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Pelvic Relaxation

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81. A Randomized Controlled Trial of Electrical Stimulation to Treat Pelvic Floor Disorder

Other Name: Femiscan Multi-trainer Other: Pelvic Floor Training First, as you are sitting or lying down, try to contract the muscles you would use to stop urinating To contract the pelvic muscles, squeeze for 3 seconds and then relax for 3 seconds. Repeat this exercise to 20 minutes each session. Outcome Measures Go to Primary Outcome Measures : 1-Hour Pad test of urine leakage amount (gm) [ Time Frame: Total 18 times of treatment, for 3 months ] A pad test is a tool to used to measure urine leakage (...) A Randomized Controlled Trial of Electrical Stimulation to Treat Pelvic Floor Disorder A Randomized Controlled Trial of Electrical Stimulation to Treat Pelvic Floor Disorder - 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

2014 Clinical Trials

82. Delayed diagnosis of an unsuspected pelvic fracture in a patient with tetraplegia (PubMed)

suggestive of an internal injury. Radiography showed pelvic fracture and conservative treatment was administered. The fractures healed in 3 months, the therapeutic bed rest regimen was relaxed without trigerring AD symptoms.AD symptoms can suggest complications below the SCI level. Awareness and recognition of these symptoms are of utmost importance. However, etiology may be misleading. The role of a community-based general physician is to recognize the right moment when the need of a specialized (...) Delayed diagnosis of an unsuspected pelvic fracture in a patient with tetraplegia Case report.In patients with a complete spinal cord injury (SCI) above T6 level, autonomic dysreflexia (AD) can be the only alerting sign of complications below the level of injury. A case report is presented of a patient with tetraplegia who progressively developed an AD syndrome after falling from a wheelchair. Initially, he was treated for symptomatic urinary tract infection and only later an unstable pelvic

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2014 The journal of spinal cord medicine

83. The effect of pelvic floor muscle training alone or in combination with electrostimulation in the treatment of sexual dysfunction in women with multiple sclerosis. (PubMed)

were randomly allocated to one of three groups: pelvic floor muscle training (PFMT) with electromyographic (EMG) biofeedback and sham neuromuscular electrostimulation (NMES) (Group I), PFMT with EMG biofeedback and intravaginal NMES (Group II), and PFMT with EMG biofeedback and transcutaneous tibial nerve stimulation (TTNS) (Group III). Assessments, before and after the treatment, included: PFM function, PFM tone, flexibility of the vaginal opening and ability to relax the PFMs, and the Female (...) The effect of pelvic floor muscle training alone or in combination with electrostimulation in the treatment of sexual dysfunction in women with multiple sclerosis. Sexual dysfunction (SD) affects up to 80% of multiple sclerosis (MS) patients and pelvic floor muscles (PFMs) play an important role in the sexual function of these patients.The objective of this paper is to evaluate the impact of a rehabilitation program to treat lower urinary tract symptoms on SD of women with MS.Thirty MS women

2014 Multiple sclerosis (Houndmills, Basingstoke, England) Controlled trial quality: uncertain

84. Chronic Pelvic Pain Syndrome and Prostatodynia (Diagnosis)

urinary tract symptoms associated with prostatitis. Can Urol Assoc J . 2012 Oct. 6(5 Suppl 2):S133-5. . . Smart CJ, Jenkins JD, Lloyd RS. The painful prostate. Br J Urol . 1975. 47(7):861-9. . Anderson RU, Wise D, Sawyer T, Chan C. Integration of myofascial trigger point release and paradoxical relaxation training treatment of chronic pelvic pain in men. J Urol . 2005 Jul. 174(1):155-60. . FitzGerald MP, Anderson RU, Potts J, Payne CK, Peters KM, Clemens JQ. Randomized multicenter feasibility trial (...) of myofascial physical therapy for the treatment of urological chronic pelvic pain syndromes. J Urol . 2009 Aug. 182(2):570-80. . Wise D, Anderson RU. A Headache in The Pelvis: A New Understanding and Treatment . Occidental, CA: National Center for Pelvic Pain Research; 2003. . Anderson RU, Wise D, Sawyer T, Chan CA. Sexual dysfunction in men with chronic prostatitis/chronic pelvic pain syndrome: improvement after trigger point release and paradoxical relaxation training. J Urol . 2006 Oct. 176(4 Pt 1):1534

2014 eMedicine.com

85. Chronic Pelvic Pain (Treatment)

threshold ( P < 0.0001). [ ] The investigators applied TENS to the anterior surface of the nondominant arm; in the group that experienced chronic pelvic pain reduction following 6 months of multidisciplinary treatment, the effect size of the electrical pain threshold was 0.86, whereas in the group that did not experience a reduction in pelvic pain, the size increase was 0.53. [ ] Psychophysiological therapy Psychophysiological therapy includes reassurance, counseling, relaxation therapy, a stress (...) Chronic Pelvic Pain (Treatment) Chronic Pelvic Pain in Women Treatment & Management: Medical Care, Surgical Care, Consultations Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvMjU4MzM0LXRyZWF0bWVudA== processing

