope of practice” document. A video abstract for this article is available at: http://links.lww.com/JWHPT/A30.
{"title":"An International Survey of Women's and Pelvic Health Physical Therapy Organizational Practice","authors":"J. Boissonnault, Allyson Kuhn, M. Meeker, S. Strong, R. Stephenson","doi":"10.1097/jwh.0000000000000174","DOIUrl":"https://doi.org/10.1097/jwh.0000000000000174","url":null,"abstract":"Supplemental Digital Content is Available in the Text. Background: The current International Organization of Physical Therapists in Pelvic and Women's Health (IOPTPWH) “scope of practice” document was disseminated in 2013 and based on a survey fielded in 1999-2000. The scope of practice within this field is evolving, necessitating an updated “scope of practice” document. Objective: To collect data from IOPTPWH member organizations' chief delegates on the focus and practice of their organizations. Study Design: Online survey. Methods and Measure: A validated survey was electronically fielded to the 30 IOPTPWH member organizations. Chief delegates responded on behalf of their member organizations. Multiple choice and open-ended questions were asked. Responses and frequency counts were analyzed. Results: Nineteen of the 30 member organizations responded to the survey. All respondents reported that their organizations focused on at least 1 subcondition within obstetrics and urological/pelvic floor dysfunction. Fifteen of the 19 member organizations reported a focus on at least 1 subcondition within gastrointestinal health, reproductive health, pelvic pain, and sexual disorders. Responses presented an increase in organizational focus on men, children, and transgender individuals. Conclusions: Practice in women's health physical therapy is evolving, as evidenced by changes in organizational focus on particular patient populations and conditions noted by survey respondents. Findings from this survey may serve as a resource for the development of an updated IOPTPWH “scope of practice” document. A video abstract for this article is available at: http://links.lww.com/JWHPT/A30.","PeriodicalId":74018,"journal":{"name":"Journal of women's health physical therapy","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/jwh.0000000000000174","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42087303","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 : 2020-07-01DOI: 10.1097/jwh.0000000000000176
C. Chiarello
{"title":"COVID-19: The New Normal","authors":"C. Chiarello","doi":"10.1097/jwh.0000000000000176","DOIUrl":"https://doi.org/10.1097/jwh.0000000000000176","url":null,"abstract":"","PeriodicalId":74018,"journal":{"name":"Journal of women's health physical therapy","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/jwh.0000000000000176","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44515482","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 : 2020-07-01DOI: 10.1097/jwh.0000000000000177
Jennifer Miller
{"title":"Book Review","authors":"Jennifer Miller","doi":"10.1097/jwh.0000000000000177","DOIUrl":"https://doi.org/10.1097/jwh.0000000000000177","url":null,"abstract":"","PeriodicalId":74018,"journal":{"name":"Journal of women's health physical therapy","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49252161","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 : 2020-07-01DOI: 10.1097/JWH.0000000000000172
Matthew de Ruig, C. J. Watson
Introduction/Background: This case series assessed the clinical utility of the Fracture Risk Assessment (FRAX) tool and quantitative ultrasound (QUS) at the distal radius to screen subjects for higher fracture risk. The current gold standard to diagnose osteoporosis is the dual-energy x-ray absorptiometry (DXA) scan. QUS is a valid and less expensive procedure for measuring properties of bone that can be performed over several body sites, including the distal radius. Our hypothesis was that the addition of QUS, to current bone health screening using FRAX alone, would identify more postmenopausal women with higher fracture risk. Case Description: In this case series, 2 postmenopausal women were screened with the FRAX tool. In addition, the nondominant distal radius was screened with QUS and the results were compared with the results of the respective subject’s DXA scans. Outcomes: The QUS measurement results placed our subjects in the same fracture risk category as their DXA scan bone mineral density scores. Discussion: In this case series, we present 2 postmenopausal women who demonstrate low fracture risk as predicted by the FRAX alone. Subsequent QUS measures detected that one of the women was at higher risk for fracture. Follow-up DXA scan confirmed that the QUS, which also directly assesses bone quality, correctly stratified the patients into low and high fracture risk categories. In addition to FRAX, QUS may be an important low-cost screening tool for physical therapists to use, to increase early referral for medical management.
