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Pelvic Relaxation

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101. Unstable Pelvic Fractures (Follow-up)

measurement is obtained, crystalloid is administered until type-specific blood of non-cross-matched universal donor (O-negative) is prepared. Displaced pelvic fractures can be stabilized temporarily by simple means during the initial evaluation and transportation. These methods rely on immobilization and partial reduction of displacement. A sheet can be tied around the pelvis, or the legs can be tied together in an internally rotated position to approximate an anterior pelvic diastasis. Military antishock (...) fixation also has been used in rotationally unstable pelvic fractures. [ , , ] Benefits of external fixation include immobilization of fractures limiting the clot disruption that may occur during patient movement and transfer. Studies have shown that reduction of an open-book pelvis leads to an increase in retroperitoneal pressure, which may aid in the tamponade of venous bleeding. The use of external fixation remains controversial. For example, Gruen et al reported that in 36 trauma patients who were

2014 eMedicine Surgery

102. The Relaxation Exercise and Social Support Trial (RESST): a community-based randomized controlled trial to alleviate medically unexplained vaginal discharge symptoms. Full Text available with Trip Pro

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

2012 BMC Psychiatry Controlled trial quality: predicted high

103. The heat of shortening during the plateau of tetanic contraction and at the end of relaxation Full Text available with Trip Pro

of 15-25%, is observed during relaxation.4. The net supplement of heat is the same whether the shortening occurs in the beginning (0.4 sec) or towards the end (1.2 sec) of the contraction period; the reduction of the effect during relaxation is more important in the pelvic part than in the tibial part of the muscle.5. This small reduction of the thermal effect of the shortening is fully accounted for by the fact that the tension redeveloped after the end of the movement remains always below (...) The heat of shortening during the plateau of tetanic contraction and at the end of relaxation 1. The net thermal effect of shortening on the heat production of the sartorius muscle of Rana temporaria has been studied at 0 degrees C in tetanic contractions of either 1.2 or 2.0 sec analysed up to the end of relaxation.2. Three types of contractions have been compared: isometric at the standard length (l(o)); isometric at a shorter length (l(o) minus 4.27 mm); and rapid shortening at constant

1971 The Journal of physiology

104. 6-Day Intensive Treatment Protocol for Refractory Chronic Prostatitis/Chronic Pelvic Pain Syndrome Using Myofascial Release and Paradoxical Relaxation Training. (Abstract)

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

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

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

106. A New Method to Quantify Male Pelvic Floor Displacement From 2D Transperineal Ultrasound Images. Full Text available with Trip Pro

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

2013 Urology

107. 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

108. The effect of pelvic physiotherapy on reduction of functional constipation in children: design of a multicentre randomised controlled trial. Full Text available with Trip Pro

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

2013 BMC pediatrics Controlled trial quality: uncertain

109. Chronic Pelvic Pain

usage Previous evaluation and treatment by other providers Psychiatric History Mood changes and how quickly Physical functioning in work and activities Family Roles and Responsibilities with recent changes Sexual abuse or physical abuse history (commonly associated) Efforts to cope with pain (Relaxation or ) Patient and Families' interpretation of pain Associated Conditions (one or more present in 50% of cases) (often accompanies ) Pelvic adhesions VIII. Exam: Neurologic Stance and gait Sitting (...) vaginal exam with 1 finger Patient contracts and relaxes intermittently Same type of pain as with intercourse? Press at pelvic floor (levator plate palpation) Pelvic floor tension myalgia increases during day Speculum exam Use a small speculum with adequate lubricant Obtain KOH and wet prep sample Obtain STD testing for and Bimanual Exam Cul-de-sac and uterosacral palpation for nodularity, tenderness or masses Cancer Cervical Motion Tenderness for Mild Adhesions Severe (PID) Retroverted associated

2015 FP Notebook

110. Recognition and management of nonrelaxing pelvic floor dysfunction. Full Text available with Trip Pro

Recognition and management of nonrelaxing pelvic floor dysfunction. Nonrelaxing pelvic floor dysfunction is not widely recognized. Unlike in pelvic floor disorders caused by relaxed muscles (eg, pelvic organ prolapse or urinary incontinence, both of which often are identified readily), women affected by nonrelaxing pelvic floor dysfunction may present with a broad range of nonspecific symptoms. These may include pain and problems with defecation, urination, and sexual function, which require (...) relaxation and coordination of pelvic floor muscles and urinary and anal sphincters. These symptoms may adversely affect quality of life. Focus on the global symptom complex, rather than the individual symptoms, may help the clinician identify the condition. The primary care provider is in a position to intervene early, efficiently, and effectively by (1) recognizing the range of symptoms that might suggest nonrelaxing pelvic floor dysfunction, (2) educating patients, (3) performing selective tests when

