Pelvic floor muscle rehabilitation: Comprehensive rehabilitation is the key of success !
Pelvic floor muscle rehabilitation: Comprehensive rehabilitation is the key of success !
The pelvic floor muscle dysfunction syndrome is mainly characterized by incontinence, pelvic floor pain, sexual dysfunction, constipation or anal fistula. This condition has a complex presentation. Therefore, the treatment of this problem can not only focus solely on an organ. Currently, this condition is still lacking of proper clinical diagnosis and comprehensive treatment plan. Thus, Pedraza and his research team from the Center of Pelvic Health and Physical Therapy in Houston, USA, conducted research and published it in Adv Urol's in June 2014.
Pedraza believes that pelvic floor muscle rehabilitation is a non-invasive treatment model that involves many rehabilitation modalities, such as adjusting and training the strength and endurance of pelvic floor muscles and other functionally related muscles, biofeedback, electrical stimulation, and cognitive behavioral therapy. In this article, the authors described a standard pelvic floor muscle rehabilitation program for managing pelvic floor muscle dysfunction syndrome. This treatment protocol integrates the clinical manifestations and assessment of pelvic floor muscle dysfunction and develops individualized treatment options based on the results.
Diagnostic assessment: A general assessment of patients with pelvic floor dysfunction is usually performed first, mainly on symptoms and severity, past medical history, obstetric history, medication status, social and mental stress. A systematic review of symptoms is used to identify the primary causes of current dysfunction, such as the gastrointestinal tract, endocrine, urinary system, or pelvic floor muscle disorders. At the same time, patients were given a series of questionnaires to assess the quality of life and severity of the dysfunction.
A comprehensive physical examination was then performed to assess the anatomy and function of the pelvic floor muscles.
Rectal Manometry: Rectal manometry was performed using the CTS2000 Pathway to assess the physiological and functional status of the pelvic floor muscles and other related muscle groups. Inserting a baroreceptor into the anus can quantify the tension and contraction of the pelvic floor muscles. Based on the results, the changes in pelvic floor muscle function can be identified and divided into two categories: high tension group and low tension group.
Electromyography: Four phases were recorded and analyzed using an electromyogram: (1) Initial baseline phase: The patient was recorded at rest for 60 seconds to determine the patient's baseline. (2) Rapid contraction phase: Electrical activity was recorded when the patient underwent 5 rapid pelvic floor muscle contractions. (3) Tensile contraction and endurance phase: The pelvic floor muscles and abdominal muscles contract for 10 seconds, relax for 10 seconds for 5 consecutive cycles, and electrical activity was recorded. (4) Post-residual phase: The patient contracted for 60 seconds and the final baseline was evaluated.
Rehabilitation treatment plan: Customized individualized treatment plan based on the results of pelvic floor muscle evaluation. 8-10 training sessions were performed every other week, and appropriate family training programs and lifestyle adjustments were given based on patient treatment performance. The overall treatment plan includes one or more of the following options: (1) isolated assisted muscle group training (2) enhanced pelvic floor muscle contraction awareness training (3) pelvic floor muscle strength training (4) pelvic floor muscle endurance training ( 5) Lower pelvic floor muscle tension training (6) pelvic floor muscle stimulation
In addition, when the patient has problems such as incontinence and chronic pain caused by weakness of the levator ani muscle and tendons, auxiliary physical therapy and cognitive behavioral therapy can be given. Physical therapy includes pelvic floor muscles massage, and trigger point relaxation, misaligned bone correction. Cognitive-behavioral therapy includes a variety of psychological counseling sessions for individuals or couples, but this is more dependent on a good patient-therapist relationship.
The pelvic floor muscle rehabilitation program provides a standard protocol for the diagnosis and management of pelvic floor muscle dysfunction syndrome, which has potential advantages over traditional biofeedback treatments because it includes other interventions, continuous pelvic floor muscles. Assessment and adjustment of management options during clinical treatment.
