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Evidence-Based Physical Therapy for the Pelvic Floor
Bridging Science and Clinical Practice
- 3rd Edition - November 24, 2023
- Authors: Kari Bø, Bary Berghmans, Siv Mørkved, Marijke Van Kampen
- Language: English
- Hardback ISBN:9 7 8 - 0 - 7 0 2 0 - 8 3 0 8 - 2
- eBook ISBN:9 7 8 - 0 - 7 0 2 0 - 8 3 0 9 - 9
Written by leading experts in this field, Evidence-Based Physical Therapy for the Pelvic Floor provides physiotherapists and other professionals with knowledge and confidenc… Read more
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Request a sales quoteWritten by leading experts in this field, Evidence-Based Physical Therapy for the Pelvic Floor provides physiotherapists and other professionals with knowledge and confidence to bring the latest evidence-based approaches and treatment strategies for addressing pelvic floor dysfunction to their practice.
Fully updated and with a wealth of new information, this edition includes sections on devices and apps, gynaecological cancer, sexual dysfunction, fistula, clinical use of EMG, anal incontinence and pain, as well as a discussion of sexualized violence by Nobel Peace Prize winner Denis Mugwege and his team.
- New and fully updated contents; new authors and new chapters provide contemporary evidence
- Innovative practice guidelines supported by a sound evidence base
- Colour illustrations of pelvic floor anatomy and related neuroanatomy/neurophysiology
- MRIs and ultrasounds showing normal and dysfunctional pelvic floor
- Key summaries for easy navigation
- Full colour throughout
- Cover image
- Title page
- Table of Contents
- Copyright
- Contributors
- Foreword
- Foreword
- Preface
- 1. Overview of Physical Therapy for Pelvic Floor Dysfunction
- Pelvic Floor Dysfunction
- Physical Therapy for the Pelvic Floor
- Role of the Physical Therapist in Pelvic Floor Dysfunction
- 2. Critical Appraisal of Randomized Trials and Systematic Reviews of the Effects of Physical Therapy Interventions for the Pelvic Floor
- Randomized Trials and Systematic Reviews
- Detecting Bias in Trials and Reviews
- Detecting ‘Spin’ and Sloppy Analysis
- Assessing Relevance of Trials and Systematic Reviews
- Using Estimates of Effects of Intervention to Make Decisions About Intervention
- Using Grade to Evaluate Evidence and Recommendations For Practice
- 3. Functional Anatomy of the Female Pelvic Floor
- Introduction
- How is Urinary Continence Maintained?
- The Urinary Sphincteric Closure System
- Clinical Correlates of Urethral Anatomy and Effects of Aging
- Urethral (And Anterior Vaginal Wall) Support System
- Pelvic Floor Function Relevant to Stress Urinary Incontinence
- Urethrovesical Pressure Dynamics
- Clinical Implications of Levator Functional Anatomy
- Anatomy of the Posterior Vaginal Wall Support as it Applies to Rectocele
- 4. Neuroanatomy and Neurophysiology of Pelvic Floor Muscles
- Introduction
- Innervation of Pelvic Floor Muscles
- Neural Control of Sacral Functions
- Neural Control of the Sexual Response
- Neurophysiology of Pelvic Floor Muscles
- Tonic and Phasic Pelvic Floor Muscle Activity
- Awareness of Muscle
- Neuromuscular Injury to the Pelvic Floor due to Vaginal Delivery
- Conclusion
- 5. Measurement of Pelvic Floor Muscle Function and Strength
- 5.1 Introduction
- 5.2 Visual Observation and Palpation
- 5.3 Manometry: Vaginal Squeeze Pressure Measurement
- 5.4 Pelvic Floor Dynamometry
- 5.5 Electromyography
- 5.6 Urethral Pressure Measurements
- 5.7 Ultrasound in the Assessment of Pelvic Floor Muscle, Anal Canal and Pelvic Organ Descent
- 5.8 Magnetic Resonance Imaging of Intact and Injured Female Pelvic Floor Muscles
- 6. Pelvic Floor and Exercise Science
- 6.1 Motor Learning
- 6.2 Strength Training
- 7. Female Pelvic Floor Dysfunction and Evidence-Based Physical Therapy
- 7.1 Female Stress Urinary Incontinence
- Lifestyle Interventions
- Pelvic Floor Muscle Training for Stress Urinary Incontinence
- Electrical Stimulation for Stress Urinary Incontinence
- 7.2. Overactive Bladder
- Bladder Training
- Pelvic Floor Muscle Training
- Electrical Stimulation
- Pudendal Neuralgia and Other Intrapelvic Nerve Entrapments
- 7.3. Pelvic Organ Prolapse
- Pessaries
- Pelvic Floor Muscle Training in Prevention and Treatment of Pelvic Organ Prolapse
- 7.4. Female Sexual Dysfunction
- The Complexity of Sexuality
- Pelvic Floor Muscle Training as an Intervention to Treat Female Sexual Dysfunction
- 7.5. Pregnancy and Childbirth: Pathophysiology and Injuries
- Obstetric Anal Sphincter Injuries
- Evidence for Pelvic Floor Muscle Training for Urinary Incontinence Related to the Peripartum Period
- Evidence for Pelvic Floor Muscle Training for Pelvic Organ Prolapse Related to the Peripartum Period
