Keywords: Female runner, Pelvic floor dysfunction, PT Management spectrum
|
|
- Mervyn Stanley
- 6 years ago
- Views:
Transcription
1 Management of Pelvic floor dysfunction in Female runners Combined Sections Meeting 2017 New Orleans, LA February 23, :00 am 12:00 pm We have no relevant financial disclosures or conflicts of interest to report with respect to this presentation. Course description: Pelvic floor dysfunction among female runner is said to be an epidemic by some sports medicine experts. Statistics show at least one in every four women reports having one or more pelvic-floor disorders, defined as urinary incontinence, fecal incontinence, and pelvic organ prolapse. But these are only the reported cases. Much research has noted the importance of a strong core for female athletes, but the pelvic floor musculature is not often included in this need. The pelvic floor musculature can play a major role in core stabilization, injury prevention and performance enhancement for the female runner. Keywords: Female runner, Pelvic floor dysfunction, PT Management spectrum Speakers Kari Brown-Budde PT, DPT (Board certified specialist in Sports Physical Therapy) Angela Dukaric-Page PT Phil Page PhD, PT, ATC (Fellow, American College of Sports Medicine) Teresa L. Schuemann PT, DPT, ATC (Board certified specialist in Sports Physical Therapy) General Outline 10:00 10:05 am Introduction of the Session: Teresa Schuemann 10:05 10:25 am The role of the core for postural stability: Phillip Page 10:25 10:45 am Evaluation & Assessment of the Female Runner: Kari Brown-Budde 10:45 11:10 am Pelvic Floor Screen & Preliminary Management techniques: T Schuemann 11:10 11:30 am Pelvic floor evaluation & Complicated management: Angela Page 11:30 11: 50 am Return to running management: Kari Brown-Budde 11:50 12:00 pm Questions & Answers - whole panel Session Objectives Upon completion of this session, the participant will be able to: 1. Understand the role of the core musculature in providing intra-abdominal pressure and postural stability 2. Complete an evaluation of a female runner. 3. Complete a pelvic floor musculature screen and provide preliminary management techniques. 4. Understand the necessity for a referral for a more complete pelvic floor evaluation and management by qualified physical therapy colleagues. 5. Design a complete rehabilitation program for a female to address all components of her needs and allow full return to running.
2 The role of the core for postural stability (Phil Page) What is core stability? Historical Global Perspectives US Australia Canada Europe The Core System : from Structure to Function Muscular Anatomy Sensorimotor Function The Role of the Core in the Movement System Developmental Perspective Chain Reactions The Role of the Core System in Dysfunction Stability vs. Mobility Are Core Stability & Athletic Performance related? Evaluation & Assessment of the Female Runner (Kari Brown-Budde) Key Female-Specific factors / red flags from history / examination: Pregnancies Childbirth type of birth (caesarian or vaginal) Urinary or fecal incontinence and type h/o low back or hip pain Other Mobility Spine Pelvis LE Stability Trunk Pelvis LEs Tissue Trunk Pelvis LEs Functional Special testing
3 Screening Work and ADL specific Sitting, standing, caretaking, lifting Sport specific running analysis If Appropriate / When Appropriate Video Running Gait Analysis Potential Gait Retraining Pelvic Floor Screen & Preliminary Management techniques (Teresa Schuemann) Screening Questions Do you: (Yes/No) Accidently leak urine when you exercise, play sport, laugh, cough or sneeze? (muscular tone) Need to get to the toilet in a jury or not make it there in time? (urgency) Constantly need to go to the toilet? Find it difficulty to empty your bladder or bowel? Accidently loose control of your bowel or accidently pass wind? Have a bulge or feeling of heaviness, discomfort, dragging or dropping in the vagina? (prolapse) Suffer from pelvic pain or experience pain during or after intercourse? Surface Palpation Landmarks Regions Anal triangle Urinary triangle Musculature Adductors Adductor magnus Adductor brevis Gracilis Adductor longus Pelvic floor (PF) musculature (mimic of Piriformis syndrome) Obturator Internus Gemelli Objective Measures Muscular Contraction Palpable - Yes/No Resultant movement (anal winking, genitalia nodding) Symmetry Look for buttock grippers Lateral rotation by OI Increased tone/contraction of PF Resultant Anterior hip pain and possible impingement (Lee & Lee) Soft Tissue Techniques Deep Tissue Massage Instrumented Assisted Soft Tissue Mobilization (IASTM) Dry Needling