2014 eMedicine.com

86. Chronic Pelvic Pain Syndrome and Prostatodynia (Treatment)

and external trigger-point release therapy. It has proven more effective than standard external massage therapy alone. Paradoxical relaxation is a methodology used to train autonomic self-regulation and pelvic muscle tension release. This psychotherapeutic treatment technique is used to help the patient decrease anxiety and nervous system arousal while counteracting the habit of tensing the pelvic muscles under stress. It is termed "paradoxical" because patients are directed to accept their pain (...) assessment and release therapy, as well as paradoxical relaxation therapy. [ ] Urologic evaluation is completed by the urologist, while myofascial trigger point assessment and release therapy is performed by the physical therapist, and techniques of paradoxical relaxation are taught by the psychologist. This novel approach capitalizes on the patient's own involvement in the treatment of CPPS. Patients are taught the anatomy of the pelvic floor and lower abdomen and instructed on how to effectively

2014 eMedicine.com

87. Chronic Pelvic Pain Syndrome and Prostatodynia (Overview)

urinary tract symptoms associated with prostatitis. Can Urol Assoc J . 2012 Oct. 6(5 Suppl 2):S133-5. . . Smart CJ, Jenkins JD, Lloyd RS. The painful prostate. Br J Urol . 1975. 47(7):861-9. . Anderson RU, Wise D, Sawyer T, Chan C. Integration of myofascial trigger point release and paradoxical relaxation training treatment of chronic pelvic pain in men. J Urol . 2005 Jul. 174(1):155-60. . FitzGerald MP, Anderson RU, Potts J, Payne CK, Peters KM, Clemens JQ. Randomized multicenter feasibility trial (...) of myofascial physical therapy for the treatment of urological chronic pelvic pain syndromes. J Urol . 2009 Aug. 182(2):570-80. . Wise D, Anderson RU. A Headache in The Pelvis: A New Understanding and Treatment . Occidental, CA: National Center for Pelvic Pain Research; 2003. . Anderson RU, Wise D, Sawyer T, Chan CA. Sexual dysfunction in men with chronic prostatitis/chronic pelvic pain syndrome: improvement after trigger point release and paradoxical relaxation training. J Urol . 2006 Oct. 176(4 Pt 1):1534

2014 eMedicine.com

88. Chronic Pelvic Pain (Follow-up)

sleeping habits, and balanced meals. Try biofeedback and relaxation techniques. For patient education resources, see and , as well as , , , , and . Previous References Mathias SD, Kuppermann M, Liberman RF, et al. Chronic pelvic pain: prevalence, health-related quality of life, and economic correlates. Obstet Gynecol . 1996 Mar. 87(3):321-7. . Jamieson DJ, Steege JF. The prevalence of dysmenorrhea, dyspareunia, pelvic pain, and irritable bowel syndrome in primary care practices. Obstet Gynecol . 1996 (...) Chronic Pelvic Pain (Follow-up) Chronic Pelvic Pain in Women Follow-up: Further Outpatient Care, Further Inpatient Care, Patient Education Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvMjU4MzM0LWZvbGxvd3Vw

2014 eMedicine.com

89. Chronic Pelvic Pain Syndrome and Prostatodynia (Follow-up)

and external trigger-point release therapy. It has proven more effective than standard external massage therapy alone. Paradoxical relaxation is a methodology used to train autonomic self-regulation and pelvic muscle tension release. This psychotherapeutic treatment technique is used to help the patient decrease anxiety and nervous system arousal while counteracting the habit of tensing the pelvic muscles under stress. It is termed "paradoxical" because patients are directed to accept their pain (...) assessment and release therapy, as well as paradoxical relaxation therapy. [ ] Urologic evaluation is completed by the urologist, while myofascial trigger point assessment and release therapy is performed by the physical therapist, and techniques of paradoxical relaxation are taught by the psychologist. This novel approach capitalizes on the patient's own involvement in the treatment of CPPS. Patients are taught the anatomy of the pelvic floor and lower abdomen and instructed on how to effectively