{"title":"Fracture Risk Assessment Tool and Quantitative Ultrasound for Bone Screening: A Case Series","authors":"Matthew de Ruig, C. J. Watson","doi":"10.1097/JWH.0000000000000172","DOIUrl":"https://doi.org/10.1097/JWH.0000000000000172","url":null,"abstract":"Introduction/Background: This case series assessed the clinical utility of the Fracture Risk Assessment (FRAX) tool and quantitative ultrasound (QUS) at the distal radius to screen subjects for higher fracture risk. The current gold standard to diagnose osteoporosis is the dual-energy x-ray absorptiometry (DXA) scan. QUS is a valid and less expensive procedure for measuring properties of bone that can be performed over several body sites, including the distal radius. Our hypothesis was that the addition of QUS, to current bone health screening using FRAX alone, would identify more postmenopausal women with higher fracture risk. Case Description: In this case series, 2 postmenopausal women were screened with the FRAX tool. In addition, the nondominant distal radius was screened with QUS and the results were compared with the results of the respective subject’s DXA scans. Outcomes: The QUS measurement results placed our subjects in the same fracture risk category as their DXA scan bone mineral density scores. Discussion: In this case series, we present 2 postmenopausal women who demonstrate low fracture risk as predicted by the FRAX alone. Subsequent QUS measures detected that one of the women was at higher risk for fracture. Follow-up DXA scan confirmed that the QUS, which also directly assesses bone quality, correctly stratified the patients into low and high fracture risk categories. In addition to FRAX, QUS may be an important low-cost screening tool for physical therapists to use, to increase early referral for medical management.","PeriodicalId":74018,"journal":{"name":"Journal of women's health physical therapy","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/JWH.0000000000000172","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46233320","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 : 2020-06-12DOI: 10.1097/JWH.0000000000000166
Erin H. Hartigan, J. McAuley, Michael A. Lawrence, Willis Brucker, Adam King, B. Tryon, M. DeSilva
Supplemental Digital Content is Available in the Text. Background: Women with stress urinary incontinence (SUI) have different hip strength, mobility, and unique between-leg differences compared with women without SUI. This article describes gait biomechanics in these same women to provide insight into their function and neuromuscular system. Objective: To compare gait biomechanics between women with and without self-reported SUI. Study Design: Descriptive. Methods: Hip angles, moments (net forces), and muscle activity were analyzed during 3 phases of stance (weight acceptance [WA], mid-stance [MS], and terminal stance [TS]), using 3-dimensional cameras, force plates, and surface electromyography. Values were compared between groups (SUI, n = 21; no SUI, n = 20) and limbs (dominant, D; nondominant, ND) (significance: P ≤ .05). Results: Between-Group Comparisons: Both limbs in the SUI group had greater abduction (ABD) moments (WA: D: P = .039; ND: P = .030), external rotation (ER) moments (WA: D: P = .002, ND: P = .004; and MS: D: P = .033, ND: P = .035), and gluteus maximus activity (TS: D: P < .001, ND: P = .005). The SUI group's ND-limb had greater adduction angles (WA: P = .043), internal rotation (IR) angles (WA: P = .011; MS: P = .028), flexion (FL) moments (TS: P = .050), and tensor fasciae latae activity (TS: P = .044). The SUI group's D-limb had greater ABD moments (TS: P = .034). Between-Limb Comparisons Unique to Each Group: The SUI group's ND-limb had greater IR angles (WA: P = .007, MS: P = .032, TS: P = .027), relative lesser ER angles (MS: P = .003, TS: P = .007), and lesser FL angles (MS: P = .029). The without SUI group's ND-limb had greater ER moments (MS: P = .022). Conclusions: Women with SUI demonstrate unique gait mechanics, predominantly in the transverse plane and in the ND-limb. A video abstract for this article is available at: http://links.lww.com/JWHPT/A29.
