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Pelvic Relaxation

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21. Chronic Pelvic Pain, Initial Management

Chronic Pelvic Pain, Initial Management The Initial Management of Chronic Pelvic Pain Green-top Guideline No. 41 May 2012The Initial Management of Chronic Pelvic Pain This is the second edition of this guideline. The first edition was published in 2005 under the same title. 1. Purpose and scope The purpose of this guideline is to provide an evidence-based summary for the generalist to facilitate appropriate investigation and management of women presenting for the first time with chronic pelvic (...) 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

2012 Royal College of Obstetricians and Gynaecologists

22. Smartphone App Using Mindfulness Meditation for Women With Chronic Pelvic Pain (MEMPHIS): Protocol for a Randomized Feasibility Trial (PubMed)

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

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2018 JMIR Research Protocols Controlled trial quality: uncertain

23. 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

24. Novel Neurostimulation of Autonomic Pelvic Nerves Overcomes Bladder-Sphincter Dyssynergia (PubMed)

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

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2018 Frontiers in neuroscience

25. 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

26. 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

27. 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

28. 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

29. 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 (...) Physiotherapy of the Pelvic Floor in Women With Deep Infiltrating Endometriosis Physiotherapy of the Pelvic Floor in Women With Deep Infiltrating Endometriosis - 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

2018 Clinical Trials

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

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

31. Subgroups of lumbo-pelvic flexion kinematics are present in people with and without persistent low back pain. (PubMed)

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

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2018 BMC Musculoskeletal Disorders

32. Pelvic Floor Dysfunction

manometry identify inappropriate contraction or insufficient relaxation of the pelvic floor during defecation [81]. In addition to these tests, the Rome III criteria also include imaging as a method to evaluate functional defecation disorders [80]. Failed or prolonged evacuation of contrast on defecography is sensitive and specific for diagnosing anismus [82]. However, analysis of the puborectalis muscle impression on the rectal contour, the anorectal angle, and perineal descent may result in a lower (...) . Ultrasound Obstet Gynecol. 2005;26(1):73-77. 22. Kelvin FM, Hale DS, Maglinte DD, Patten BJ, Benson JT. Female pelvic organ prolapse: diagnostic contribution of dynamic cystoproctography and comparison with physical examination. AJR Am J Roentgenol. 1999;173(1):31-37. 23. Comiter CV, Vasavada SP, Barbaric ZL, Gousse AE, Raz S. Grading pelvic prolapse and pelvic floor relaxation using dynamic magnetic resonance imaging. Urology. 1999;54(3):454-457. 24. Lienemann A, Anthuber C, Baron A, Kohz P, Reiser M

2014 American College of Radiology

33. 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

34. Guidelines for Perioperative Care in Elective Rectal/Pelvic Surgery: Enhanced Recovery After Surgery (ERAS) Society Recommendations

of acute hyperalgesia associated with high doses of remifentanil can be reduced by ketamine, magnesium or other N-methyl D-aspartate (NMDA) antagonists [ ]. Adequate relaxation of muscle is indicated to facilitate extensive resection in the pelvic area, especially during laparoscopic surgery. However, reversal of profound muscle relaxation can leave incomplete reversal. The use of sugammadex to counteract the action of large doses of muscle relaxants has proven to facilitate recovery [ ]. But no data (...) Guidelines for Perioperative Care in Elective Rectal/Pelvic Surgery: Enhanced Recovery After Surgery (ERAS) Society Recommendations Guidelines for Perioperative Care in Elective Rectal/Pelvic Surgery: Enhanced Recovery After Surgery (ERAS®) Society Recommendations | SpringerLink This service is more advanced with JavaScript available, learn more at Advertisement Hide Search SpringerLink February 2013 , Volume 37, , pp 285–305 | Guidelines for Perioperative Care in Elective Rectal/Pelvic Surgery

2013 ERAS Society

35. 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

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 (...) ­ p 102–125 doi: 10.1097/JWH.0000000000000081 Clinical Practice Guidelines Background: Examination, diagnosis, prognosis, intervention, and the use of outcomes measures by physical therapists in the antepartum population with pelvic girdle pain should be guided by current evidence. The creations of clinical practice guidelines (CPGs) is a crucial process for examining and maintaining the validity of recommendations, as well as provide classification and definition using the International

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

36. Pelvic Relaxation

Pelvic Relaxation Pelvic Relaxation Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Pelvic Relaxation Pelvic Relaxation Aka: Pelvic (...) Relaxation From Related Chapters II. Symptoms Vague pelvic ache Sensation of pressure or Something falling out III. Causes Enterocele Images: Related links to external sites (from Bing) These images are a random sampling from a Bing search on the term "Pelvic Relaxation." Click on the image (or right click) to open the source website in a new browser window. Related Studies (from Trip Database) Related Topics in Symptoms About FPnotebook.com is a rapid access, point-of-care medical reference for primary

