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Pelvic Relaxation

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21. Changes of diaphragmatic excursion and lung compliance during major laparoscopic pelvic surgery: A prospective observational study. Full Text available with Trip Pro

postoperative pulmonary complication, postoperative chest radiography was checked. Static lung compliance, dynamic lung compliance and diaphragmatic excursion were decreased during operation (P < 0.001, respectively). At the end of the operation with recovery of muscle relaxation, reduced diaphragmatic movement was not recovered as its excursion after sedation (P < 0.001). In conclusion, lung compliance was decreased following transiently decreased diaphragmatic excursion during major laparoscopic pelvic (...) Changes of diaphragmatic excursion and lung compliance during major laparoscopic pelvic surgery: A prospective observational study. Major laparoscopic pelvic surgery requires steep Trendelenburg position with pneumoperitoneum for a long time. We investigated the effect of Trendelenburg position with pneumoperitoneum on diaphragmatic excursion and lung compliance during major laparoscopic pelvic surgery using M-mode sonography. Twenty patients undergoing elective pelviscopic radical hysterectomy

2018 PLoS ONE

22. An immediate effect of PNF specific mobilization on the angle of trunk rotation and the Trunk-Pelvis-Hip Angle range of motion in adolescent girls with double idiopathic scoliosis—a pilot study Full Text available with Trip Pro

°) and a left-sided thoracolumbar or lumbar curve (mean 20.8° ± 11.4°). The angle of trunk rotation and Trunk-Pelvis-Hip Angle were measured at baseline and after PNF mobilization. Bilateral lower limb patterns of Proprioceptive Neuromuscular Facilitation were used in combination with the "contract-relax" technique and stimulation of asymmetrical breathing. In the statistical analysis, the SAS rel. 13.2 software was used. Preliminary statistical analysis was performed using descriptive statistics. According (...) An immediate effect of PNF specific mobilization on the angle of trunk rotation and the Trunk-Pelvis-Hip Angle range of motion in adolescent girls with double idiopathic scoliosis—a pilot study Impairment of spine rotation is a key concept in several theories explaining the pathogenesis and progression of scoliosis. In previous studies, a more limited range of motion in scoliotic girls compared to their non-scoliotic peers was noted. The Trunk-Pelvis-Hip Angle measurement is a test used

2017 Scoliosis and spinal disorders

23. Chronic Pelvic Pain

17 3.2.2 Definition 17 3.2.3 Pathogenesis 18 3.2.4 Epidemiology 18 3.2.5 Diagnosis 18 3.2.6 Conclusions and recommendations: assessment/diagnosis PPS 19 3.2.7 Treatment 19 3.2.7.1 Alpha-blockers 19 3.2.7.2 Antibiotic therapy 19 3.2.7.3 Anti-inflammatory drugs 20 3.2.7.4 Opioids 20 3.2.7.5 5-alpha-reductase inhibitors 20 3.2.7.6 Allopurinol 20 3.2.7.7 Phytotherapy 20 3.2.7.8 Pentosan polysulphate 20 3.2.7.9 Muscle relaxants 21CHRONIC PELVIC PAIN - UPDATE APRIL 2014 3 3.2.7.10 Pregabalin 21 (...) as “pain as a disease” and its associated psychological, behavioural, sexual and functional correlates. After 10 years work developing the initial ideas, an updated version was accepted by IASP Council for publication in January 2012. 2.4.2.1 Definition of chronic pelvic pain (CPP) Chronic pelvic pain is chronic or persistent pain perceived* in structures related to the pelvis of either men or women. It is often associated with negative cognitive, behavioural, sexual and emotional consequences as well

2015 European Association of Urology

24. Extracorporeal Shockwave Therapy Combined with Drug Therapy in Chronic Pelvic Pain Syndrome - A Randomized Clinical Trial. (Abstract)