4 Neuromuscular training Contract/relax Sustained contraction Flicking Biofeedback (contraction/pooching) Pelvic floor In-depth evaluation & management (Angela Page) Pelvic Floor History Births Trauma Gynecological conditions Bowel and Bladder History Urine/Fecal leakage Constipation Family History Pain External Assessment Tissue health atrophy, errythema, discharg Painful palpation Prolapse Transverse Abdominus coordination Intravaginal Assessment Superficial vs. Deep Tissue bulk Painful palpation Hypertonus/Muscle spasms Numbness Scarring Pelvic Floor Strength Laycock scoring system Strength and endurance Pelvic Floor Dysfunction Incontinence Prolapse Dyspareunia Vaginismus/Levator Ani Syndrome Physical Therapy Intervention Neuromuscular Re-education Intravaginal electrical stimulation Manual therapy Pelvic Floor/Transverse Abdominus coordination
5 Bladder Retraining Return to running management (Kari Brown-Budde) How and When? Heal Tissue Move Well Retrain Movement / Return to Running Factors for Return to Running Prior Level of activity / mileage Type and severity of injury / dysfunction Stage of Injury Event and Distance Running - Specific Needs Risk Factors for Reinjury Must address due to high rate of recurrence in runners Extrinsic Training Errors Inadequate Equipment Intrinsic Metabolic Musculoskeletal Timelines Injury / Dysfunction type dependent Current Physical Status Isolated Work Combined Movements / Joints / Power Progress Length, Velocity, Load, Complexity Surface, Speed, incline Running Specific Kinematic / Functional Tests Running Gait and Technique through Gait Analysis Progression through Return to Running Program References Frank C et al. Dynamic neuromuscular stabilization and sports rehabilitation Int J Sports Phys Ther : Feb;8(1): Pel, et al. Biomechanical Analysis of Reducing Sacroiliac Joint Shear Load by Optimization of Pelvic Muscle and Ligament Forces Ann Biomed Eng Mar; 36(3): Kolar P, Sulc J, Kyncl M, Sanda J, Cakrt O, Andel R, Kumagai K, Kobesova A. Postural function of the diaphragm in persons with and without chronic low back pain. J Orthop Sports Phys Ther. 2012;42(4):
6 Shamrock et al. A pilot study of core stability and athletic performance: is there a relationship? Int J Sports Phys Ther Jun; 6(2): Blyhoder L, Chumanov E, Carr K, Heiderscheit B. Exercise behaviors and health conditions of runners after childbirth. Sports Health (Epub ahead of print) Borello-France DF, Downey PA, Zyczynski HM, Rause CR. Continence and quality-of-life outcomes 6 months following an intensive pelvic-floor muscle exercise program for female stress urinary incontinence: a randomized trial comparing low- and high-frequency maintenance exercise. Phys Ther. 2008; 88: Constantinou CE. Dynamics of female pelvic floor function using urodynamics, ultrasound and magnetic resonance imaging. Eur J Obstet Gynecol Reprod Biol. 2009; 144(1): S
Toning your pelvic floor WELCOME
Toning your pelvic floor WELCOME Introductions Amelia Samuels, Physiotherapist, Active Rehabilitation Physiotherapy Supporting the Continence Foundation of Australia Continence Foundation of Australia
More information5/29/2015. Objectives. Functions of the PFM. Various phases of PFM. Evaluation of the PFM
The Physical Therapist s Approach to the Female Pelvic Floor Musculature Examination and Treatment. Presented By: Evelyne Burtis, DPT Objectives Core and pelvic floor muscles (PFM) Functions of the PFM
More informationNorthwest Rehabilitation Associates, Inc.
