Abstract:
BACKGROUND AND PURPOSE:This descriptive cohort study investigated a physical therapy program of pelvic-floor neuromuscular electrostimulation (NMES) combined with exercises, with the aim of developing a simple, inexpensive, and conservative treatment for postpartum genuine stress incontinence (GSI). SUBJECTS:Eight female subjects with urodynamically established GSI persisting more than 3 months after delivery participated in the study. The subjects ranged in age from 24 to 37 years (X = 32, SD = 4.2). METHODS:This was a descriptive multiple-subject cohort study. Each subject received a total of nine treatment sessions during 3 consecutive weeks, consisting of two 15-minute sessions of NMES followed by a 15-minute pelvic-floor muscle exercise program. Patients also practiced daily pelvic-floor exercises during the 3-week treatment period. The treatment intervention was measured using three separate variables. Maximum muscle contractions (pretraining, during training, and post-training) were measured indirectly as pressure, using perineometry. Urine loss pretraining and posttraining was measured by means of a Pad test. Self-reported frequency of incontinence was recorded daily throughout the period of the study, using a diary. Data were analyzed using a one-way repeated-measures analysis of variance (ANOVA), a Wilcoxon signed-ranks test, and a Friedman two-way ANOVA by ranks. RESULTS:The results indicated that maximum pressure generated by pelvic-floor contractions was greater and both the quantity of urine loss and the frequency of incontinence were lower following the implementation of the physical therapy program. Five subjects became continent, and three others improved. A follow-up survey 1 year later confirmed the consistency of these results. CONCLUSION AND DISCUSSION:The results suggest that the proposed physical therapy program may influence postpartum GSI. Further studies are needed to validate this simple, inexpensive, and conservative physical therapy protocol. [Dumoulin C, Seaborne DE, Quirion-DeGirardi C, Sullivan SJ. Pelvic-floor rehabilitation, part 2: pelvic-floor reeducation with interferential currents and exercise in the treatment of genuine stress incontinence in postpartum women--a cohort study.
journal_name
Phys Therjournal_title
Physical therapyauthors
Dumoulin C,Seaborne DE,Quirion-DeGirardi C,Sullivan SJdoi
10.1093/ptj/75.12.1075subject
Has Abstractpub_date
1995-12-01 00:00:00pages
1075-81issue
12eissn
0031-9023issn
1538-6724journal_volume
75pub_type
临床试验,杂志文章相关文献
PHYSICAL THERAPY文献大全abstract:BACKGROUND AND PURPOSE:The purpose of this study was to examine the efficacy of electromyographic biofeedback compared with conventional physical therapy for improving upper-extremity function in patients following a stroke. SUBJECTS AND METHODS:A literature search was done for the years 1976 to 1992. The selection cr...
journal_title:Physical therapy
pub_type: 杂志文章,meta分析
doi:10.1093/ptj/74.6.534
更新日期:1994-06-01 00:00:00
abstract:BACKGROUND:Step-up exercises often are suggested for strengthening the hip abductor muscles and improving balance in older adults. Little is known, however, about whether the forward or lateral version of these exercises is best for activating the hip abductor muscles. OBJECTIVE:The purpose of this study was to examin...
journal_title:Physical therapy
pub_type: 杂志文章
doi:10.2522/ptj.20080229
更新日期:2009-11-01 00:00:00
abstract::Physical therapists routinely identify and manage adolescents with idiopathic scoliosis. Therefore, it is essential that we maintain a current understanding of both the condition and the treatment principles. This paper includes both a discussion of the personal impact on those left untreated and a review of current c...
journal_title:Physical therapy
pub_type: 杂志文章,评审
doi:10.1093/ptj/63.4.512
更新日期:1983-04-01 00:00:00
abstract:Background:The Berg Balance Scale (BBS) has several constraints-ceiling effect, low responsiveness, and uncertain predictability of falls-in neurological populations. The Mini-BESTest, which has not yet been validated in spinal cord injury (SCI) populations, has shown no ceiling effect, slightly better responsiveness, ...
journal_title:Physical therapy
pub_type: 杂志文章
doi:10.1093/ptj/pzx030
更新日期:2017-06-01 00:00:00
abstract:BACKGROUND:Current management of osteoarthritis (OA) focuses on pain control and maintaining physical function through pharmacological, nonpharmacological, and surgical treatments. Exercise, including therapeutic aquatic exercise (TAE), is considered one of the most important management options. Nevertheless, there is ...
journal_title:Physical therapy
pub_type: 杂志文章,meta分析,评审
doi:10.2522/ptj.20130417
更新日期:2014-10-01 00:00:00
abstract:BACKGROUND AND PURPOSE:This case report describes the use of glossopharyngeal breathing (GPB) and neck accessory muscle breathing (NAMB) in the treatment of an individual who was dependent on a ventilator secondary to a spinal cord injury. CASE DESCRIPTION:The patient was a 19-year-old man with C2 complete tetraplegia...