Extracorporeal Shockwave Therapy Combined with Drug Therapy in Chronic Pelvic Pain Syndrome - A Randomized Clinical Trial. Chronic prostatitis/ chronic pelvic pain syndrome (CP/CPPS) is a nonspecific pelvic pain in the absence of signs of infection or other obvious local pathology for at least 3 of the last 6 months. The evidence for treatment is limited so the aim of this study is to investigate the effect of extracorporeal shock wave therapy (ESWT) combined with pharmacotherapy (...) in the treatment of CP/CPPS.In this randomized clinical  trial, 31 patients with CP/CPPS were investigated in two groups: the intervention group (n=16) was treated with a combination of an alfa-blocker, an anti-inflammatory agent, a muscle relaxant and a short course of antibiotic in combination with 4 sessions of focused ESWT (a protocol of 3000 impulses, 0.25 mJ/mm2  and 3 Hz of frequency); the control group (n=15) received the aforementioned pharmacotherapy with 4 sessions of sham-ESWT . Follow-up

2019 Urology journal Controlled trial quality: uncertain

25. Prostate-Confined Radiation Decreased Pelvic Ganglia Neuronal Survival and Outgrowth. (Abstract)

Prostate-Confined Radiation Decreased Pelvic Ganglia Neuronal Survival and Outgrowth. Erectile dysfunction (ED) is common following radiation therapy (RT) for prostate cancer. Although the cause of RT-induced ED is unknown, damage to both the neuronal and vascular components supporting erections are often implicated.To determine the effects of prostatic RT on erections, penile vascular physiology, and major pelvic ganglia (MPG) neuron growth and survival in a rat model.Male rats underwent 0 Gy (...) III), type (nitric oxide synthase [nNOS] and tyrosine hydroxylase [TH]), and nerve injury markers (small GTPase Rac1 and ninjurin-1 [Ninj-1]). Whole MPG real-time quantitative polymerase chain reaction (qPCR) was performed to measure expression of genes related to nerve type, neuron injury, repair, and myelination, such as Ninj-1, Rac1, ATF3, GAP43, GFAP, SOX10, and KROX20.Intracavernosal pressure (ICP) to mean arterial pressure (MAP) ratio, smooth muscle contractility and relaxation, gene

2019 Journal Of Sexual Medicine

26. Effect of Ankle Position and Pelvic Floor Muscle Force With Relaxation of Pelvic Floor Muscles Syndrome

Effect of Ankle Position and Pelvic Floor Muscle Force With Relaxation of Pelvic Floor Muscles Syndrome Effect of Ankle Position and Pelvic Floor Muscle Force With Relaxation of Pelvic Floor Muscles Syndrome - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100 (...) ). Please remove one or more studies before adding more. Effect of Ankle Position and Pelvic Floor Muscle Force With Relaxation of Pelvic Floor Muscles Syndrome The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our for details. ClinicalTrials.gov Identifier: NCT01585090 Recruitment Status : Withdrawn First Posted : April 25, 2012 Last Update Posted : April

2012 Clinical Trials

27. Chronic Pelvic Pain, Initial Management

pain. 2. Background and introduction Chronic pelvic pain can be defined as intermittent or constant pain in the lower abdomen or pelvis of a woman of at least 6 months in duration, not occurring exclusively with menstruation or intercourse and not associated with pregnancy. It is a symptom not a diagnosis. Chronic pelvic pain presents in primary care as frequently as migraine or low-back pain 1 and may significantly impact on a woman’s ability to function. 2 Living with any chronic pain carries (...) symptoms suggestive of interstitial cystitis. 22–24 4.5 Musculoskeletal Musculoskeletal pain may be a primary source of pelvic pain or an additional component resulting from postural changes. Pain may arise from the joints in the pelvis or from damage to the muscles in the abdominal wall or pelvic floor. Pelvic organ prolapse may also be a source of pain. 25 Increasing interest is also being shown in trigger points – localised areas of deep tenderness in a tight band of muscle, the aetiology of which

2012 Royal College of Obstetricians and Gynaecologists

28. Subgroups of lumbo-pelvic flexion kinematics are present in people with and without persistent low back pain. Full Text available with Trip Pro

define subgroups of movement.This was a cross-sectional, observational study of 126 people without any history of significant LBP and 140 people with persistent LBP (n = 266). Wireless motion and surface EMG sensors collected lumbo-pelvic data on flexion parameters (range of motion (ROM) of trunk, lumbar, and pelvis), speed, sequence coordination and timing, and EMG extensor muscle activity in forward bending (flexion relaxation)), and sitting parameters (relative position, pelvic tilt range and tilt (...) ratio). Latent class analysis was used to identify patterns in these parameters.Four subgroups with high probabilities of membership were found (mean 94.9%, SD10.1%). Subgroup 1 (n = 133 people, 26% LBP) had the greatest range of trunk flexion, fastest movement, full flexion relaxation, and synchronous lumbar versus pelvic movement. Subgroup 2 (n = 73, 71% LBP) had the greatest lumbar ROM, less flexion relaxation, and a 0.9 s lag of pelvic movement. Subgroup 3 (n = 41, 83% LBP) had the smallest