2014 eMedicine.com

90. Unstable Pelvic Fractures (Follow-up)

Unstable Pelvic Fractures (Follow-up) Unstable Pelvic Fractures Treatment & Management: Approach Considerations, Medical Therapy, Surgical Therapy Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache (...) =aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvMTI0NzQyNi10cmVhdG1lbnQ= processing > Unstable Pelvic Fractures Treatment & Management Updated: Nov 19, 2018 Author: Kenneth W Graf, Jr, MD; Chief Editor: William L Jaffe, MD Share Email Print Feedback Close Sections Sections Unstable Pelvic Fractures Treatment Approach Considerations The treatment goals for unstable pelvic fractures are the same as those for fractures of other bones—namely, a healed fracture with the prevention of nonunion, malunion, and other defined complications. The initial priority

2014 eMedicine Surgery

91. Unstable Pelvic Fractures (Treatment)

Unstable Pelvic Fractures (Treatment) Unstable Pelvic Fractures Treatment & Management: Approach Considerations, Medical Therapy, Surgical Therapy Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache (...) =aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvMTI0NzQyNi10cmVhdG1lbnQ= processing > Unstable Pelvic Fractures Treatment & Management Updated: Nov 19, 2018 Author: Kenneth W Graf, Jr, MD; Chief Editor: William L Jaffe, MD Share Email Print Feedback Close Sections Sections Unstable Pelvic Fractures Treatment Approach Considerations The treatment goals for unstable pelvic fractures are the same as those for fractures of other bones—namely, a healed fracture with the prevention of nonunion, malunion, and other defined complications. The initial priority

2014 eMedicine Surgery

92. The effect of prior lumbar surgeries on the flexion relaxation phenomenon and its responsiveness to rehabilitative treatment. (PubMed)

-relaxation (SEMG≤3.5 μV); gross lumbar, true lumbar, and pelvic flexion ROM; and a pain visual analog scale self-report during forward bending task. Identical measures were obtained at pretreatment and post-treatment.Patients entered an interdisciplinary functional restoration program, including a quantitatively directed, medically supervised exercise process and a multimodal psychosocial disability management component. The functional restoration program was accompanied by a SEMG-assisted stretching (...) The effect of prior lumbar surgeries on the flexion relaxation phenomenon and its responsiveness to rehabilitative treatment. Abnormal pretreatment flexion-relaxation in chronic disabling occupational lumbar spinal disorder patients has been shown to improve with functional restoration rehabilitation. Little is known about the effects of prior lumbar surgeries on flexion-relaxation and its responsiveness to treatment.To quantify the effect of prior lumbar surgeries on the flexion-relaxation

2013 The Spine Journal

93. Effects of Alpha-1 Antagonist, Stress and Relaxation on Anorectal Functions

Constipation Drug: Alfuzosin Other: Placebo Phase 2 Detailed Description: Normally, bowel emptying requires relaxation of the anal sphincter (i.e., lowermost end of intestinal tract) and pelvic muscles. Some people cannot relax these muscles normally and experience constipation. Alfuzosin is a medication which is approved to treat bladder but not bowel problems. Study Design Go to Layout table for study information Study Type : Interventional (Clinical Trial) Actual Enrollment : 74 participants Allocation (...) Effects of Alpha-1 Antagonist, Stress and Relaxation on Anorectal Functions Effects of Alpha-1 Antagonist, Stress and Relaxation on Anorectal Functions - 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

2013 Clinical Trials

94. Ultrasound and EMG Guided Botox Injection for the Treatment of Non-Relaxing Puborectalis Syndrome

rectal emptying. The specific etiology of this syndrome is unknown. The true incidence of NRPS is unknown, but it is estimated that 4% of patients with defecatory disorders have NRPS. Previous therapies for non-relaxing PRS have included biofeedback, pelvic floor physical therapy, dietary changes, laxatives, enemas, and surgical division of the puborectalis muscle. Unfortunately, responses to these treatments have been variable at best. Direct injection of botulinum toxin (Botox (...) Ultrasound and EMG Guided Botox Injection for the Treatment of Non-Relaxing Puborectalis Syndrome Ultrasound and EMG Guided Botox Injection for the Treatment of Non-Relaxing Puborectalis 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

2013 Clinical Trials

95. A New Method to Quantify Male Pelvic Floor Displacement From 2D Transperineal Ultrasound Images. (PubMed)

A New Method to Quantify Male Pelvic Floor Displacement From 2D Transperineal Ultrasound Images. To develop a method to quantify displacement of pelvic structures during contraction of the pelvic floor muscles from transperineal ultrasound images in men and investigate the reliability of the method between days.Ten healthy male volunteers (aged 28-41 years) attended 2 separate data collection sessions. Ultrasound images were recorded during voluntary pelvic floor muscle contractions in cine (...) -loop (video) format with the transducer aligned in the midsagittal plane on the perineum. Five anatomic points were defined to represent contraction from striated urethral sphincter (SUS), levator ani (LA), and bulbocavernosus (BC) muscles. Displacement of each point was calculated between the relaxed and contracted-state images. Intraclass correlation coefficient (ICC) values were calculated from displacement data to assess reliability of the method between days.Displacements of the 5 anatomic