journal_title:Physical therapy
pub_type: 杂志文章,评审
doi:
更新日期:2002-06-01 00:00:00
abstract::We investigated the current status of the education of physical therapy students regarding elderly individuals. Data were collected through a questionnaire mailed to the directors of 101 accredited physical therapy education programs; the rate of return was 79%. Nearly all of the program directors (96%) affirmed a nee...
journal_title:Physical therapy
pub_type: 杂志文章
doi:10.1093/ptj/67.2.234
更新日期:1987-02-01 00:00:00
abstract:BACKGROUND:The quality of clinical practice guidelines (CPGs) is important to ensure guideline adoption by clinicians. PURPOSE:The aim of this review was to identify CPGs for the management of limb amputations, appraise the quality of CPGs, and synthesize recommendations from comprehensive CPGs of high quality. DATA ...
journal_title:Physical therapy
pub_type: 杂志文章
doi:10.1093/ptj/pzz006
更新日期:2019-05-01 00:00:00
abstract::This case report presents a treatment approach for a patient with temporomandibular joint (TMJ) dysfunction signs and symptoms. Temporomandibular joint pain, jaw clicking and locking, and postural abnormalities were treated with gentle isometric (static) exercises, coordination exercises, and an easily fitted and read...
journal_title:Physical therapy
pub_type: 杂志文章
doi:10.1093/ptj/69.6.463
更新日期:1989-06-01 00:00:00
abstract:BACKGROUND:People with Parkinson disease (PD) frequently experience low back pain (LBP), yet the impact of LBP on functional mobility, physical activity, and quality of life (QOL) has not been described in PD. OBJECTIVE:The objectives of this study were to describe body positions and functional activities associated w...
journal_title:Physical therapy
pub_type: 杂志文章
doi:10.1093/ptj/pzz094
更新日期:2019-10-28 00:00:00
abstract::Quality-based care is a hallmark of physical therapy. Treatment effectiveness must be evident to patients, managers, employers, and funders. Quality indicators (QIs) are tools that specify the minimum acceptable standard of practice. They are used to measure health care processes, organizational structures, and outcom...
journal_title:Physical therapy
pub_type: 杂志文章
doi:10.2522/ptj.20150106
更新日期:2016-01-01 00:00:00
abstract:BACKGROUND AND PURPOSE:There are some sex differences in the career activities of physical therapists. The purpose of this study was to determine whether these sex differences are reflected in the career expectations of physical therapist students. SUBJECTS:Participants were 919 physical therapist students. METHODS:F...
journal_title:Physical therapy
pub_type: 杂志文章
doi:10.2522/ptj.20060285
更新日期:2007-09-01 00:00:00
abstract::This perspective article provides a justification, with an overview, of the use of phenomenological inquiry and the interpretation into the everyday ethical concerns of patients with disabilities. Disability is explored as a transformative process that involves physical, cognitive, and moral changes. This perspective ...
journal_title:Physical therapy
pub_type: 杂志文章
doi:10.2522/ptj.20090348
更新日期:2010-08-01 00:00:00
abstract::Transcutaneous electrical nerve stimulation units used in conjunction with cardiac pacemakers have traditionally been an absolute contraindication for these patients. In this case report, a patient successfully used a TENS unit in conjunction with a temporary cardiac pacemaker. No interference was noted by the ECG rea...
journal_title:Physical therapy
pub_type: 杂志文章
doi:10.1093/ptj/65.2.206
更新日期:1985-02-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Physical therapists often must either palpate tendons of the shoulder or, as part of treatment, apply forces to those tendons. Many methods have been suggested for minimizing the amount of soft tissue that overlies these tendons, but no data have been presented to justify the use of any approach....
journal_title:Physical therapy
pub_type: 杂志文章
doi:10.1093/ptj/76.2.166
更新日期:1996-02-01 00:00:00
abstract:BACKGROUND:Balance is a composite ability requiring the integration of multiple systems. The Balance Evaluation Systems Test (BESTest) and 2 abbreviated versions (the Mini-BESTest and the Brief-BESTest) are balance assessment tools that target these systems. To date, no normative data exist for any version of the BESTe...
journal_title:Physical therapy
pub_type: 杂志文章
doi:10.2522/ptj.20130104
更新日期:2014-03-01 00:00:00
abstract::The purpose of this paper is to present a clinically feasible method to provide objective, quantitative information regarding the quality of a patient's gait. The technique used is simple and economical and requires minimal equipment. The four basic temporal and distance factors are 1) stride length, 2) step length, 3...
journal_title:Physical therapy
pub_type: 杂志文章
doi:10.1093/ptj/61.3.351
更新日期:1981-03-01 00:00:00
abstract::Fifty 8-year-old children, 25 classified as normal and 25 as learning disabled, participated in a study to determine whether they could be differentiated into their respective groups by using four tasks from the Devereux Test of Extremity Coordination: opposition, foot patting, finger wiggling, and heel-toe walking wi...