2018 BMC Musculoskeletal Disorders

29. Wii Fit Game Based Abdomino-Pelvic Training In Urinary Incontinence

Exercise. -Lumbo-Pelvic Stabilization Exercise. Functional Training/ PFM Contraction during ADL Correction of biomechanical/structural deformities Outcome Measures Go to Primary Outcome Measures : EMG biofeedback [ Time Frame: 8 week ] EMG biofeedback device shows electrical activity of pelvic floor muscles and can assist with both muscle strengthening AND relaxation training Secondary Outcome Measures : Michigan Incontinence Symptoms Index: [ Time Frame: 8th week ] Michigan incontinence symptoms index (...) Wii Fit Game Based Abdomino-Pelvic Training In Urinary Incontinence Wii Fit Game Based Abdomino-Pelvic Training In Urinary Incontinence - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more. Wii Fit Game Based

2018 Clinical Trials

30. Novel Neurostimulation of Autonomic Pelvic Nerves Overcomes Bladder-Sphincter Dyssynergia Full Text available with Trip Pro

Novel Neurostimulation of Autonomic Pelvic Nerves Overcomes Bladder-Sphincter Dyssynergia The disruption of coordination between smooth muscle contraction in the bladder and the relaxation of the external urethral sphincter (EUS) striated muscle is a common issue in dysfunctional bladders. It is a significant challenge to overcome for neuromodulation approaches to restore bladder control. Bladder-sphincter dyssynergia leads to undesirably high bladder pressures, and poor voiding outcomes, which (...) can pose life-threatening secondary complications. Mixed pelvic nerves are potential peripheral targets for stimulation to treat dysfunctional bladders, but typical electrical stimulation of pelvic nerves activates both the parasympathetic efferent pathway to excite the bladder, as well as the sensory afferent pathway that causes unwanted sphincter contractions. Thus, a novel pelvic nerve stimulation paradigm is required. In anesthetized female rats, we combined a low frequency (10 Hz) stimulation

2018 Frontiers in neuroscience

31. Relationships Between 3-Dimensional Transperineal Ultrasound Imaging and Digital Intravaginal Palpation Assessments of the Pelvic Floor Muscles in Women With and Without Provoked Vestibulodynia. (Abstract)

Relationships Between 3-Dimensional Transperineal Ultrasound Imaging and Digital Intravaginal Palpation Assessments of the Pelvic Floor Muscles in Women With and Without Provoked Vestibulodynia. Digital intravaginal palpation remains the favored method for clinical assessment of pelvic floor muscle (PFM) function in women; however, there is growing interest in using transperineal ultrasound imaging (TPUSI). TPUSI does not involve vaginal penetration, making it particularly relevant for PFM (...) assessment in women with genito-pelvic pain and penetration disorders.To study the relations between measures of PFM morphology and function assessed using 3-dimensional (3D) TPUSI and PFM assessment through intravaginal palpation.77 nulliparous premenopausal women with (n = 38) and without (n = 39) PVD participated. 3D TPUSI was used to measure levator hiatal dimensions at rest, at maximal voluntary contraction (MVC) of the PFMs, and at maximal Valsalva maneuver (MVM). Intravaginal palpation was used

2018 Journal Of Sexual Medicine

32. Transperineal US on Basis of MRI in Female Pelvic Floor Dysfunction

and advanced age. A complex variety of fascial and muscular lesions that range from stretching, insertion detachment, denervation atrophy and combinations of pelvic floor relaxation to pelvic organ prolapse may manifest in a single patient. The prevalence of pelvic floor dysfunction increases with age. It is approximately 9.7% in child bearing period (20-39 yrs), while it reaches up to 49.7% by 80 yrs and older. Thorough preoperative assessment of pelvic floor failure is necessary to reduce the rate (...) : analysis of anatomic damage on axial fast spin-echo (FSE) T2-weighted images. then sagittal and coronal (FSE) T2-weighted are obtained. functional evaluation using sagittal dynamic single-shot T2-weighted sequences during straining and defecation to show descent of pelvic organs and pelvic floor relaxation or weakness. Study Design Go to Layout table for study information Study Type : Interventional (Clinical Trial) Estimated Enrollment : 135 participants Intervention Model: Single Group Assignment