2012 Mayo Clinic Proceedings

111. Hatha Yoga Exercises in Pelvic and Lumbar Back Pain in Pregnant Woman

Hatha Yoga Exercises in Pelvic and Lumbar Back Pain in Pregnant Woman Hatha Yoga Exercises in Pelvic and Lumbar Back Pain in Pregnant Woman - 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. Hatha Yoga (...) Exercises in Pelvic and Lumbar Back Pain in Pregnant Woman 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: NCT01576978 Recruitment Status : Completed First Posted : April 13, 2012 Last Update Posted : April 13, 2012 Sponsor: University of Campinas, Brazil Information provided by (Responsible Party): Roseny

2012 Clinical Trials

112. Botulinum Toxin for Pelvic Pain in Women With Endometriosis

will be screened with a physical exam and medical history. Blood and urine samples will be collected. Participants will also answer questions about their pain levels and quality of life. Participants will receive either botulinum toxin or a placebo (salt water) injection. The injection will be given into the pelvic floor muscles through the vaginal wall. Participants will take a muscle relaxant like Valium and have anesthetic cream put on the vaginal wall before the injection. After the injection, participants (...) Botulinum Toxin for Pelvic Pain in Women With Endometriosis Botulinum Toxin for Pelvic Pain in Women With 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. Botulinum Toxin for Pelvic Pain

2012 Clinical Trials

113. Diaphragmatic breathing exercises and pelvic floor retraining in children with dysfunctional voiding. (Abstract)

Diaphragmatic breathing exercises and pelvic floor retraining in children with dysfunctional voiding. Dysfunctional voiding (DV) in neurologically normal children is characterized by involuntary intermittent contractions of either the striated muscle in external urethral sphincter, or the pelvic floor during voiding. Urinary incontinence, pelvic holding maneuvers, voiding difficulties, urinary tract infections (UTIs), constipation and vesicoureteral reflux are highly associated with DV.To (...) investigate the role of abdominal and pelvic floor muscle (PFM) retraining in children with DV.Prospective clinical controlled studyOutpatient clinical facilityForty-three children, 5-13 years of age, with dysfunctional voidingIn addition to standard urotherapy (education, timed voiding, adequate fluid intake, voiding posture and pattern, constipation management and hygiene issues), children were assigned abdominal and PFM retraining. Diaphragmatic breathing exercises were done in lying and sitting

2012 European journal of physical and rehabilitation medicine Controlled trial quality: uncertain

114. Pelvic Osteo-arthropathy of Pregnancy: (Section of Obstetrics and Gynæcology) Full Text available with Trip Pro

Pelvic Osteo-arthropathy of Pregnancy: (Section of Obstetrics and Gynæcology) Excessive relaxation of the pelvic joints during pregnancy has as its chief symptoms chronic backache and locomotor disturbances. Goldthwait and others have for long drawn attention to the frequent part played by softening of the sacro-iliac joint structures in the production of the common backache of pregnancy. The frequency of this symptom may be gauged by the fact that 114 women out of a successive series of 3,030

1939 Proceedings of the Royal Society of Medicine

115. Effect of Spinal Manipulation on Pelvic Floor Functional Changes in Pregnant and Nonpregnant Women: A Preliminary Study. Full Text available with Trip Pro

and after either spinal manipulation or a control intervention.Levator hiatal area at rest increased significantly (P < .05) after spinal manipulation in the pregnant women, with no change postmanipulation in the nonpregnant women at rest or in any of the other measured parameters.Spinal manipulation of pregnant women in their second trimester increased the levator hiatal area at rest and thus appears to relax the pelvic floor muscles. This did not occur in the nonpregnant control participants (...) Effect of Spinal Manipulation on Pelvic Floor Functional Changes in Pregnant and Nonpregnant Women: A Preliminary Study. The aim of this study was to investigate whether a single session of spinal manipulation of pregnant women can alter pelvic floor muscle function as measured using ultrasonographic imaging.In this preliminary, prospective, comparative study, transperineal ultrasonographic imaging was used to assess pelvic floor anatomy and function in 11 primigravid women in their second