{"title":"Hip Angles, Joint Moments, and Muscle Activity During Gait in Women With and Without Self-reported Stress Urinary Incontinence","authors":"Erin H. Hartigan, J. McAuley, Michael A. Lawrence, Willis Brucker, Adam King, B. Tryon, M. DeSilva","doi":"10.1097/JWH.0000000000000166","DOIUrl":"https://doi.org/10.1097/JWH.0000000000000166","url":null,"abstract":"Supplemental Digital Content is Available in the Text. Background: Women with stress urinary incontinence (SUI) have different hip strength, mobility, and unique between-leg differences compared with women without SUI. This article describes gait biomechanics in these same women to provide insight into their function and neuromuscular system. Objective: To compare gait biomechanics between women with and without self-reported SUI. Study Design: Descriptive. Methods: Hip angles, moments (net forces), and muscle activity were analyzed during 3 phases of stance (weight acceptance [WA], mid-stance [MS], and terminal stance [TS]), using 3-dimensional cameras, force plates, and surface electromyography. Values were compared between groups (SUI, n = 21; no SUI, n = 20) and limbs (dominant, D; nondominant, ND) (significance: P ≤ .05). Results: Between-Group Comparisons: Both limbs in the SUI group had greater abduction (ABD) moments (WA: D: P = .039; ND: P = .030), external rotation (ER) moments (WA: D: P = .002, ND: P = .004; and MS: D: P = .033, ND: P = .035), and gluteus maximus activity (TS: D: P < .001, ND: P = .005). The SUI group's ND-limb had greater adduction angles (WA: P = .043), internal rotation (IR) angles (WA: P = .011; MS: P = .028), flexion (FL) moments (TS: P = .050), and tensor fasciae latae activity (TS: P = .044). The SUI group's D-limb had greater ABD moments (TS: P = .034). Between-Limb Comparisons Unique to Each Group: The SUI group's ND-limb had greater IR angles (WA: P = .007, MS: P = .032, TS: P = .027), relative lesser ER angles (MS: P = .003, TS: P = .007), and lesser FL angles (MS: P = .029). The without SUI group's ND-limb had greater ER moments (MS: P = .022). Conclusions: Women with SUI demonstrate unique gait mechanics, predominantly in the transverse plane and in the ND-limb. A video abstract for this article is available at: http://links.lww.com/JWHPT/A29.","PeriodicalId":74018,"journal":{"name":"Journal of women's health physical therapy","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/JWH.0000000000000166","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44906776","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 : 2020-06-12DOI: 10.1097/JWH.0000000000000173
A. Pawalia, S. Kulandaivelan, V. Yadav
Background: Women are increasingly becoming overweight and obese in India. Pregnancy increases this risk further. Preventive measures at this stage can benefit both the mother and her offspring. Objectives: The aim of this study was to evaluate effectiveness of supervised and unsupervised antenatal exercises with and without diet component as behavioral interventions on obesity markers in pregnant Indian women. Study Design: It is an experimental study with different subject designs (parallel group pre- and post-comparisons). Methods: One hundred forty pregnant women recruited from a maternity hospital were divided into 5 groups, that is, control, diet, home exercise, supervised exercise, and supervised exercise with diet. Outcome Measures: Weight (excess gestational weight gain and postpartum weight retention), body mass index, waist circumference, hip circumference, and waist to hip ratio. Outcome measures were assessed at 3 time points, that is, during early pregnancy, at delivery, and at 2 months postdelivery. Statistics: Descriptive, parametric and nonparametric tests and effect size (ES) were used to present these results. Results: Both the supervised exercise interventions were most effective in managing obesity markers such as waist circumference (large ES = 0.809 and 0.756, P = .001). Home exercises were effective for body mass index control (ES = 0.501). Supervised exercise groups also had least weight retention at 2-month follow-up (ES = 0.597 and 0.501), followed by the home exercise (ES = 0.438) and diet (ES = 0.138) groups as compared with the control group. Conclusion: Interventions of supervised exercises are most effective in reducing the rise of obesity markers in young Indian women up to 2 months postdelivery. Home exercise and diet care could be the next best intervention.