2018 Clinical Trials

33. Physiotherapy of the Pelvic Floor in Women With Deep Infiltrating Endometriosis

physiotherapy six individual sessions (weeks 1, 3 , 5, 8, 11 from the randomization) with pelvic floor consciousness exercises with mild contractions and relaxation (ex. 'kegel reverse' exercises); respiratory rate control exercises; extra exercises to perform at home are suggested. Procedure: standard care protocol the treatment is the same as usual in our center Diagnostic Test: assessment of symptoms after four months assessment of endometriosis related symptoms using NRS (Numerical Rating Scale (...) Healthy Volunteers: No Criteria Inclusion Criteria: Patients with clinical and ultrasound diagnosis of deep endometriosis with related symptoms (chronic pelvic pain, dysmenorrhea, dyschezia, dyspareunia, dysuria) Nulliparity Obtaining Informed Consent Exclusion Criteria: Patients with an oncological disease or needing surgery for malignant pathologies Urogenital prolapse History of surgery for deep infiltrating endometriosis Congenital or acquired malformations of pelvis and pelvic floor History

2018 Clinical Trials

34. RF Rejuvenation for Pelvic Floor and Vagina

information, Layout table for eligibility information Ages Eligible for Study: 35 Years to 75 Years (Adult, Older Adult) Sexes Eligible for Study: Female Accepts Healthy Volunteers: Yes Criteria Inclusion Criteria: Adult females between the ages of 35-75, seeking treatments for pelvic floor relaxation syndrome or atrophic vaginitis, which include but are not limited to: pelvic floor laxity, decreased muscle contraction in the pelvic floor, urinary incontinence, sexual dysfunction. Participants must have (...) RF Rejuvenation for Pelvic Floor and Vagina RF Rejuvenation for Pelvic Floor and Vagina - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more. RF Rejuvenation for Pelvic Floor and Vagina The safety and scientific

2018 Clinical Trials

35. Smartphone App Using Mindfulness Meditation for Women With Chronic Pelvic Pain (MEMPHIS): Protocol for a Randomized Feasibility Trial Full Text available with Trip Pro

Smartphone App Using Mindfulness Meditation for Women With Chronic Pelvic Pain (MEMPHIS): Protocol for a Randomized Feasibility Trial Female chronic pelvic pain (CPP) is defined as intermittent or constant pelvic or lower abdominal pain occurring in a woman for at least 6 months. Up to a quarter of women are estimated to be affected by CPP worldwide and it is responsible for one fifth of specialist gynecological referrals in the United Kingdom. Psychological interventions are commonly utilized (...) patient recruitment and app adherence, to obtain information to be used in the sample size estimate of a future trial, and to receive feedback on usability of the app.Mindfulness Meditation for Women With Chronic Pelvic Pain (MEMPHIS) is a three-arm feasibility trial, that took place in two hospitals in the United Kingdom. Eligible participants were randomized in a 1:1:1 ratio to one of three treatment arms: (1) the intervention arm, consisting of a guided, spoken mindfulness meditation app; (2

2018 JMIR Research Protocols Controlled trial quality: uncertain

36. Baclofen/Diazepam Supps for Treatment of Pelvic Floor Myalgia

Baclofen/Diazepam Supps for Treatment of Pelvic Floor Myalgia Baclofen/Diazepam Supps for Treatment of Pelvic Floor Myalgia - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more. Baclofen/Diazepam Supps (...) for Treatment of Pelvic Floor Myalgia (BDS) The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. of clinical studies and talk to your health care provider before participating. Read our for details. ClinicalTrials.gov Identifier: NCT03427216 Recruitment Status : Not yet recruiting First Posted : February 9, 2018 Last Update Posted : June 7, 2018 See Sponsor: Dr. John

