Journal of Women's & Pelvic Health Physical Therapy最新文献_第2页

Relationship of Sport Variables on Stress Urinary Incontinence in Nulliparous Collegiate Athletes 未生育大学生运动员压力性尿失禁的运动变量关系

Journal of Women's & Pelvic Health Physical Therapy Pub Date : 2023-04-01 DOI: 10.1097/JWH.0000000000000259

R. Parr, E. Jones, C. Figuers, Heidi H. Ewen

{"title":"Relationship of Sport Variables on Stress Urinary Incontinence in Nulliparous Collegiate Athletes","authors":"R. Parr, E. Jones, C. Figuers, Heidi H. Ewen","doi":"10.1097/JWH.0000000000000259","DOIUrl":"https://doi.org/10.1097/JWH.0000000000000259","url":null,"abstract":"Background: Female athletes have higher prevalence rates of stress urinary incontinence (SUI) than their nonexercising peers. However, there is limited understanding on factors related to SUI in female collegiate athletes. Objective: The purpose of this study was to explore the relationship between sport and athlete characteristics and SUI prevalence in nulliparous female collegiate athletes. Methods: Two hundred nine NCAA Division II female nulliparous collegiate athletes participated in the survey. Physical activity was measured using the International Physical Activity Questionnaire (IPAQ) and incontinence was measured with the International Consultation on Incontinence Questionnaire Urinary Incontinence Short Form (ICIQ UI-SF). Participant demographics, history of disordered eating, and sport/activity characteristics were also reported. Data were analyzed using Mann-Whitney U tests with α value of less than .05. Results: Athletes participating in high-impact sports (P = .03), vigorous physical activity for more than 5 d/wk (P = .037), and a body mass index (BMI) of 25 and greater (P = .05) demonstrated increased ICIQ UI-SF scores. No statistically significant differences were found with physical activity intensity, disordered eating, years of training, or volume of physical activity. Conclusion: Stress urinary incontinence is highly prevalent in nulliparous female athletes, especially those with a BMI of 25 of greater, or who engage in high-impact and/or high-intensity physical activity for more than 5 days of the week. Athletes with a BMI of 25 and greater or those participating in exercise involving high impact and/or a high frequency of high-intensity activity should be screened for SUI. These athletes may be good candidates for prophylactic pelvic floor muscle training, which receives grade A evidence for the treatment of SUI.","PeriodicalId":114037,"journal":{"name":"Journal of Women's & Pelvic Health Physical Therapy","volume":"5 10","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"113932289","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Breast Injury in the Women's French Professional Basketball League 法国女子职业篮球联赛中的乳房损伤

Journal of Women's & Pelvic Health Physical Therapy Pub Date : 2023-04-01 DOI: 10.1097/JWH.0000000000000272

Laura J. Smith, Tamara Eichelberger, E. Kane

{"title":"Breast Injury in the Women's French Professional Basketball League","authors":"Laura J. Smith, Tamara Eichelberger, E. Kane","doi":"10.1097/JWH.0000000000000272","DOIUrl":"https://doi.org/10.1097/JWH.0000000000000272","url":null,"abstract":"Background: Research on the prevalence of breast injuries in female athletes is sparse. The negative effects from blunt force trauma to the breast outside of sports participation are well documented. Objective: The objective of this study was to report the prevalence, reporting, impact on participation, and the percentage of individuals with a breast injury who received treatment in the French Feminine Professional Basketball League. Study Design: A cross-sectional study of female athletes from 6 professional basketball teams in France was conducted during the 2020-2021 season. All athletes listed on the team rosters were invited to participate. An electronic questionnaire was distributed to this sample of convenience. The questionnaire was validated by 3 experts in survey research methodology. Methods: Participants completed a 12-question electronic questionnaire that included demographic information and questions about breast injuries sustained during participation in basketball. Results: Fifty-eight athletes participated in the study for an 87.9% response rate. Nearly one-third of the athletes reported a breast injury. Five athletes reported having 3 or more separate breast injuries. Four athletes missed practice and/or competition due to the breast injury. Only 6 athletes reported their injury to a medical professional. Conclusions: This first study on breast injuries in professional women's basketball athletes has demonstrated that breast injuries during sports occur. Most injuries are not reported or treated. Communication needs to be enhanced regarding the reporting and treatment of breast injuries. A standard of care needs to be established. The extent of potential sequelae that exist needs further research.","PeriodicalId":114037,"journal":{"name":"Journal of Women's & Pelvic Health Physical Therapy","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132366270","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Maximizing Running Participation and Performance Through Menopause 最大限度地提高绝经期跑步的参与和表现