Pelvic Health Patient Intake Form Name: Date: Please answer the following questions as honestly and thoroughly as you can. Your responses will help us better understand your condition and provide the best
More informationCHERRY BAKER AND TRACEY GJERTSEN BSC MCSP HCPC INTRODUCTION TO DIAMOND TRAINING REHAB AND PERFORMANCE FOR PELVIC POWER
CHERRY BAKER AND TRACEY GJERTSEN BSC MCSP HCPC INTRODUCTION TO DIAMOND TRAINING REHAB AND PERFORMANCE FOR PELVIC POWER What is it? Where is it? Breathing Graded relaxation Incontinence Stress Incontinence
More information10/15/2012. Pelvic Pain and Dysfunction
Pain and Holly Bommersbach PT, MPT Angela De La Cruz PT, MPT Pain which occurs in the perineal and/or anal areas Pain in the lower abdomen, low back and/or pelvic girdle Pain may often affect other areas,
More informationDr Hannah Blakely. Dr Ben Sharp. Ms Julee Binns. Sara Widdowson. 7:15-8:15 Breakfast Session: Oxford Women's Health
Dr Hannah Blakely Clinical Psychologist Oxford Women's Health Ms Julee Binns Consultant Physiotherapist Oxford Women's Health, Christchurch Sara Widdowson NZ Registered Dietitian Christchurch Public Hospital
More informationPelvic Floor Muscle Exercises
INFORMATION FOR WOMEN OF ALL AGES Pelvic Floor Muscle Exercises How to exercise and strengthen your pelvic floor muscles ASSOCIATION OF CHARTERED PHYSIOTHERAPISTS IN WOMEN S HEALTH This leaflet is supported
More informationPELVIC FLOOR WORKSHOP- LEARN AND GET TO KNOW YOUR FLOOR
PELVIC FLOOR WORKSHOP- LEARN AND GET TO KNOW YOUR FLOOR LIFE FIT CENTER 2.22.18 DR. SHERINE AUBERT, PT, DPT, PRPC OVERVIEW What What are the functions of the pelvic floor muscles? Who Who goes to pelvic
More informationPelvic Floor Exercises
Directorate of Women, Children and Surgical Services Burton and District Urogynaecology Centre A Nationally Accredited Urogynaecology Unit Pelvic Floor Exercises You have been given this leaflet because
More informationPhysical Therapy Treatment for Pelvic Floor Disorders: Interventions and Home Programs
Physical Therapy Treatment for Pelvic Floor Disorders: Interventions and Home Programs T INA M A LLEN, PT PRPC BCB - PMD U N I V E R S I T Y O F W A S H I N G T O N M E D I C A L C E N T E R H E R M A
More informationPromoting pelvic floor safe exercise
Promoting pelvic floor safe exercise Did you know that almost every exercise your client does affects their pelvic floor? Some exercises can actually harm these muscles, leading to bladder or bowel control
More informationPromoting pelvic floor safe exercise
How to find out more Promoting safe exercise To find out more visit www.continence.org.nz or call 0800 650 659. You will find: further information about the, including how to identify and exercise these
More informationPregnancy related pelvic floor dysfunction- suggested teaching presentation for Midwives
Pregnancy related pelvic floor dysfunction- suggested teaching presentation for Midwives 1 Aims of this self assessment competency To equip Midwives with the knowledge and skills to teach pelvic floor
More informationWomen s and Men s Health Intake Form Comprehensive Physical Therapy Center
Name: (Last, First) DOB: Date: Age: Referring Physician: Next Physician Appointment: Today s visit: What is the main reason you came to the office today? When did it start? What treatments have you had
More informationPelvic organ prolapse. Information for patients Continence Service
Pelvic organ prolapse Information for patients Continence Service What is a pelvic organ prolapse? A pelvic organ prolapse occurs when the uterus (womb), vagina, bladder or bowel slips out of place, resulting
More informationPelvic Floor 101. Introduction to Pelvic Floor Health and Core Stability Presented by: Sharyl Paull, Instill Yoga Therapy
Pelvic Floor 101 Introduction to Pelvic Floor Health and Core Stability Presented by: Sharyl Paull, Instill Yoga Therapy Intentions for Today To educate: the more we know, the less scary these issues are
More informationPelvic floor exercises for women. Information for patients Continence Service
Pelvic floor exercises for women Information for patients Continence Service page 2 of 8 Why do I need to do pelvic floor exercises? Many women experience pelvic floor problems at some time during their
More informationThe Pelvic Floor Muscles - a Guide for Women
The Pelvic Floor Muscles - a Guide for Women This booklet is supported by WWWWW Wellbeing of Women Registered Charity No. 239281 www.wellbeingofwomen.org.uk Introduction Up to a third of all women experience
More informationPromoting Continence with Physiotherapy
A Common problem for Men and women Promoting Continence with Physiotherapy This leaflet contains information about physiotherapy advice and treatment for anyone with bladder and bowel problems. This may
More informationName: Date: DOB: Full Address: Phone: Home: Cell: Occupation: Emerg. contact and phone: Relationship to pt.
Client Registration Name: Date: DOB: Email: Full Address: Phone: Home: Cell: Occupation: Emerg. contact and phone: Relationship to pt. How did you hear about ALIGN? ALIGN Integration Movement does not
More informationThe pelvic floor is a system of muscles, ligaments, and tissues that keep your pelvic organs firmly in place.
The pelvic floor is a system of muscles, ligaments, and tissues that keep your pelvic organs firmly in place. Think of it as the hammock of muscle that holds up your uterus, vagina, bladder, small intestine,
More informationPilates and The Pelvic Floor
Pilates and The Pelvic Floor Kristina Rogan 10/30/14 Maroochydore Australia 1 Abstract: Some women feel like their lives revolve around their bladder. They find themselves searching for a public restroom
More informationand pelvic control. In addition, dysfunction across the lifespan is explored from this new perspective. (run time = 2 hours).