Click the link below for enquiry if you are interested to be distributor or purchase any product. m.me/NeurostylePteLtd
or
sales@neurostyle.biz ☎️+65 65632678 or + 65 8283 5179 neuro-style.com
The pelvic floor muscle dysfunction syndrome is mainly characterized by incontinence, pelvic floor pain, sexual dysfunction, constipation or anal fistula. This condition has a complex presentation. Therefore, the treatment of this problem can not only focus solely on an organ. Currently, this condition is still lacking of proper clinical diagnosis and comprehensive treatment plan. Thus, Pedraza and his research team from the Center of Pelvic Health and Physical Therapy in Houston, USA, conducted research and published it in Adv Urol's in June 2014.
Pedraza believes that pelvic floor muscle rehabilitation is a non-invasive treatment model that involves many rehabilitation modalities, such as adjusting and training the strength and endurance of pelvic floor muscles and other functionally related muscles, biofeedback, electrical stimulation, and cognitive behavioral therapy. In this article, the authors described a standard pelvic floor muscle rehabilitation program for managing pelvic floor muscle dysfunction syndrome. This treatment protocol integrates the clinical manifestations and assessment of pelvic floor muscle dysfunction and develops individualized treatment options based on the results.
Diagnostic assessment: A general assessment of patients with pelvic floor dysfunction is usually performed first, mainly on symptoms and severity, past medical history, obstetric history, medication status, social and mental stress. A systematic review of symptoms is used to identify the primary causes of current dysfunction, such as the gastrointestinal tract, endocrine, urinary system, or pelvic floor muscle disorders. At the same time, patients were given a series of questionnaires to assess the quality of life and severity of the dysfunction.
A comprehensive physical examination was then performed to assess the anatomy and function of the pelvic floor muscles.
Rectal Manometry: Rectal manometry was performed using the CTS2000 Pathway to assess the physiological and functional status of the pelvic floor muscles and other related muscle groups. Inserting a baroreceptor into the anus can quantify the tension and contraction of the pelvic floor muscles. Based on the results, the changes in pelvic floor muscle function can be identified and divided into two categories: high tension group and low tension group.
Electromyography: Four phases were recorded and analyzed using an electromyogram: (1) Initial baseline phase: The patient was recorded at rest for 60 seconds to determine the patient's baseline. (2) Rapid contraction phase: Electrical activity was recorded when the patient underwent 5 rapid pelvic floor muscle contractions. (3) Tensile contraction and endurance phase: The pelvic floor muscles and abdominal muscles contract for 10 seconds, relax for 10 seconds for 5 consecutive cycles, and electrical activity was recorded. (4) Post-residual phase: The patient contracted for 60 seconds and the final baseline was evaluated.
Rehabilitation treatment plan: Customized individualized treatment plan based on the results of pelvic floor muscle evaluation. 8-10 training sessions were performed every other week, and appropriate family training programs and lifestyle adjustments were given based on patient treatment performance. The overall treatment plan includes one or more of the following options: (1) isolated assisted muscle group training (2) enhanced pelvic floor muscle contraction awareness training (3) pelvic floor muscle strength training (4) pelvic floor muscle endurance training ( 5) Lower pelvic floor muscle tension training (6) pelvic floor muscle stimulation
In addition, when the patient has problems such as incontinence and chronic pain caused by weakness of the levator ani muscle and tendons, auxiliary physical therapy and cognitive behavioral therapy can be given. Physical therapy includes pelvic floor muscles massage, and trigger point relaxation, misaligned bone correction. Cognitive-behavioral therapy includes a variety of psychological counseling sessions for individuals or couples, but this is more dependent on a good patient-therapist relationship.
The pelvic floor muscle rehabilitation program provides a standard protocol for the diagnosis and management of pelvic floor muscle dysfunction syndrome, which has potential advantages over traditional biofeedback treatments because it includes other interventions, continuous pelvic floor muscles. Assessment and adjustment of management options during clinical treatment.
Click the link below for enquiry if you are interested to be distributor or purchase any product. m.me/NeurostylePteLtd
or
sales@neurostyle.biz ☎️+65 65632678 or + 65 8283 5179 neuro-style.com
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