Journal of Women's & Pelvic Health Physical Therapy Pub Date : 2023-04-01 DOI: 10.1097/JWH.0000000000000276

Carey Rothschild, Tara Gidus Collingwood

{"title":"Maximizing Running Participation and Performance Through Menopause","authors":"Carey Rothschild, Tara Gidus Collingwood","doi":"10.1097/JWH.0000000000000276","DOIUrl":"https://doi.org/10.1097/JWH.0000000000000276","url":null,"abstract":"When approaching menopause, female runners may be unaware of the physiological changes that can affect the body and its ability to participate and perform in recreational and competitive sports. Nearly half of recreational female runners are of menopausal age, and health care professionals, including physical therapists, should be aware of the cardiovascular, musculoskeletal, neuromuscular, and endocrine changes that come with age and menopause to appropriately advise and care for this growing group of female athletes. A comprehensive, integrated approach to training during this time in a woman's life is warranted. By integrating lifestyle behaviors such as sleep, recovery, and nutrition with aerobic and strength training elements, the older female runner is more likely to be able to participate and perform in sport at recreational and competitive levels. Enabling the female athlete to continue running through menopause provides numerous benefits including physical health, psychological wellness, social engagement, and personal accomplishment. This article summarizes the natural changes that occur with aging and menopause and guides physical therapists in developing a comprehensive program of focused training, planned nutrition, and ample recovery for female runners. Supplemental Digital Content video abstract available at: http://links.lww.com/JWHPT/A98","PeriodicalId":114037,"journal":{"name":"Journal of Women's & Pelvic Health Physical Therapy","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121089872","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Describing Reproductive and Pelvic Floor Health in Female Former Soccer Athletes: A Preliminary Study 描述女性前足球运动员生殖和盆底健康:一项初步研究

Journal of Women's & Pelvic Health Physical Therapy Pub Date : 2023-04-01 DOI: 10.1097/JWH.0000000000000261

A. Chandran, Aliza K Nedimyer, S. Walton, Jamie P. DeCicco, Kate E. Temme, M. Willis-Gray, E. Weight, Z. Kerr, J. Mihalik, J. DeFreese, Kevin A. Carneiro

{"title":"Describing Reproductive and Pelvic Floor Health in Female Former Soccer Athletes: A Preliminary Study","authors":"A. Chandran, Aliza K Nedimyer, S. Walton, Jamie P. DeCicco, Kate E. Temme, M. Willis-Gray, E. Weight, Z. Kerr, J. Mihalik, J. DeFreese, Kevin A. Carneiro","doi":"10.1097/JWH.0000000000000261","DOIUrl":"https://doi.org/10.1097/JWH.0000000000000261","url":null,"abstract":"Background: There is limited understanding of reproductive and pelvic floor health in female former athletes. Objectives: To examine lifespan reproductive and pelvic floor dysfunctions among female former collegiate soccer athletes, and examine potential associations between age at start of soccer careers and self-reported dysfunctions. Design: Survey-based cross-sectional study. Methods: Former women's soccer athletes (n = 124; average age = 42.9 ± 12.2 years) participated in a general health survey aimed at capturing physical and mental health dimensions within this population; the present study utilized a subset of data collected as part of the broader project. Prevalence of reproductive and pelvic floor dysfunctions was examined, and associations between the outcomes of interest and age at start of soccer career were assessed using Fisher's exact tests. Results: Under one-quarter of respondents reported not having periods at the time of study participation (n = 29; 23%); with 30 (24.2%) reporting currently being in menopausal transition or being postmenopausal. Fifty-five (44.4%) respondents reported lifetime pregnancies; among them, 21 (38.2%) reported having 1 or more miscarriage. The most commonly reported pelvic floor dysfunctions included accidental urinary leakage (55.6%), nocturia (45.2%), and accidental flatulence (37.1%). Fisher's exact tests revealed several associations between pelvic floor dysfunctions and age at start of career, with higher prevalences of dysfunctions observed among those who reported starting their soccer careers at older ages. Conclusion: Study findings indicate that pelvic floor health warrants further attention among female former athletes, and personal or demographic characteristics may be important determinants of menstrual irregularities and dysfunctions in this population.","PeriodicalId":114037,"journal":{"name":"Journal of Women's & Pelvic Health Physical Therapy","volume":"13 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126824200","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Effects of Exercise Training on Low Back/Pelvic Girdle Pain During Pregnancy: A Systematic Review 运动训练对妊娠期腰/骨盆疼痛的影响:一项系统综述