Diaphragm/Pelvic Floor Piston for Adult Populations Online is an innovative approach to restoring foundational postural control for adult rehabilitation, recovery and return to fitness. The viewer is introduced
More informationPelvic Floor Exercises
Pelvic Floor Exercises Physiotherapy Department Patient information leaflet Up to a third of women experience a problem with their pelvic floor muscles at some point during their life. The muscles can
More informationARTIFICIAL MESH REPAIR FOR TREATMENT OF PELVIC ORGAN PROLAPSE
Pelvic Floor Unit / Department of Gynaecology Ward 17, Singleton Hospital, Sketty, Swansea, SA2 8QA 01792 205666 Secretary Direct Line: 01792 285688. Fax: 01792 285874 ARTIFICIAL MESH REPAIR FOR TREATMENT
More informationPatient History. Name Age Date. 2. When did your problem first begin?
Patient History Name Age Date 1. Describe the problem that brought you here? 2. When did your problem first begin? 3. Was your first episode of the problem related to a specific incident/injury? Yes/No
More informationIMPROVING URINARY INCONTINENCE
IMPROVING URINARY INCONTINENCE INFORMATION FOR OLDER ADULTS, FAMILIES, AND CAREGIVERS READ THIS PAMPHLET TO LEARN: What Urinary Incontinence is. How to Manage Urinary Incontinence. What Pelvic Floor Exercises
More informationTodd Martin, PT Jared Bailey, PT Samantha Stollberg, PT, PRPC Karen Bailey, PT John Hollinshead, PT Sarada Bird, DPT Adrian Asencio, OTR/L, CHT
Adrian Asencio, OTR/L, CHT Please fill out the enclosed forms and bring them with you to your first appointment. At that time, we will do a brief examination of your pelvic floor muscles, and you are welcome
More informationPostpartum Complications
ACOG Postpartum Toolkit Postpartum Complications Introduction The effects of pregnancy on many organ systems begin to resolve spontaneously after birth of the infant and delivery of the placenta. The timeline
More informationCORE STABILIZATION EXERCISE. Vincent J. Hudson, PhD, DPT, MBA, ATC Chief Operating Officer OAA Orthopaedic Specialists Allentown, PA
CORE STABILIZATION EXERCISE Vincent J. Hudson, PhD, DPT, MBA, ATC Chief Operating Officer OAA Orthopaedic Specialists Allentown, PA Stepping Back What are the goals? What is the value? Is it Sport Specific
More informationInside: Incontinence, Chronic Pelvic Pain, & Physical Therapy
Health & Physical Therapy The Newsletter About Your Health And Caring For Your Body Don t Suffer From Pain Incontinence, Chronic Pelvic Pain, & Physical Therapy Inside: Incontinence, Chronic Pelvic Pain
More informationFemale Urinary Incontinence: What It Is and What You Can Do About It
Female Urinary Incontinence: What It Is and What You Can Do About It Urogynecology Patient Information Sheet What is Urinary Incontinence? Stress Incontinence is a leakage of urine that occurs, for example,
More informationURINARY INCONTINENCE
Center for Continence Care and Pelvic Medicine What is urinary incontinence? URINARY INCONTINENCE Urinary incontinence is the uncontrollable loss of urine. The amount of urine leaked can vary from only
More informationPelvic Floor Therapy for the Oncology Patient
Therapy for the Oncology Patient CARINA SIRACUSA, PT, DPT, WCS OHIOHEALTH PELVIC FLOOR PHYSICAL THERAPIST ONCOLOGY REHABILITATION PROGRAM COORDINATOR What does a pelvic floor therapist treat? Muscles Muscles
More informationOutpatient Rehabilitation Services
Outpatient Rehabilitation Services Shapiro Building, 2nd Floor 330 Brookline Avenue Boston, MA 02215 (617) 754-9100 bidmc.org/pelvicfloorpt Outpatient Rehabilitation Services ALL ABOUT YOUR Pelvic Floor
More informationPelvic Floor Dysfunction (PFD) Interdisciplinary Treatment and Referral Consideration for Physician Assistants
Pelvic Floor Dysfunction (PFD) Interdisciplinary Treatment and Referral Consideration for Physician Assistants Gerry Keenan, MMS, PA C Tammy Roehling, PT, DPT Learner Objectives 1. Recreate the pelvic
More informationJohn Laughlin 4 th year Cardiff University Medical Student
John Laughlin 4 th year Cardiff University Medical Student Prolapse/incontinence You need to know: Pelvic floor anatomy in relation to uterovaginal support and continence The classification of uterovaginal
More informationAN EXPLORATION OF PELVIC FLOOR DYSFUNCTION: CAUSES, REVIEW OF RESEARCH AND TREATMENT. Karoline Kaminski
AN EXPLORATION OF PELVIC FLOOR DYSFUNCTION: CAUSES, REVIEW OF RESEARCH AND TREATMENT. Karoline Kaminski Research Project Diploma in Osteopathic Manual Practice Fall 2014 National Academy of Osteopathy
More informationVoiding Diary. Begin recording upon rising in the morning and continue for a full 24 hours.