{"title":"Effect of Exercises and Diet Intervention in Pregnancy on Postpartum Weight Retention and Obesity Markers: Findings in Indian Women","authors":"A. Pawalia, S. Kulandaivelan, V. Yadav","doi":"10.1097/JWH.0000000000000173","DOIUrl":"https://doi.org/10.1097/JWH.0000000000000173","url":null,"abstract":"Background: Women are increasingly becoming overweight and obese in India. Pregnancy increases this risk further. Preventive measures at this stage can benefit both the mother and her offspring. Objectives: The aim of this study was to evaluate effectiveness of supervised and unsupervised antenatal exercises with and without diet component as behavioral interventions on obesity markers in pregnant Indian women. Study Design: It is an experimental study with different subject designs (parallel group pre- and post-comparisons). Methods: One hundred forty pregnant women recruited from a maternity hospital were divided into 5 groups, that is, control, diet, home exercise, supervised exercise, and supervised exercise with diet. Outcome Measures: Weight (excess gestational weight gain and postpartum weight retention), body mass index, waist circumference, hip circumference, and waist to hip ratio. Outcome measures were assessed at 3 time points, that is, during early pregnancy, at delivery, and at 2 months postdelivery. Statistics: Descriptive, parametric and nonparametric tests and effect size (ES) were used to present these results. Results: Both the supervised exercise interventions were most effective in managing obesity markers such as waist circumference (large ES = 0.809 and 0.756, P = .001). Home exercises were effective for body mass index control (ES = 0.501). Supervised exercise groups also had least weight retention at 2-month follow-up (ES = 0.597 and 0.501), followed by the home exercise (ES = 0.438) and diet (ES = 0.138) groups as compared with the control group. Conclusion: Interventions of supervised exercises are most effective in reducing the rise of obesity markers in young Indian women up to 2 months postdelivery. Home exercise and diet care could be the next best intervention.","PeriodicalId":74018,"journal":{"name":"Journal of women's health physical therapy","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/JWH.0000000000000173","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48134728","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}
SME manufacturers across the UK are playing a vital role in keeping the manufacturing economy ticking over whilst producing key components for critical medical equipment
{"title":"Unsung Heroes","authors":"Cynthia M. Chiarello","doi":"10.18356/5b61d23c-en","DOIUrl":"https://doi.org/10.18356/5b61d23c-en","url":null,"abstract":"SME manufacturers across the UK are playing a vital role in keeping the manufacturing economy ticking over whilst producing key components for critical medical equipment","PeriodicalId":74018,"journal":{"name":"Journal of women's health physical therapy","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48645851","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 : 2020-04-01DOI: 10.1097/jwh.0000000000000168
Amanda Olson, R. Stephenson
Angeliki Spiropoulou and Theodora Tsimbouki, Αγγελική Σπυροπούλου και Θεοδώρα Τσιμπούκη, editors. Σύγχρονη Ελληνική Πεζογραφία: Διεθνείς Προσανατολισμοί και Διασταυρώσεις (Contemporary Greek Prose Fiction: International Orientations and Crossings). Athens: Alexandria. 2002. Pp. 335. Paperback $65. Peter Mackridge and Eleni Yannakakis, editors. Contemporary Greek Fiction in a United Europe: From Local History to the Global Individual. Oxford: Legenda. 2004. Pp. xii + 208. Paperback $65.