Journal of Women's & Pelvic Health Physical Therapy Pub Date : 2023-02-13 DOI: 10.1097/JWH.0000000000000269

Traci A. McCarthy, P. Reddy, A. Simonds, A. Spaeth

{"title":"The Effects of Exercise Training on Low Back/Pelvic Girdle Pain During Pregnancy: A Systematic Review","authors":"Traci A. McCarthy, P. Reddy, A. Simonds, A. Spaeth","doi":"10.1097/JWH.0000000000000269","DOIUrl":"https://doi.org/10.1097/JWH.0000000000000269","url":null,"abstract":"Background: Forty-five percent of pregnant women report moderate to severe low back and/or pelvic girdle pain (LBP/PGP) during pregnancy. Exercise, specifically muscular fitness training, is effective for the prevention and treatment of LBP/PGP in the general population. However, its efficacy during pregnancy is unknown. Objectives: The goal of this review is to examine the evidence supporting muscular fitness training for prevention and treatment of LBP/PGP during pregnancy. Study Design: A systematic review. Methods: A systematic review was conducted from February 2021 to June 2022 using online databases and hand searching. Randomized control trials were included if the population was pregnant women, the intervention was exercise training, the comparison was a nonexercise control group, and the outcome was LBP/PGP. A risk of bias analysis using the Cochran Risk of Bias (RoB) tool and quality assessment were performed using the GRADE method. The included articles were compiled into exercise types for comparison. Results: Of the 1707 articles found, 26 (n = 3946 pregnant women) were included in the final analysis after removing duplicates, articles that did not meet inclusion criteria, and articles unavailable in English. Seventeen out of 26 articles found that exercise during pregnancy had a positive effect on pain, but the quality of the studies ranged from very low to moderate. None of the included articles utilized strength training for muscular fitness, 2 used hypertrophy training, and the remaining articles utilized muscular endurance programs for muscular fitness. Conclusion: Strength and hypertrophy training for LBP/PGP during pregnancy is largely unknown and understudied; however, many other modes of exercise for muscular endurance improved pain. More research is warranted to determine the benefits of traditional strength and hypertrophy training for LBP/PGP management during pregnancy.","PeriodicalId":114037,"journal":{"name":"Journal of Women's & Pelvic Health Physical Therapy","volume":"33 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125199296","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Addressing the Kinetic Chain in a Postpartum Multisport Athlete: A Case Report 解决动力链产后多运动运动员:一个案例报告

Journal of Women's & Pelvic Health Physical Therapy Pub Date : 2023-02-03 DOI: 10.1097/JWH.0000000000000266

Lisa Piropato, Rita E. Deering

{"title":"Addressing the Kinetic Chain in a Postpartum Multisport Athlete: A Case Report","authors":"Lisa Piropato, Rita E. Deering","doi":"10.1097/JWH.0000000000000266","DOIUrl":"https://doi.org/10.1097/JWH.0000000000000266","url":null,"abstract":"Background: Physiological and biomechanical changes must be considered when evaluating and treating musculoskeletal impairments in a perinatal female athlete, whether or not these impairments are directly related to their pregnant or postpartum state. Case Description: This case report describes a 34-year-old woman active in high-intensity functional conditioning, recreational volleyball, and running, seeking care for shoulder and thoracic back pain from birth to 1 year postpartum. Her primary complaint of shoulder pain was exacerbated by overhead activities. She also presented with a secondary complaint of “weakness” through her core, preventing return to sport. Treatment focused on joint mobilizations, neuromuscular re-education, and core strength using biotensegrity principles throughout the postpartum journey of return to sport. Outcomes: The patient was highly motivated and met her desired goals to (1) compete in recreational sand and indoor volleyball starting at 6 weeks postpartum, (2) participate in a relay trail race at desired pace, and (3) compete in a weightlifting competition at 8 months postpartum without an increase in shoulder pain. Discussion: This case demonstrates the importance of addressing the entire kinetic chain in the postpartum athlete while addressing what may be considered a “straightforward” orthopedic condition. Understanding birth and postpartum healing is essential for physical therapists working with active mothers. Knowledge of the physiological and biomechanical changes during and after pregnancy is essential to appropriate treatment of these patients. Informed Consent: Written consent was obtained.","PeriodicalId":114037,"journal":{"name":"Journal of Women's & Pelvic Health Physical Therapy","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125694835","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Cross-cultural Adaptation and Validation of the Hebrew Version of the Vulvar Functional Status Questionnaire (VQ) 外阴功能状况问卷(VQ)希伯来语版的跨文化适应与验证