Urodvnamics Your physician has scheduled you for a test called URODYNAMICS. This test is a series of different measurements of bladder function and can be used to determine the cause of a variety of bladder
More informationNot a Laughing Matter
Not a Laughing Matter How to Incorporate Pelvic Health Rehabilitation into your STAR program Nancy Corvigno MSPT PRPC Certified Star Clinician STAR Program at Griffin Hospital Survivorship Training and
More informationA Bearinger, SPT; B Cobb, SPT; L Shank, SPT; M Gevontmakher, SPT
What goes up must come down? An analysis of the Periform Plus intravaginal sensor with indicator using simultaneous Ultrasound imaging and Surface Electromyography in healthy continent women. A Bearinger,
More informationPelvic Health Physical Therapy Certificate Program. Curriculum
Pelvic Health Physical Therapy Certificate Program Curriculum Effective: January 2015 PELVIC HEALTH CERTIFICATE PROGRAM CURRICULUM Program Director: Jennifer Stone, PT, DPT, OCS, CAPP Certified Pelvic
More informationPelvic Floor Muscle exercises and Bladder advice
n The Leeds Teaching Hospitals NHS Trust Pelvic Floor Muscle exercises and Bladder advice Information for patients Leeds Centre for Women s Health This leaflet aims to explain about your pelvic floor muscles,
More informationMove Well, Live Well Newsletter
Move Well, Live Well Newsletter June 15, 2016 Volume 4, Number 6 In This Issue: Lateral Knee Pain in Runners: The Role of the Biceps Femoris The Role of 2D Video Running Analysis in Determining the Cause
More informationINCONTINENCE. Continence and Pelvic Floor Rehabilitation TYPES OF INCONTINENCE STRESS INCONTINENCE STRESS INCONTINENCE STRESS INCONTINENCE 11/08/2015
INCONTINENCE Continence and Pelvic Floor Rehabilitation Dr Irmina Nahon PhD Pelvic Floor Physiotherapist www.nahonpfed.com.au Defined as the accidental and inappropriate passage of urine or faeces (ICI
More informationPREVENTING URINARY INCONTINENCE through PELVIC FLOOR REHABILITATION in DISABLED ELDERLY
PREVENTING URINARY INCONTINENCE through PELVIC FLOOR REHABILITATION in DISABLED ELDERLY Paolo DI BENEDETTO Lecturer, Tor Vergata University, Rome, Italy Former Director of Rehabilitation Department Institute
More informationPelvic Support Problems
AP012, April 2010 ACOG publications are protected by copyright and all rights are reserved. ACOG publications may not be reproduced in any form or by any means without written permission from the copyright
More informationStress. incontinence FACTS, ADVICE, AND EXERCISES.
Stress incontinence FACTS, ADVICE, AND EXERCISES Facts about incontinence Urinary incontinence is a common problem; one in every four women has problems with some form of leakage. Incontinence can be anything
More informationLatest Treatments for a Leaky Bladder None
Latest Treatments for a Leaky Bladder None Financial Disclosures Jeremiah McNamara, MD, OBGYN Boulder Women s Care 303-500-1947 Boulder Women s Care Agenda: Prolapse & Urinary Incontinence The Pelvic Floor
More informationPelvic floor exercises for women. An information guide
TO PROVIDE THE VERY BEST CARE FOR EACH PATIENT ON EVERY OCCASION Pelvic floor exercises for women An information guide Pelvic Floor Exercises for Women This leaflet will provide you with information about
More informationPatient Information. Tension Free Vaginal/ Obturator Tape (TVT) Royal Devon and Exeter NHS Foundation Trust
Tension Free Vaginal/Obturator Tape (TVT) Royal Devon and Exeter NHS Foundation Trust Patient Information Tension Free Vaginal/ Obturator Tape (TVT) Reference Number: CW 08 011 003 (version date: September
More informationUsing Physiotherapy to Manage Urinary Incontinence in Women
Using Physiotherapy to Manage Urinary Incontinence in Women Bladder control problems are common, and affect people of all ages, genders and backgrounds. These problems are referred to as urinary incontinence
More informationGynaecology Department Patient Information Leaflet
Vaginal pessaries Gynaecology Department Patient Information Leaflet Introduction We have developed this information leaflet to answer some commonly-asked questions about what a vaginal pessary is, how
More informationPersonal Background. Brenau Graduate. Practicing OT for five years Specializing in pelvic floor for three years
Personal Background Brenau Graduate Practicing OT for five years Specializing in pelvic floor for three years Learning Objectives Identify male and female pelvic floor and pelvic girdle structures List
More informationTension Free vaginal tape. Mrs Ami Shukla, Consultant Urogynaecologist Northampton General Hospital Northampton NN1 5BD
Tension Free vaginal tape Mrs Ami Shukla, Consultant Urogynaecologist Northampton General Hospital Northampton NN1 5BD What is a TVT procedure? A TVT (Tension Free Vaginal Tape) procedure is an operation
More informationHow is the core stabilized?