{"title":"Book Reviews","authors":"Amanda Olson, R. Stephenson","doi":"10.1097/jwh.0000000000000168","DOIUrl":"https://doi.org/10.1097/jwh.0000000000000168","url":null,"abstract":"Angeliki Spiropoulou and Theodora Tsimbouki, Αγγελική Σπυροπούλου και Θεοδώρα Τσιμπούκη, editors. Σύγχρονη Ελληνική Πεζογραφία: Διεθνείς Προσανατολισμοί και Διασταυρώσεις (Contemporary Greek Prose Fiction: International Orientations and Crossings). Athens: Alexandria. 2002. Pp. 335. Paperback $65. Peter Mackridge and Eleni Yannakakis, editors. Contemporary Greek Fiction in a United Europe: From Local History to the Global Individual. Oxford: Legenda. 2004. Pp. xii + 208. Paperback $65.","PeriodicalId":74018,"journal":{"name":"Journal of women's health physical therapy","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/jwh.0000000000000168","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42070392","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 : 2020-03-12DOI: 10.1097/JWH.0000000000000195
Kailey Snyder, Julie Peterson, Kari Bargstadt-Wilson
Background: Breastfeeding women struggle to achieve recommendations of obtaining 150 minutes of moderate activity per week or more. Pelvic floor dysfunction may be hindering postpartum physical activity. However, the severity and type of dysfunction remain poorly understood. Objective: This study had the following objectives: (1) to determine the severity of symptoms of pelvic floor dysfunction among breastfeeding women, with a secondary objective (1a) to determine whether this varied on the basis of exclusive breastfeeding versus supplementation of solids foods and/or formula and (2) to determine what breastfeeding women perceive they need in a physical activity intervention and (2a) how their activity levels change from before to after pregnancy. Study Design: This was a concurrent embedded mixed-methods cross-sectional survey. Methods: A survey consisting of demographic questions, physical activity experiences, the Pelvic Floor Distress Inventory (PFDI-20), and open-ended questions was disseminated to currently breastfeeding mothers. Results: Survey findings conclude that breastfeeding women are primarily sedentary or engage in light physical activity and experience greater symptom severity related to urinary incontinence than anal or pelvic organ prolapse distress. Symptoms are not influenced by breastfeeding exclusivity. Many women are hindered from being active by time constraints associated with feeding their infant. Women would like a combination of in-person/online pelvic floor and general exercise resources. Conclusion: A large proportion of breastfeeding women are sedentary or engaging only in light activity. Furthermore, breastfeeding women report urinary incontinence symptoms and these symptoms are not influenced by breastfeeding exclusivity. Breastfeeding women desire increased education and resources to support their physical activity.
{"title":"“No One Told Me About This Part”: What Breastfeeding Women Want and Need to Support Their Physical Health","authors":"Kailey Snyder, Julie Peterson, Kari Bargstadt-Wilson","doi":"10.1097/JWH.0000000000000195","DOIUrl":"https://doi.org/10.1097/JWH.0000000000000195","url":null,"abstract":"Background: Breastfeeding women struggle to achieve recommendations of obtaining 150 minutes of moderate activity per week or more. Pelvic floor dysfunction may be hindering postpartum physical activity. However, the severity and type of dysfunction remain poorly understood. Objective: This study had the following objectives: (1) to determine the severity of symptoms of pelvic floor dysfunction among breastfeeding women, with a secondary objective (1a) to determine whether this varied on the basis of exclusive breastfeeding versus supplementation of solids foods and/or formula and (2) to determine what breastfeeding women perceive they need in a physical activity intervention and (2a) how their activity levels change from before to after pregnancy. Study Design: This was a concurrent embedded mixed-methods cross-sectional survey. Methods: A survey consisting of demographic questions, physical activity experiences, the Pelvic Floor Distress Inventory (PFDI-20), and open-ended questions was disseminated to currently breastfeeding mothers. Results: Survey findings conclude that breastfeeding women are primarily sedentary or engage in light physical activity and experience greater symptom severity related to urinary incontinence than anal or pelvic organ prolapse distress. Symptoms are not influenced by breastfeeding exclusivity. Many women are hindered from being active by time constraints associated with feeding their infant. Women would like a combination of in-person/online pelvic floor and general exercise resources. Conclusion: A large proportion of breastfeeding women are sedentary or engaging only in light activity. Furthermore, breastfeeding women report urinary incontinence symptoms and these symptoms are not influenced by breastfeeding exclusivity. Breastfeeding women desire increased education and resources to support their physical activity.","PeriodicalId":74018,"journal":{"name":"Journal of women's health physical therapy","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41843821","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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