2018 Clinical Trials

37. The Effects of Physiotherapeutic Interventions Applied to the Chronic Pelvic Pain Syndrome

with doctors,physiotherapists, psychologists and others. Physiotherapeutic interventions are recommended as first line of conservative treatment for patients with CPPS. The physiotherapeutic interventions include the use of Biofeedback to relax the pelvic floor muscles, myofascial trigger points release, transcutaneous electrostimulation to decrease the pain and postural exercises to improve the pelvic mobility. Despite of these recommendations, the evidence of the studies in the literature is weak (...) floor tenderness and to treat pelvic floor muscles disorders. The myofascial trigger points release will be applied using manual myofascial stretching and relaxation techniques to release the trigger points.The e-stim will be applied during 20 minutes on the sites of pelvic pain to decrease the pain and discomfort (analgesia). Parameters:F=100Hz; Pulse width = 70-100 us and the intensity varies according to the sensitivity of the patient. Device: E-stim SEMG Biofeedback applied for relaxation

2018 Clinical Trials

38. A Prospective Pilot Study Investigating the Impact of ThermaCare on Flexibility, Muscle Relaxation & Low Back Pain

A Prospective Pilot Study Investigating the Impact of ThermaCare on Flexibility, Muscle Relaxation & Low Back Pain A Prospective Pilot Study Investigating the Impact of ThermaCare on Flexibility, Muscle Relaxation & Low Back Pain - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number (...) of saved studies (100). Please remove one or more studies before adding more. A Prospective Pilot Study Investigating the Impact of ThermaCare on Flexibility, Muscle Relaxation & Low Back Pain The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our for details. ClinicalTrials.gov Identifier: NCT03151265 Recruitment Status : Completed First Posted : May 12

2017 Clinical Trials

39. Pelvic Floor Dysfunction

in the bladder, bowel, and vagina limits assessment of entire pelvic floor. ??? US pelvis transvaginal 3 O US pelvis transrectal 2 O US pelvis transabdominal 2 O MRI pelvis with endorectal coil 2 O CT pelvis without IV contrast 1 ??? CT pelvis with IV contrast 1 ??? CT pelvis without and with IV contrast 1 ???? Rating Scale: 1,2,3 Usually not appropriate; 4,5,6 May be appropriate; 7,8,9 Usually appropriate *Relative Radiation Level ACR Appropriateness Criteria ® 2 Pelvic Floor Dysfunction Clinical Condition (...) : Pelvic Floor Dysfunction Variant 2: Urinary dysfunction. Involuntary leakage of urine, frequent urination, urgency. Straining to void, incomplete voiding, splinting, or digital maneuvers to void. Radiologic Procedure Rating Comments RRL* US pelvis transperineal 9 O MRI pelvis dynamic with rectal contrast 8 Dynamic refers to imaging the patient during rest and strain maneuvers. Encourage adequate Valsalva effort by patient. Avoid overdistended bladder. O MR defecography with rectal contrast 7 Consider

2014 American College of Radiology

40. Pelvic Girdle Pain in the Antepartum Population: Physical Therapy Clinical Practice Guidelines Linked to the International Classification of Functioning, Disability, and Health From the Section on Women's Health and the Orthopaedic Section of the America

of multiparity, joint hypermobility, periods of amenorrhea, increased BMI, and hip and/or lower extremity dysfunction including the presence of gluteus medius and pelvic floor muscle dysfunction. There is an association of the development of PGP with a history of trauma to the pelvis and a history of LBP and/or PGP, especially in a previous pregnancy. Finally, an association also exists with work dissatisfaction and lack of belief in improvement. I. Smoking during the antepartum period as well as cessation (...) Pelvic Girdle Pain in the Antepartum Population: Physical Therapy Clinical Practice Guidelines Linked to the International Classification of Functioning, Disability, and Health From the Section on Women's Health and the Orthopaedic Section of the America 7/7/2017 Pelvic Girdle Pain in the Antepartum Population: Physical T... : Journal of Women’s Health Physical Therapy http://journals.lww.com/jwhpt/Fulltext/2017/05000/Pelvic_Girdle_Pain_in_the_Antepartum_Population__.7.aspx 1/27 Pelvic Girdle

2017 The Orthopaedic Section of the American Physical Therapy Association (APTA), Inc.

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