What is Dynamic Neuromuscular Stabilization (DNS)? Dynamic Neuromuscular Stabilization (DNS) is a new rehabilitative approach to improving and maximizing performance of human movement. It focuses on the
More informationPelvic Floor Exercises
Pelvic Floor Exercises Information for patients, relatives and carers For more information, please contact: Women s Health Physiotherapy Department The York Hospital Wigginton Road, York, YO31 8HE Tel:
More informationCHRONIC PAIN AND WOMEN S HEALTH NEWSLETTER
INCONTINENCE INCONTINENCE CHRONIC PAIN AND WOMEN S HEALTH NEWSLETTER BLADDER CONTROL INCONTINENCE Do any of these scenarios sound familiar? Allergy season is in full swing and you are not only dealing
More informationConnecting the Core. Rationale. Physiology. Paul J. Goodman, MS, CSCS. Athletes have been inundated with terminology
Connecting the Core Paul J. Goodman, MS, CSCS Athletes have been inundated with terminology and references to core development in recent years. However, little has been conveyed to these athletes on what
More informationIntentions and Format of the Class
Intentions and Format of the Class To give you a not so common sense understanding of your pelvis. Including Anatomy Dysfunction (when things don t work right) Exercise (Yoga Asanas) that promote pelvic
More informationPatient Information Incontinence & Prolapse Self-help
Patient Information Incontinence & Prolapse Self-help Urogynaecology Introduction This leaflet is produced as a self-help guide for women of East and North Herts that are experiencing issues with continence.
More informationFemale Chain Reaction. With Leslee Bender Fellow of Applied Functional Science
Female Chain Reaction With Leslee Bender Fellow of Applied Functional Science Female Chain Reaction Objectives To understand why women have issues with their pelvic floor Why women have different postural
More informationPelvic Girdle Pain in Pregnancy
CHFT If you have any comments about this leaflet or the service you have received you can contact : Assistant Therapy Services Co-ordinator Rehabilitation Department Calderdale Royal Hospital Salterhebble
More informationSAMPLE. Osteopathy and Back pain a safe and effective approach
Osteopathy and Back pain a safe and effective approach Back pain will affect 8 out of 10 people at some point in their life - mild or severe, acute or chronic. Common causes of back pain include: heavy
More informationPelvic Floor Muscle Exercises and Advice for Men
Pelvic Floor Muscle Exercises and Advice for Men (formerly ACPWH) Useful resources Websites Pelvic Obstetric & Gynaecological Physiotherapy - pogp.csp.org.uk Bladder and Bowel Foundation - www.bladderandbowelfoundation.org
More informationCentral Texas Myofascial Release New Patient Information Sheet P a g e 1
P a g e 1 Welcome to our practice! Please help us serve you better by taking a few minutes to provide the following information. If a section does not apply please mark N/A. Name: Last Name First Name
More informationFecal Incontinence. What is fecal incontinence?
Scan for mobile link. Fecal Incontinence Fecal incontinence is the inability to control the passage of waste material from the body. It may be associated with constipation or diarrhea and typically occurs
More informationDear Patient, Sincerely, The Pelvic Health and Rehabilitation Center
Dear Patient, Welcome to the Pelvic Health and Rehabilitation Center! We specialize in physical therapy management of numerous pelvic pain disorders. We believe in a multidisciplinary collaborative approach
More informationPelvic Floor Exercises: a guide for women
Approvals: Gynae Guidelines Group: Jul 2018 O&G SDU: Jul 2018 Clinical Guidelines Subgroup: not required BMV: Sep 2018 Equality Impact Assessment: Oct 2018 Patient Experience Group: February 2019 Division
More informationPelvic floor exercises for women. An information guide
TO PROVIDE THE VERY BEST CARE FOR EACH PATIENT ON EVERY OCCASION Pelvic floor exercises for women An information guide Pelvic floor exercises for women This leaflet will provide you with information about
More informationLook Good Feel Good. after pregnancy. Physiotherapy advice and exercises for new mums
Look Good Feel Good after pregnancy Physiotherapy advice and exercises for new mums How to exercise after pregnancy with physiotherapy Bowel Tail Bone Uterus Bladder Pubic Bone Pelvic Floor Muscles Urethra
More informationWELCOME TO COMPLETE WELLNESS CLINIC Take the first step to wellness!
