Evidence-Based Physical Therapy for the Pelvic Floor: Bridging Science and Clinical Practice

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This unique book bridges the gap between evidence-based research and clinical practice in physical therapy for pelvic floor dysfunction. A cast of highly experieinced specialists is headed up by an internationally renowned editorial team of pioneering researchers and teachers. Each treatment chapter starts with a focus on evidence from basic studies (theories or rationales for the treatment) and RCTs (appraisal of effectiveness); this is then comprehensively linked to the implications for clinical practice and followed up with recommendations on how to start, continue and progress treatment. Includes: Detailed treatment strategies - pelvic floor muscle training, biofeedback and electrical stimulation, Information on pelvic floor dysfunction in specific groups - men, children, elite athletes, the elderly, pregnancy, neurological diseases, Detailed illustrations of pelvic floor anatomy and related neuroanatomy/neurophysiology, MRIs and ultrasounds showing normal and dysfunctional pelvic floor, Clinical practice guidelines, Critical appraisal of RCTs, Strategies to reduce drop-out in conservative treatment. This text is essential for all forward-thinking clinicians specializing in the pelvic floor and looking for innovative practice guidelines grounded in a sound evidence base.
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Editorial Reviews

From the Publisher
"[This] is a very modern textbook. It is based on evidence, it brings together physiotherapists, clinicians and researchers, and it focuses on what really matters - namely the problem of the patient which impacts on her or his quality of life. Dr. Kari Bo, Dr. Bary Berghmans, Dr. Siv Morkved and Dr. Marijke Van Kampen are to be congratulated on having brought together such a distinguished list of contributors. They will open our eyes and give us a new understanding of physiotherapy for the pelvic floor." -- from foreword to the first edition by Paul Riss
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Product Details

  • ISBN-13: 9780443101465
  • Publisher: Elsevier Health Sciences
  • Publication date: 8/10/2007
  • Pages: 456
  • Product dimensions: 7.40 (w) x 9.60 (h) x 1.20 (d)

Table of Contents

Contributors     vii
Foreword - International Continence Society   Walter Artibani     ix
Foreword - International Urogynecology Association   Paul A. Riss     xi
Foreword - World Confederation of Physical Therapy   Sandra Mercer Moore     xiii
Preface   Kari Bo   Bary Berghmans   Sir Morkved   Marijke Van Kampen     xv
Overview of physical therapy for pelvic floor dysfunction   Kari Bo     1
Critical appraisal of randomized trials and systematic reviews of the effects of physical therapy interventions for the pelvic floor   Rob Herbert     9
Functional anatomy of the female pelvic floor   James A. Ashton-Miller   John O. L. DeLancey     19
Neuroanatomy and neurophysiology of pelvic floor muscles   David B. Vodusek     35
Measurement of pelvic floor muscle function and strength and pelvic organ prolapse     45
Introduction   Kari Bo   Margaret Sherburn     47
Visual observation and palpation   Kari Bo   Margaret Sherburn     50
Electromyography   David B. Vodusek     56
Vaginal squeeze pressure measurement   Kari Bo   Margaret Sherburn     63
Urethral pressure measurements   Mohammed Belal   Paul Abrams     69
Pelvic floor dynamometry   Chantale Dumoulin   Melanie Morin     76
Ultrasound in the assessment of pelvic floor muscle and pelvic organ descent   Hans Peter Dietz     81
MRI of intact and injured female pelvic floor muscles   John O. L. DeLancey   James A. Ashton-Mlller     93
Clinical assessment of pelvic organ prolapse   Richard C. Bump     105
Pelvic floor and exercise science     113
Motor learning   Kari Bo   Siv Morkved     113
Strength training   Kari Bo   Arve Aschehoug     119
Strategies to enhance adherence and reduce drop out in conservative treatment   Dianne Alewijnse   Ilse Mesters   Job F. M. Metsemakers   Bart van den Borne     133
Lifestyle interventions for pelvic floor dysfunction   Pauline Chiarelli     147
Pelvic floor dysfunction and evidence-based physical therapy     161
Female stress urinary incontinence     164
Prevalence, causes, pathophysiology: two views, one disease   Jacques Corcos   Anders Mattiasson     164
Pelvic floor muscle training for stress urinary incontinence   Kari Bo     171
Electrical stimulation for SUI   Bary Berghmans     187
Overactive bladder     201
Introduction   Anders Mattiasson     201
Bladder training for OAB   Jean F. Wyman     208
Pelvic floor muscle training for OAB   Kari Bo     218
Electrical stimulation for OAB   Bary Berghmans     222
Pelvic organ prolapse     233
Introduction   James Balmforth   Dudley Robinson     233
Pelvic floor muscle training in the prevention and treatment of POP   Kari Bo   Helena Frawley     240
Pelvic pain     249
Pelvic floor muscle assessment   Helena Frawley   Wendy Bower     249
Treatment of pelvic floor muscle pain and/or overactivity   Helena Frawley   Wendy Bower     258
Female sexual dysfunction     266
Assessment   Alessandra Graziottin     266
Treatment   Alessandra Graziottin     277
Male sexual dysfunction     287
Introduction   Grace Dorey     287
Treatment   Grace Dorey      294
Fecal incontinence     304
Introduction   Ylva Sahlin   Espen Berner     304
Physical therapy for fecal incontinence   Siv Morkved     309
Evidence for pelvic floor physical therapy for urinary incontinence during pregnancy and after childbirth   Siv Morkved     317
Urinary incontinence during pregnancy and after childbirth     318
Evidence for pelvic floor physical therapy for urinary incontinence during pregnancy     323
Evidence for pelvic floor physical therapy for urinary incontinence after delivery     327
Evidence for pelvic floor physical therapy for neurological diseases   Marijke Van D Kampen     337
Stroke     338
Multiple sclerosis     341
Evidence for pelvic floor physical therapy in the elderly   Margaret Sherburn     345
Pelvic floor physical therapy in elite athletes   Kari Bo     369
Evidence for pelvic floor therapy in men   Marijke Van D Kampen     379
Postprostatectomy incontinence     380
Terminal and postvoid dribble     389
Evidence for pelvic floor therapy in children   Wendy F. Bower     395
Dysfunction of bladder control     395
Constipation in children      401
The development of clinical practice guidelines in physical therapy   Bary Berghmans   Erik Hendriks   Nol Bernards   Rob de Bie     409
Useful URLs     419
Index     423
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