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2013 Urology

96. Vaginal Diazepam for the Treatment of Female Pelvic Pain

Vaginal Diazepam for the Treatment of Female Pelvic Pain Vaginal Diazepam for the Treatment of Female Pelvic 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. Vaginal Diazepam for the Treatment of Female (...) Pelvic 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: NCT01938092 Recruitment Status : Completed First Posted : September 10, 2013 Last Update Posted : July 26, 2017 Sponsor: University of Missouri-Columbia Information provided by (Responsible Party): Raymond Foster, University of Missouri-Columbia

2013 Clinical Trials

97. Short Pelvic Floor EMG Lag Time: A Novel Noninvasive Approach to Documenting the Presence of Detrusor Overactivity in Children with Lower Urinary Tract Symptoms. (PubMed)

Short Pelvic Floor EMG Lag Time: A Novel Noninvasive Approach to Documenting the Presence of Detrusor Overactivity in Children with Lower Urinary Tract Symptoms. Noninvasive uroflow with simultaneous electromyography can measure electromyographic lag time, ie the interval between the start of pelvic floor relaxation and the start of urine flow (normally 2 to 6 seconds). Intuitively one would expect that in patients experiencing urgency secondary to detrusor overactivity the lag time would (...) % specificity and 70% sensitivity for diagnosing detrusor overactivity (88% if less than 2 seconds). Thus, diagnosing the presence or absence of detrusor overactivity in most children with lower urinary tract symptoms and a quiet pelvic floor during voiding can be done reliably via uroflow with simultaneous electromyography.Copyright © 2013 American Urological Association Education and Research, Inc. Published by Elsevier Inc. All rights reserved.

2013 Journal of Urology

98. The effect of pelvic physiotherapy on reduction of functional constipation in children: design of a multicentre randomised controlled trial. (PubMed)

care, involving at least three contacts during five months, whereas the experimental group will receive standard medical care plus pelvic physiotherapy, with a maximum of six contacts. The physiotherapy intervention will include standard medical care, pelvic floor muscle training, attention to breathing, relaxation and awareness of body and posture. The study duration will be six months from randomisation, with a three-year recruitment period. The primary outcome is the absence of functional (...) The effect of pelvic physiotherapy on reduction of functional constipation in children: design of a multicentre randomised controlled trial. Functional constipation is a common disorder worldwide and is found in all paediatric age groups. Functional constipation can be caused by delayed colonic transit or dysfunction of the pelvic floor muscles. Standard medical care in paediatric practice is often based on clinical experience and mainly consists of a behavioural approach and toilet training

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2013 BMC Pediatrics Controlled trial quality: uncertain

99. The effect of pelvic physiotherapy on reduction of functional constipation in children: design of a multicentre randomised controlled trial. (PubMed)

care, involving at least three contacts during five months, whereas the experimental group will receive standard medical care plus pelvic physiotherapy, with a maximum of six contacts. The physiotherapy intervention will include standard medical care, pelvic floor muscle training, attention to breathing, relaxation and awareness of body and posture. The study duration will be six months from randomisation, with a three-year recruitment period. The primary outcome is the absence of functional (...) The effect of pelvic physiotherapy on reduction of functional constipation in children: design of a multicentre randomised controlled trial. Functional constipation is a common disorder worldwide and is found in all paediatric age groups. Functional constipation can be caused by delayed colonic transit or dysfunction of the pelvic floor muscles. Standard medical care in paediatric practice is often based on clinical experience and mainly consists of a behavioural approach and toilet training

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2013 BMC pediatrics Controlled trial quality: uncertain

100. The Relaxation Exercise and Social Support Trial (RESST): a community-based randomized controlled trial to alleviate medically unexplained vaginal discharge symptoms. (PubMed)

The Relaxation Exercise and Social Support Trial (RESST): a community-based randomized controlled trial to alleviate medically unexplained vaginal discharge symptoms. Symptoms such as medically unexplained vaginal discharge (MUVD) are common and bothersome, leading to potentially unnecessary use of resources.A community-based individually randomized controlled trial to assess the effectiveness of a relatively simple, culturally appropriate multi-component intervention on reducing reported MUVD (...) , among women suffering from low-moderate levels of common mental distress. The setting was a socio-economically deprived, informal settlement in the southern suburbs of Beirut, Lebanon. The intervention comprised up to 12 group sessions implemented over a six-week period, each divided into a psychosocial and a relaxation exercise component. The primary outcome was self-reported MUVD, which was defined as a complaint of vaginal discharge upon ruling out reproductive tract infections (RTIs), through

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2012 BMC Psychiatry Controlled trial quality: predicted high

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