Journal of Women's & Pelvic Health Physical Therapy Pub Date : 2023-02-02 DOI: 10.1097/JWH.0000000000000264

Lea Tene, A. Weintraub, Leonid Kalichman

{"title":"Cross-cultural Adaptation and Validation of the Hebrew Version of the Vulvar Functional Status Questionnaire (VQ)","authors":"Lea Tene, A. Weintraub, Leonid Kalichman","doi":"10.1097/JWH.0000000000000264","DOIUrl":"https://doi.org/10.1097/JWH.0000000000000264","url":null,"abstract":"Background: As yet, no Hebrew language vulvar functional status questionnaire exists. Aims: To perform a cross-cultural adaptation of a Hebrew version of the Vulvar Functional Status Questionnaire (VQ), a validated tool used for evaluating dyspareunia among women, and to evaluate the psychometric properties of this version by examining the correlations between results of the questionnaire among women with pain during intercourse and quality of life, level of anxiety, and pelvic floor function. Methods: The English version of the VQ underwent cross-cultural adaptation to Hebrew according to accepted guidelines. Eighty Hebrew-speaking women with vulvar pain, aged older than 18 years, participated in the study. Participants completed the VQ-Hebrew (VQ-H) (see Supplemental Digital Content, available at: http://links.lww.com/JWHPT/A89), the Hebrew versions of the health-related quality-of-life questionnaire (SF-12), the Pelvic Organ Prolapse/Urinary Incontinence Sexual Function Questionnaire (PISQ-12), and the State-Trait Anxiety Inventory (STAI). All the participants completed the VQ-H again after 2 to 3 weeks. Psychometric properties (test-retest reliability, internal consistency, convergent validity, and factor analysis) were calculated. Results: The VQ-H demonstrated excellent test-retest reliability: intraclass correlation coefficients ranged from 0.898 to 0.958 (P < .001); the Cronbach α was excellent (0.935). A significant correlation was found between the VQ-H and SF-12 scores (r =−0.360, P = .001). However, the correlation between the VQ-H and STAI and PISQ-12 scores was not statistically significant (r = 0.172, P = .127 and r =−0.185, P = .100, respectively). Factor analysis revealed a 4-factor solution representing daily function and pain provoked by or related to various activities. Conclusion: The VQ-H is a valid and reliable instrument. Its scores reflect the impaired function in all domains of vulvar pain among Hebrew-speaking women.","PeriodicalId":114037,"journal":{"name":"Journal of Women's & Pelvic Health Physical Therapy","volume":"20 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131477276","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Effects of Exercise on Lumbopelvic Pain During Pregnancy: A Systematic Review and Meta-analysis 运动对妊娠期腰骨盆疼痛的影响:系统回顾和荟萃分析

Journal of Women's & Pelvic Health Physical Therapy Pub Date : 2023-01-01 DOI: 10.1097/JWH.0000000000000263

Nicole Tombers, Margaret Grob, Kathryn Ollenburg, Molly Appicelli, Christine A. Cabelka

{"title":"Effects of Exercise on Lumbopelvic Pain During Pregnancy: A Systematic Review and Meta-analysis","authors":"Nicole Tombers, Margaret Grob, Kathryn Ollenburg, Molly Appicelli, Christine A. Cabelka","doi":"10.1097/JWH.0000000000000263","DOIUrl":"https://doi.org/10.1097/JWH.0000000000000263","url":null,"abstract":"Background: At least 50% of women experience lumbopelvic pain during pregnancy. Physical activity has moderate health benefits and no adverse outcomes for women with uncomplicated pregnancies. Physically active pregnant women have lower pain intensities than sedentary women. It is not clear whether common exercise types are equally beneficial for the management of lumbopelvic pain during pregnancy. Objective: The aim of this systematic review is to determine the effect of exercise on reducing lumbopelvic pain intensity in pregnant women. Study Design: A systematic review and meta-analysis. Methods: Seven databases (CINAHL, Medline, ScienceDirect, SportDiscus, ProQuest, Google Scholar, and Cochrane) were searched in October 2020 and again in February 2022. Studies investigating the effect of exercise on low back or pelvic pain in pregnant women were included, with no limitation on publication date. Primary data collected for quantitative analysis included pain intensity. Bias was assessed using the Cochrane bias tool. A meta-analysis was performed using individual study effect sizes (ES) using a random-effects model. Results: Initial search yielded 1,771 results and 21 articles were identified as meeting the inclusion criteria. One article utilized 2 intervention groups and was counted as separate studies. Meta-analysis on 22 studies yielded a statistically significant and large ES, indicating exercise intervention during pregnancy results in significantly lower pain reports compared with usual prenatal care (overall ES = 2.07; 95% confidence interval = 1.35-2.78; P < .001). Conclusion: Exercise is beneficial in the management of lumbopelvic pain in pregnant women.","PeriodicalId":114037,"journal":{"name":"Journal of Women's & Pelvic Health Physical Therapy","volume":"20 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121215328","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Effects of Pelvic Floor Rehabilitation on a Male Patient With Colostomy: A Case Report 盆底康复对男性结肠造口术患者的影响:1例报告

