Neurogastroenterol Motil. 2010 Feb;22(2):150-3, e48. Epub 2009 Sep 17.
Constipation: a potential cause of pelvic floor damage?
Amselem C, Puigdollers A, Azpiroz F, Sala C, Videla S, Fernández-Fraga X, Whorwell P, Malagelada JR.
Although pelvic floor damage is usually attributed to obstetric injury, the authors use data from over 600 women to conclude that constipation appears to be just as important in the development of pelvic floor damage.
J Reprod Med. 2010 Jan-Feb;55(1-2):19-24.
Use of intravaginal electrical stimulation for the treatment of chronic pelvic pain: a randomized, double-blind, crossover clinical trial.
de Bernardes NO, Marques A, Ganunny C, Bahamondes L.
In this double-blind, crossover, randomized clinical trial, 26 women were randomly allocated to active intra vaginal electrical stimulation (IVES) or placebo. All women underwent 10 30-minute, twice-weekly sessions. The groups were then crossed over for a further 10 sessions. Pain was evaluated before and after each series. After the 2 sessions, 54.6% who initiated with placebo and 80% who initiated with active IVES had a pain score of less than 3. The authors conclude that intravaginal electrical stimulation was more effective than a placebo in alleviating pain in women with chronic pelvic pain
Am J Obstet Gynecol. 2010 Apr 30. [Epub ahead of print]
Pelvic floor muscle training reverse pelvic organ prolapse and reduce prolapse symptoms? An assessor-blinded, randomized, controlled trial.
Brækken IH, Majida M, Engh ME Bø K
Pelvic floor muscle training (PFMT) during individual physical therapy sessions and home exercise can improve pelvic organ prolapse. Norwegian researchers conducted a controlled study, reporting that after 6 months, women in the PFMT group had significantly greater cranial elevation of the bladder and rectum, compared with women in the control group. They also had reduced prolapse symptoms and greater improvement in pelvic floor muscle strength and endurance. Gastroenterology. 2010 Apr;138(4):1321-9. Epub 2010 Jan 4.
Biofeedback is superior to electrogalvanic stimulation and massage for treatment of levator ani syndrome.
Chiarioni G, Nardo A, Vantini I, Romito A, Whitehead WE.
Study compares biofeedback to teach pelvic floor relaxation, electrogalvanic stimulation, and massage of levator muscles in the treatment of Levator ani syndrome (LAS). Biofeedback (87%) helped nearly twice as many patients as EGS (45%), whic in turn helped twice as many as massage (22%). Biofeedback is therefore the most effective of these treatments, and electrogalvanic stimulation is somewhat effective, whereas massage is effective for only a small proportion of women.
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