WELCOME TO COMPLETE WELLNESS CLINIC Take the first step to wellness! Your first appointment involves an assessment by a Registered Physiotherapist. Please read our website for more information. You may
More informationIF YOU VE GOT TO GO, WE VE GOT SOLUTIONS.
IF YOU VE GOT TO GO, WE VE GOT SOLUTIONS. Get the facts about urinary incontinence and get real solutions. HENRY FORD PELVIC HEALTH & CONTINENCE CENTER HENRY FORD WOMEN S HEALTH SERVICES INCONVENIENCE?
More informationProlapse and Urogynae Incontinence. Lucy Tiffin and Hannah Wheldon-Holmes
Prolapse and Urogynae Incontinence Lucy Tiffin and Hannah Wheldon-Holmes 66 year old woman with incontinence PC: 7 year Hx of urgency, frequency, nocturia (incl. incontinence at night), and stress incontinence
More informationLoss of Bladder Control
BLADDER HEALTH: Bladder Prolapse Loss of Bladder Control Bladder Prolapse Don t Let Bladder Prolapse Keep You from Enjoying Life. What is the Bladder? The bladder is a hollow, balloon-like organ made mostly
More informationOxford Pelvic Floor Services A guide to the pelvic floor muscles Information for women
Oxford Pelvic Floor Services A guide to the pelvic floor muscles Information for women Introduction Many women suffer from weakness of their pelvic floor muscles. Common symptoms include: leaking urine
More informationFILEX 2012 Pelvic Floor 3 ways. SUI in female athletes. Stresses on PFM funcbon 4/3/12.
www.facebook.com/beacbvephysio FILEX 2012 Pelvic Floor 3 ways Marie:a Mehanni www.marie:amehani.com Shira Kramer www.beacbvephysio.com Michelle Wright www.mishfit.com.au 1 in 3 women who have had a baby
More informationEXPECTING A BABY? SOME PREGNANT WOMEN CAN HAVE BLADDER AND BOWEL CONTROL PROBLEMS. YOU CAN GET HELP. HOW DO I KNOW IF I HAVE A PROBLEM?
11 BLADDER AND BOWEL CONTROL PROBLEMS. When you are pregnant, you get a lot of advice from many people. One topic few people think about is bladder and bowel control problems during pregnancy and after
More informationSession 4: Exercise Prescription for Musculoskeletal Disorders: Low Back Pain
Session 4: Exercise Prescription for Musculoskeletal Disorders: Low Back Pain Course: Designing Exercise Prescriptions for Normal/Special Populations Presentation Created by Ken Baldwin, M.ED, ACSM-H/FI
More informationPelvic floor muscle exercises (long)
Pelvic floor muscle exercises (long) This leaflet aims to give an overview of pelvic floor muscles, their function, how they can be exercised and why this is so important. What are pelvic floor muscles
More informationPelvic Organ Prolapse. Natural Solutions
Pelvic Organ Prolapse Natural Solutions Bringing your body back to its natural state There is a very common problem affecting millions of women. Many women are too embarrassed to talk to their physicians
More informationStop Coping. Start Living. Talk to your doctor about pelvic organ prolapse and sacrocolpopexy
Stop Coping. Start Living Talk to your doctor about pelvic organ prolapse and sacrocolpopexy Did you know? One in three women will suffer from a pelvic health condition in her lifetime. Four of the most
More informationAetiology 1998 Bump & Norton Theoretical model
Kate Lough MSc MCSP Handout IUGA Nice 2015 Physiotherapy and the Provision of Pelvic Floor Muscle Training and Lifestyle Intervention in the Conservative Management of Pelvic Organ Prolapse an evidence
More informationUterus (Womb) Rectum. Another problem could be the sensation of something coming down at the birth canal or back passage (prolapse).