Journal of Women's & Pelvic Health Physical Therapy Pub Date : 2023-01-01 DOI: 10.1097/JWH.0000000000000251

E. Üzelpasacı, E. Baran, G. Nakip, Gamze Nalan Çinar, S. Özgül, Ceren Gürşen, T. Akbayrak

{"title":"The Effects of Pelvic Floor Rehabilitation on a Male Patient With Colostomy: A Case Report","authors":"E. Üzelpasacı, E. Baran, G. Nakip, Gamze Nalan Çinar, S. Özgül, Ceren Gürşen, T. Akbayrak","doi":"10.1097/JWH.0000000000000251","DOIUrl":"https://doi.org/10.1097/JWH.0000000000000251","url":null,"abstract":"The aim of this study was to investigate the effects of pelvic floor muscle training, consisting of pelvic floor muscle exercises and extracorporeal magnetic innervation, on a male patient with colostomy during the preclosure period. A male patient with colostomy (age: 23 years, body mass index: 24.21 kg/m2) was evaluated. The demographic characteristics and medical history of the patient were recorded. Pelvic floor muscle strength and endurance were assessed with anal perineometric sensor. Subjective perception of improvement was assessed with a Likert-type scale and quality of life was assessed with Visual Analog Scale. All assessments were performed before treatment, during the fourth week of treatment, immediately after treatment at 10 weeks, and at 6 weeks postclosure of the colostomy. Pelvic floor muscle exercises and extracorporeal magnetic innervation were applied for 10 weeks. Subjective perception of improvement, pelvic floor muscle strength, and endurance were enhanced but there was no improvement in quality of life from preclosure to the postclosure period. Pelvic floor muscle exercises and extracorporeal magnetic innervation are effective treatments for increasing the pelvic floor muscle strength and endurance and the subjective perception of healing in a patient with colostomy during the preclosure and postclosure periods. There is a need for randomized controlled studies on this subject with larger samples.","PeriodicalId":114037,"journal":{"name":"Journal of Women's & Pelvic Health Physical Therapy","volume":"108 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124943144","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Initiating Occupational and Physical Therapy in the Hospital After Birth: Access, Reimbursement, and Outcomes 出生后在医院开始职业和物理治疗:获取、报销和结果

Journal of Women's & Pelvic Health Physical Therapy Pub Date : 2023-01-01 DOI: 10.1097/JWH.0000000000000262

Rebeca L. Segraves, A. Croghan, Meaghan Coreas, Erin Locati, Rachel Noyes Finley

{"title":"Initiating Occupational and Physical Therapy in the Hospital After Birth: Access, Reimbursement, and Outcomes","authors":"Rebeca L. Segraves, A. Croghan, Meaghan Coreas, Erin Locati, Rachel Noyes Finley","doi":"10.1097/JWH.0000000000000262","DOIUrl":"https://doi.org/10.1097/JWH.0000000000000262","url":null,"abstract":"Acute care therapists routinely screen body systems, activity tolerance, safe mobility, activities of daily living/instrumental activities of daily living performance, cognition, caregiver support, home environment, and risk factors for hospital readmission. Despite most elective procedures, such as joint replacement and spine surgery, which receive automatic orders for acute care therapy, individuals who elect to give birth in a hospital are typically not offered rehabilitation services to optimize their recovery. Across hospitals in the United States, individuals receiving obstetric care have limited access to acute care therapy despite increasing postpartum readmission rates, severe maternal morbidity, and disproportionate levels of maternal mortality. Cardiovascular conditions, infection, and hemorrhage remain the leading causes of death in the obstetric population during the first 6 weeks postpartum. However, individuals are frequently discharged from the hospital after birth without a formal assessment by an acute care occupational or physical therapist. Extensive education to maternal care providers on obstetric rehabilitation is needed to improve outcomes after hospital birth with inpatient occupational and physical therapy. Supplemental video abstract available at https://www.youtube.com/watch?v=zfdU-1DuQiM.","PeriodicalId":114037,"journal":{"name":"Journal of Women's & Pelvic Health Physical Therapy","volume":"17 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126821125","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0