- Evidence for Pelvic Floor Muscle Training for Anal Incontinence Related to the Peripartum Period
- Female Genital Fistula
- 8. Evidence-Based Physical Therapy for Pelvic Floor: Dysfunctions Affecting Both Women and Men
- 8.1 Anal Incontinence: Prevalence, Causes and Pathophysiology
- Assessment of the Nature and Severity of Anal Incontinence
- Conservative Interventions for Treatment of Anal Incontinence
- 8.2 Constipation: Prevalence, Causes and Pathophysiology
- 9. Pain
- 9.1 Pain Physiology
- 9.2 Chronic Pelvic Floor Pain
- 9.3 Conservative Therapies to Treat Pelvic Floor Pain in Females
- 9.4 Conservative Therapies to Treat Pelvic Floor Pain in Males
- 10. The Prevalence and Consequences of Sexual Violence to the Pelvic Floor
- Introduction
- Prevalence
- Anatomical Briefing of Sexuality
- Consequences and Type of Injuries from Sexual Violence TO the Pelvic Floor
- Conclusion
- 11. Male Pelvic Floor Dysfunction and Evidence-Based Physical Therapy
- 11.1 Prevention, Causes and Pathophysiology of Urinary Incontinence in Males
- 11.2 Pelvic Floor Muscle Training for Urinary Incontinence
- 11.3 Pelvic Floor Muscle Training and Male Sexual Dysfunction
- 12. Evidence for Pelvic Floor Physical Therapy in Childhood
- Introduction
- Assessment and Management of Childhood Bladder or Bowel Dysfunction
- Interventions in Childhood Bladder or Bowel Dysfunction
- Evidence of Physical Therapy in Children
- Tools Utilized to Diagnose and Evaluate Childhood Bladder or Bowel Dysfunction
- Recommendations and Discussion
- 13. Gynaecological Cancer and Pelvic Floor Dysfunction
- Gynaecological Cancer Prevalence
- Gynaecological Cancer Treatments
- Pathophysiology and Aetiology of Pelvic Floor Dysfunction After Gynaecological Cancer
- Mechanisms of Pelvic Floor Dysfunction Following Gynaecological Cancer Treatment
- Prevalence of Pelvic Floor Dysfunction After Gynaecological Cancer
- Burden of Pelvic Floor Dysfunction on Gynaecological Cancer Survivors
- Management of Pelvic Floor Dysfunction After Gynaecological Cancer Treatment
- Physical Therapy for Pelvic Floor Dysfunction After Gynaecological Cancer Treatment
- Conclusion
- Clinical Recommendations
- Future Research Directions
- 14. Aetiology of Incontinence in Older Adults
- Introduction
- 14.1 Pelvic Floor Muscle Training for Older Women With Urinary Incontinence
- 15. Evidence for Pelvic Floor Physical Therapy for Neurological Diseases
- Introduction
- Research Methods
- Stroke
- Multiple Sclerosis
- Conclusion
- 16. Physical Activity, Elite Athletes and the Pelvic Floor
- Introduction
- Methods
- Impact of Exercise on the Pelvic Floor
- Prevalence of Urinary Incontinence in Women Participating in Fitness Activities
- Prevalence of Anal Incontinence in Female Elite Athletes
- Prevalence of Pelvic Organ Prolapse in Female Elite Athletes
- Prevalence of Urinary Incontinence and Anal Incontinence in Male Athletes
- Prevention
- Treatment of Stress Urinary Incontinence in Elite Athletes
- Conclusion
- Clinical Recommendations
- 17. Evidence for Mobile Apps: Where Do We Stand and Where Should We Go?
- Introduction
- Scientific Evidence
- Construction of a Mobile Application for Pelvic Floor Muscle Training Used by Physiotherapists
- Validity of the new Developed Mobile Application
- Conclusion
- Recommendations for Clinical Practice
- Recommendations for Research
- 18. Selection and Goal-Oriented Application of Measurement Instruments in Pelvic Physical Therapy
- Relevance of Using Measurement Instruments for the (Pelvic) Physical Therapist and Patient
- Step-by-Step Plan: Tool for Selection of an Adequate Measurement Instrument
- Application of the Step-BY-Step Plan for a Patient with Anal Incontinence (Case Study)
- 19. The Development of Clinical Practice Guidelines
- Introduction
- Guiding Principles in the Development of Clinical Practice Guidelines
- The Development Process of Clinical Practice Guidelines
- Discussion
- The Future
- Index
- No. of pages: 772
- Language: English
- Edition: 3
- Published: November 24, 2023
- Imprint: Elsevier
- Hardback ISBN: 9780702083082
- eBook ISBN: 9780702083099
KB
Kari Bø
Affiliations and expertise
Exercise scientist, Norwegian School of Sports Sciences, Oslo, NorwayBB
Bary Berghmans
Affiliations and expertise
Epidemiologist and Researcher, Maastricht University Pelvic Care Centre, Maastricht, The NetherlandsSM
Siv Mørkved
Affiliations and expertise
Associate Professor and Senior Researcher, Department of Community Medicine & General Practice, Norwegian University of Science and Technology, Trondheim, NorwayMV
Marijke Van Kampen
Affiliations and expertise
Professor in Rehabilitation Science, Katholieke Universiteit Leuven, Faculty of Kinesiology and Rehabilitation Science, University Hospital GHB, Leuven, Belgium