2016 Journal of Manipulative and Physiological Therapeutics

116. Clinical evaluation of etidocaine in continuous caudal analgesia for pelvic floor repair and post-operative pain relief. Full Text available with Trip Pro

Clinical evaluation of etidocaine in continuous caudal analgesia for pelvic floor repair and post-operative pain relief. A randomized double-blind trial compared 1-0% etidocaine and 1-5% lignocaine (both with 1/200,000 adrenaline), for caudal anaesthesia for pelvic floor repair. Etidocaine was highly effective for the surgical procedure, with rapid onset of action, adequate muscle relaxation and longer duration of action. Its use for post-operative analgesia may be hindered by the concomitant

1976 Anaesthesia and intensive care Controlled trial quality: uncertain

117. The relaxation exercise and social support trial-resst: study protocol for a randomized community based trial. Full Text available with Trip Pro

The relaxation exercise and social support trial-resst: study protocol for a randomized community based trial. Studies suggests a possible link between vaginal discharge and common mental distress, as well as highlight the implications of the subjective burden of disease and its link with mental health.This is a community-based intervention trial that aims to evaluate the impact of a psycho-social intervention on medically unexplained vaginal discharge (MUVD) in a group of married, low-income (...) Lebanese women, aged 18-49, and suffering from low to moderate levels of anxiety and/or depression. The intervention consisted of 12 sessions of structured social support, problem solving techniques, group discussions and trainer-supervised relaxation exercises (twice per week over six weeks). Women were recruited from Hey el Selloum, a southern disadvantaged suburb of Beirut, Lebanon, during an open recruitment campaign. The primary outcome was self-reported MUVD, upon ruling out reproductive tract

2011 BMC psychiatry Controlled trial quality: uncertain

118. Perineal surface electromyography does not typically demonstrate expected relaxation during normal voiding. Full Text available with Trip Pro

in the 42 subjects who had neither abdominal straining during void nor interrupted flow.Perineal surface patch EMG did not measure expected pelvic floor and urethral sphincter relaxation during voiding. Preoperative EMG did not predict patients at risk for postoperative voiding dysfunction.Copyright © 2011 Wiley Periodicals, Inc. (...) Perineal surface electromyography does not typically demonstrate expected relaxation during normal voiding. To describe perineal surface patch electromyography (EMG) activity during urodynamics (UDS) and compare activity between filling and voiding phases and to assess for a relationship between preoperative EMG activity and postoperative voiding symptoms.655 women underwent standardized preoperative UDS that included perineal surface EMG prior to undergoing surgery for stress urinary

2011 Neurourology and urodynamics Controlled trial quality: uncertain

119. Measurements of pelvic floor dyssynergia: which test result matters? (Abstract)

Measurements of pelvic floor dyssynergia: which test result matters? Failure to expel a 60-mL balloon on manometry and abnormal relaxation of anal sphincter on electromyographic testing are frequently used to diagnose pelvic floor dyssynergia. However, the relationship between these 2 test results and their relationship to defecography is poorly characterized. We aimed to describe this relationship and create a predictive model for pelvic floor dyssynergia on defecography.From March 2008 (...) , 123 patients underwent defecography and, of these, 63 (51.2%) had evidence of pelvic floor dyssynergia. Patients with and without dyssynergia had a slight difference in mean resting pressures (62.8 mmHg vs 49.5 mmHg, P = .02) and no discernable differences in rectal sensitivity and compliance: first sensation (56.5 vs 62.5, P = .34) and maximum tolerated volume (164.2 vs 191.2, P = .09). It appeared that abnormalities in electromyographic relaxation and balloon expulsion occurred in the same

2011 Diseases of the Colon & Rectum

120. Functional imaging of the pelvic floor. Full Text available with Trip Pro

diagnostic tool that can alter management decisions from surgical to medical and vice versa in many cases. Functional radiography provides the maximum stress to the pelvic floor, resulting in levator ani relaxation accompanied by rectal emptying-which is needed to diagnose defecatory disorders. It also provides organ-specific quantificative information about female pelvic organ prolapse-information that usually can only be inferred by means of physical examination. The application of functional (...) Functional imaging of the pelvic floor. The clinical treatment of patients with anorectal and pelvic floor dysfunction is often difficult. Dynamic cystocolpoproctography (DCP) has evolved from a method of evaluating the anorectum for functional disorders to its current status as a functional method of evaluating the global pelvic floor for defecatory disorders and pelvic organ prolapse. It has both high observer accuracy and a high yield of positive diagnoses. Clinicians find it a useful

2011 Radiology

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