Pelvic Floor Exercises for Women Physiotherapy Department Continence Service Introduction This leaflet tells you how to exercise and strengthen your pelvic floor muscles. These muscles form a broad sling
More informationInformation within the handout. Brief Introduction Anatomy & Biomechanics Assessment & Diagnosis Treatment through Muscle Energy
Manual Medicine Diagnosis and Treatment for Somatic Dysfunction of the Pelvis Through Muscle Energy Greenman s Priciples of Manual Medicine (5 th Ed.)- Lisa DeStefano,DO Speaker disclosure I declare I
More informationFEMALE URINARY INCONTINENCE: WHAT IT IS AND WHAT YOU CAN DO ABOUT IT
URO-GYNECOLOGY PATIIENT IINFORMATIION SHEET FEMALE URINARY INCONTINENCE: WHAT IT IS AND WHAT YOU CAN DO ABOUT IT What is Urinary Incontinence? Stress Incontinence is a leakage of urine that occurs, for
More informationDynamic rehabilitative ultrasound for pelvic floor disorders Introduction in techniques and hands-on-workshop
Dynamic rehabilitative ultrasound for pelvic floor disorders Introduction in techniques and hands-on-workshop Bärbel Junginger, B.Sc. /physiotherapist, manualtherapist (IFOMPT) Kaven Baessler, MD, PhD
More informationLAPAROSCOPIC REPAIR OF PELVIC FLOOR
LAPAROSCOPIC REPAIR OF PELVIC FLOOR Dr. R. K. Mishra Elements comprising the Pelvis Bones Ilium, ischium and pubis fusion Ligaments Muscles Obturator internis muscle Arcus tendineus levator ani or white
More informationA PATIENT GUIDE TO Understanding Stress Urinary Incontinence
A PATIENT GUIDE TO Understanding Stress Urinary Incontinence Q: What is SUI? A: Stress urinary incontinence is defined as the involuntary leakage of urine. The problem afflicts approximately 18 million
More informationSurgery for vaginal vault prolapse. Patient decision aid
Surgery for vaginal vault prolapse Patient decision aid? i What is vaginal vault prolapse? Vaginal vault prolapse happens when the top of the vagina (the vault) slips from its normal position and sags
More informationPelvic floor weakness
Information leaflet for patients Pelvic floor weakness Physiotherapy department You have been referred to this department for treatment and advice because you have one or more of the following symptoms:
More informationPOSTNATAL EXERCISES & ADVICE. Physiotherapy Department
POSTNATAL EXERCISES & ADVICE Physiotherapy Department This booklet provides advice and exercises to help you to get back to normal after the birth or your baby. Rest: After having your baby it is important
More informationPelvic Dysfunction: The Missing Link. Raza Awan, MD
Pelvic Dysfunction: The Missing Link Raza Awan, MD Disclosures None Housekeeping Thank You Objectives By the end of this session participants will be able to: Identify the link between non-resolving low
More informationWomen s & Children s Directorate The TVT Operation - a guide for patients
Women s & Children s Directorate The TVT Operation - a guide for patients This leaflet was written for women who are considering having a TVT operation. If you have any questions that aren't answered by
More informationPELVIC FLOOR MUSCLE EXERCISES FOR WOMEN
PELVIC FLOOR MUSCLE EXERCISES FOR WOMEN This leaflet explains what pelvic floor muscle exercises are and how to do these correctly. You may need to see a Women s Health Physiotherapist if you find it difficult
More informationFEMALE SYMPTOM MONITOR
FEMALE SYMPTOM MONITOR Name: Occupation: Date: Age: Complaints: 1. 2. 3. GYNECOLOGICAL HISTORY: # pregnancies: # live births: Wt. heaviest baby: lbs oz Length pushing stage: hours Forceps? Yes No Episiotomies?
More informationWomen's physiotherapy
The women s health physiotherapy outpatient team treats a variety of conditions affecting women: chronic pelvic pain urinary incontinence birth-related perineal trauma antenatal and postnatal musculoskeletal
More informationAdvanced Care for Female Overactive Bladder & Urinary Incontinence. Department of Urology Kaiser Permanente Santa Rosa
Advanced Care for Female Overactive Bladder & Urinary Incontinence Department of Urology Kaiser Permanente Santa Rosa Goals Participants will: Review normal urinary tract anatomy and function Understand
More informationProvenance Rehabilitation Pelvic Intake Form
Patient Name: Age: Weight: Gender: Male Female Provenance Rehabilitation Pelvic Intake Form Date: DOB: Occupation: Relationship Status: Hobbies / Leisure Activities: Exercise Routine: Briefly describe
More informationPelvic Floor Exercises
Pelvic Floor Exercises Information for service users and carers RDaSH leading the way with care Pelvic Floor Muscles The pelvic floor muscles are a sling of muscles across the floor of the pelvis. The
More information