journal_title:Physical therapy
pub_type: 杂志文章
doi:10.1093/ptj/60.6.784
更新日期:1980-06-01 00:00:00
abstract::A purpose of this study was to determine the difference in the lumbar curves of subjects while they stood compared with while they sat in two chairs with different seat angles--the Balans Multi-Chair (BMC) and a standard conventional chair (SCC). An additional purpose was to determine the relationship between lumbar c...
journal_title:Physical therapy
pub_type: 杂志文章
doi:10.1093/ptj/70.10.611
更新日期:1990-10-01 00:00:00
abstract::To investigate the relationship of pain and physical dependency to depression, the authors conducted a panel survey of 133 middle-aged and elderly persons with recent exacerbations of various physical illnesses. Of the original 133 subjects, 114 participated in two in-depth personal interviews conducted about three mo...
journal_title:Physical therapy
pub_type: 杂志文章
doi:
更新日期:1988-08-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Administration of glucocorticoids results in atrophy and contractile dysfunction in the rat diaphragm. Anabolic steroids may be useful in preventing atrophy and contractile dysfunction. The purpose of this study was to assess the effects of simultaneous administration of testosterone and glucocor...
journal_title:Physical therapy
pub_type: 杂志文章
doi:
更新日期:2003-01-01 00:00:00
abstract:Background:The prevalence of adults with Alzheimer disease (AD) aged >65 years is increasing and estimated to quadruple by 2051. Purpose:The aim of this study was to investigate postural stability in people with mild to moderate AD and factors contributing to postural instability compared with healthy peers (controls)...
journal_title:Physical therapy
pub_type: 杂志文章,评审
doi:10.2522/ptj.20160115
更新日期:2017-03-01 00:00:00
abstract:BACKGROUND:In physical therapist education, the National Physical Therapy Examination (NPTE) is the predominant measure of student success. Because the NPTE is a high-stakes examination, predicting NPTE performance is important for physical therapist students and programs. PURPOSE:The purpose of this study was to dete...
journal_title:Physical therapy
pub_type: 杂志文章,meta分析
doi:10.1093/ptj/pzz145
更新日期:2020-01-23 00:00:00
abstract::BACKGROUND AND PURPOSE. Evaluation of physical therapy for gait disorders in patients with Parkinson's disease (PD) requires an under-standing of how the patients' medication cycle affects function. Four experiments were conducted to investigate stability of gait variables. METHODS AND RESULTS. In experiment 1, 15 sub...
journal_title:Physical therapy
pub_type: 杂志文章
doi:10.1093/ptj/76.7.763
更新日期:1996-07-01 00:00:00
abstract:BACKGROUND:The severity of myelomeningocele (MMC) stems both from a loss of neurons due to neural tube defect and a loss of function in viable neurons due to reduced movement experience during the first year after birth. In young infants with MMC, the challenge is to reinforce excitability and voluntary control of all ...
journal_title:Physical therapy
pub_type: 杂志文章
doi:10.2522/ptj.20110074
更新日期:2012-04-01 00:00:00
abstract:BACKGROUND AND PURPOSE:There is limited research on the effects of the number of exercises a person is told to perform on compliance and performance, as defined by cueing requirements, correct alignment, and quality of movement. Some studies of medication suggest that compliance decreases as the number of medications i...
journal_title:Physical therapy
pub_type: 临床试验,杂志文章,随机对照试验
doi:
更新日期:1999-03-01 00:00:00
abstract:BACKGROUND:Searching and reading the research literature are essential activities for enhancing the use of research and optimizing the quality of physical therapist practice. OBJECTIVES:The objectives of this study were to identify practitioner, organization, and research characteristics that are associated with searc...
journal_title:Physical therapy
pub_type: 杂志文章
doi:10.2522/ptj.20090081
更新日期:2009-10-01 00:00:00
abstract::The 2013 House of Delegates of the American Physical Therapy Association adopted a vision statement that addresses the role of physical therapy in transforming society through optimizing movement. The accompanying guidelines address the movement system as key to achieving this vision. The profession has incorporated m...
journal_title:Physical therapy
pub_type: 杂志文章,评审
doi:10.2522/ptj.20130319
更新日期:2014-07-01 00:00:00
abstract:BACKGROUND AND PURPOSE:People with peripheral vestibular pathology demonstrate motor impairments when responding and adapting to postural platform perturbations and during performance of sit-to-stand and locomotor tasks. This study investigated the influence of unilateral peripheral vestibular hypofunction on voluntary...
journal_title:Physical therapy
pub_type: 杂志文章
doi:
更新日期:2002-03-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Clinicians often are faced with questions about prognosis and outcome of shoulder disorders. The purpose of this study was to identify predictors of both change in disability and level of disability following physical therapy treatment. SUBJECTS:The subjects were consecutive patients (n=361) who...
journal_title:Physical therapy
pub_type: 杂志文章
doi:
更新日期:2006-07-01 00:00:00