2015 FP Notebook

37. Guidelines for Perioperative Care in Elective Rectal/Pelvic Surgery: Enhanced Recovery After Surgery (ERAS) Society Recommendations

relaxation of muscle is indicated to facilitate extensive resection in the pelvic area, especially during laparoscopic surgery. However, reversal of profound muscle relaxation can leave incomplete reversal. The use of sugammadex to counteract the action of large doses of muscle relaxants has proven to facilitate recovery. x 50 Rex, C., Wagner, S., Spies, C., Scholz, J., Rietbergen, H., Heeringa, M. et al. Reversal of neuromuscular blockade by sugammadex after continuous infusion of rocuronium in patients (...) Guidelines for Perioperative Care in Elective Rectal/Pelvic Surgery: Enhanced Recovery After Surgery (ERAS) Society Recommendations Guidelines for perioperative care in elective rectal/pelvic surgery: Enhanced Recovery After Surgery (ERAS®) Society recommendations - Clinical Nutrition Email/Username: Password: Remember me Search Terms Search within Search Access provided by Volume 31, Issue 6, Pages 801–816 Guidelines for perioperative care in elective rectal/pelvic surgery: Enhanced Recovery

2012 ERAS Society

38. 6-Day Intensive Treatment Protocol for Refractory Chronic Prostatitis/Chronic Pelvic Pain Syndrome Using Myofascial Release and Paradoxical Relaxation Training. (PubMed)

6-Day Intensive Treatment Protocol for Refractory Chronic Prostatitis/Chronic Pelvic Pain Syndrome Using Myofascial Release and Paradoxical Relaxation Training. Chronic prostatitis/chronic pelvic pain syndrome continues to elude conventional therapy. Evidence supports the concept that phenotypes of pelvic muscular tenderness and psychosocial distress respond to myofascial trigger point release and specific relaxation training. This case series reports long-term outcomes of a 6-day intensive (...) that 82% of subjects reported improvement (59% marked to moderate, 23% slight).Men with chronic pelvic pain refractory to traditional treatment benefit from intensive myofascial trigger point therapy and concomitant paradoxical relaxation training. Education in techniques for self-administered trigger point release and continued pelvic muscle relaxation help patients reduce pain and dysfunction. Refinement of clinical phenotyping and selection of patients with pelvic muscle tenderness should enhance

2011 Journal of Urology

39. Hip and pelvic fracture patients with fear of falling: development and description of the "Step by Step" treatment protocol. (PubMed)

Hip and pelvic fracture patients with fear of falling: development and description of the "Step by Step" treatment protocol. Based on a theoretical framework and sound evidence, this article describes a rehabilitation programme for patients with fear of falling after hip and pelvic fracture.Based on exercise science principles, current knowledge from fall prevention, emotion regulation, and the Health Action Process Approach we developed a theoretical framework, from which the components (...) of the intervention were derived. Description of the intervention: The intervention consists of 6 components: (1) relaxation, (2) meaningful activities and mobility-based goals, (3) falls related cognitions and emotions, coping with high risk tasks and situations, (4) individual exercise programme, (5) planning and implementing exercises and activities, and (6) fall risks and hazards. The intervention comprises of 8 individual sessions during 3 to 5 weeks of inpatient rehabilitation and 4 telephone calls and 1

2017 Clinical rehabilitation Controlled trial quality: uncertain

40. Comparison of the efficiency of combined extracorporeal shock-wave therapy and triple therapy versus triple therapy itself in Category III B chronic pelvic pain syndrome (CPPS). (PubMed)

Comparison of the efficiency of combined extracorporeal shock-wave therapy and triple therapy versus triple therapy itself in Category III B chronic pelvic pain syndrome (CPPS). The aim of this study is to determine the effect of combining extracorporeal shock-wave therapy (ESWT) and triple therapy versus triple therapy alone, when treating Category III B chronic prostatitis (CPPS). Study included 60 patients, classified as having CPPS, divided into two groups: the first group numbered 30 (...) patients, who were treated with a combination of an α-blocker, an anti-inflammatory agent and a muscle relaxant; the second group consisted of 30 patients who received a combination of ESWT and the fore-mentioned triple therapy. Patients were treated for 12 weeks. The primary criterion of a response to therapy was scoring 2 or less on the NIH-CPSI quality of life item, while the secondary criterion of a response to therapy was a greater than a 50% reduction in NIH-CPSI pain score. Patients who received

2017 The aging male : the official journal of the International Society for the Study of the Aging Male Controlled trial quality: uncertain

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