China
Africa
Explore chapters and articles related to this topic
Sexual Health
Published in Carolyn Torkelson, Catherine Marienau, Beyond Menopause, 2023
Carolyn Torkelson, Catherine Marienau
Pelvic floor physical therapy involves biofeedback and exercises to encourage relaxation and strengthening of the muscles of the lower pelvis. It purports significant benefits, including improving some forms of urinary incontinence, increasing strength and awareness of the muscles involved in pleasurable sexual sensations, reducing vaginal or pelvic pain during sex, and preventing or treating pelvic organ prolapse (a condition in which the uterus or bladder bulges into the vagina). Pelvic floor physical therapy has helped address sexual problems by improving chronic vaginal or pelvic pain and urinary incontinence.
A Functional Approach to Gynecologic Pain
Published in Sahar Swidan, Matthew Bennett, Advanced Therapeutics in Pain Medicine, 2020
Pelvic floor physical therapy is a useful adjunct to all gynecologic pain syndromes. With specific regard to vulvodynia, several factors contribute to muscle restriction and hypertonicity in the pelvic musculature. Many women exhibit myofascial trigger points and increased muscle tension in the pelvis,79 and numerous studies have demonstrated efficacy in treatment.80 Pelvic floor physical therapy involves a variety of modalities, including pelvic and core mobilization and stabilization; connective tissue, visceral, and neural mobilization; and internal and external myofascial trigger point release, biofeedback, and electrical stimulation.81 Given its noninvasive nature, it is also a reasonable first-line therapy. Its cons are the amount of time that must be devoted to treatment, the potential expense of treatment and limitations of visits by managed care, and outcomes tied to the experience of the specialized therapist. A generalist physical therapy practice, such as one used for orthopedic indications, is not well-equipped to deal with pelvic floor issues. Pelvic floor physical therapy should be considered a specialty.
A young adult with rectal pain and fecal urgency who is a candidate for sacral nerve stimulation
Published in Onnalisa Nash, Julie M. Choueiki, Marc A. Levitt, Fecal Incontinence and Constipation in Children, 2019
Alessandra Gasior, Amber Traugott
An EUS allows examination of the internal and external sphincter complex to evaluate the integrity of the muscles. Anorectal manometry shows the functionality of these muscles and the ability to empty the rectum. Pelvic floor physical therapy allows the patient to work with a certified physical therapist to regain functionality of the pelvic floor.
Education and Work of Physical Therapists Who Treat Sexual Health Concerns
Published in American Journal of Sexuality Education, 2018
Brian Zamboni, Gayla Pleggenkuhle
Participants did not show strong agreement that their training in their physical therapy program provided a good understanding of pelvic floor anatomy and how it functions, introduced them to pelvic floor physical therapy and what this specialty does, helped them discuss sexual health concerns with patients, or offered opportunities to do a clinical rotation in women’s sexual health (see Table 4). The strongest endorsement was for introducing them to pelvic floor physical therapy and what this specialty does, the only rating that reached 3.0 or higher out of 7.0 and yet still reflected disagreement that the training was adequate. The weakest endorsement was for training to help them discuss sexual health concerns with patients.
Enhancing interprofessional collaboration and interprofessional education in women’s health
Published in Medical Education Online, 2022
Laura Baecher-Lind, Angela C. Fleming, Rashmi Bhargava, Susan M. Cox, Elise N. Everett, David A. Forstein, Shireen Madani Sims, Helen K. Morgan, Christopher M. Morosky, Celeste S. Royce, Tammy S. Sonn, Jill M. Sutton, Scott C. Graziano
Gynecologic subspecialties also commonly rely on non-physician health-care professionals to deliver care and improve patient outcomes and safety. In Gynecologic Oncology, nurse navigators improve coordination of care and are associated with increased patient satisfaction and reduced anxiety [15]. Reproductive Endocrinology regularly incorporates psychological assessment and support for patients undergoing evaluation and treatment for infertility which is associated with reduced anxiety and improved success with fertility treatments [16,17]. Urogynecologists routinely incorporate pelvic floor physical therapy into treatment planning for incontinence and prolapse which improves successful treatment and patient satisfaction[18].
Integrating Prehabilitation, Rehabilitation, and Prospective Surveillance into Cancer Interdisciplinary Teams
Published in Oncology Issues, 2021
Christopher M. Wilson, Jannifer S. Stromberg, Janet Wiechec Seidell
An underutilized role for physical therapists is integration within the care processes for gastrointestinal, gynecological, and genitourinary cancers. In addition to prescribing exercise and addressing movement disorders, pelvic floor physical therapy may be beneficial to treat pelvic and abdominal pain, constipation, sexual dysfunction, or urinary and fecal incontinence.20 Because this specialty service requires advanced certification and training, the first step is to establish a relationship between oncology team members and pelvic health physical therapists.