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| exercises for postpartum urinary incontinence: Evidence-Based Physical Therapy for the Pelvic Floor Kari Bø, Bary Berghmans, Siv Mørkved, Marijke Van Kampen, 2014-11-04 Bridging the gap between evidence-based research and clinical practice, Physical Therapy for the Pelvic Floor has become an invaluable resource to practitioners treating patients with disorders of the pelvic floor. The second edition is now presented in a full colour, hardback format, encompassing the wealth of new research in this area which has emerged in recent years. Kari Bø and her team focus on the evidence, from basic studies (theories or rationales for treatment) and RCTs (appraisal of effectiveness) to the implications of these for clinical practice, while also covering pelvic floor dysfunction in specific groups, including men, children, elite athletes, the elderly, pregnant women and those with neurological diseases. Crucially, recommendations on how to start, continue and progress treatment are also given with detailed treatment strategies around pelvic floor muscle training, biofeedback and electrical stimulation. aligns scientific research with clinical practice detailed treatment strategies 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 incorporates vital new research and material uses key summary boxes throughout new edition to highlight quick reference points now in full colour throughout and a hardback format |
| exercises for postpartum urinary incontinence: Prolapse Exercises Inside Out Michelle Kenway, 2013-07-31 Prolapse exercises helps women improve prolapse support and exercise with confidence to stay in shape |
| exercises for postpartum urinary incontinence: The Pelvic Floor Beate Carriere, Cynthia Markel Feldt, 2011-01-01 The remarkably complex pelvic floor and its disorders comprise one of the most interesting -- and challenging -- areas of physical therapy. And recently, common problems once considered taboo, such as incontinence, have become mainstream issues. More than ever before, a solid understanding of the structure and function of the manifold problems of the pelvic floor is vital to successful treatment. This groundbreaking work brings together an international team of world-renowned experts in the treatment of urinary and fecal incontinence, as well as sexual dysfunction, to provide a comprehensive guide to the structure and function of the muscles of the pelvic floor. Using concise text and clear illustrations and helpful photographs, the authors present all phenomena associated with pelvic floor dysfunction. The authors begin with a detailed overview of the anatomy and physiology of the pelvic floor, and then discuss all state-of-the-art diagnostic and treatment strategies, from biofeedback and manual therapy to the causes of different types of pain and psychosocial problems. Detailed discussions of the specific issues associated with children, women, and men, as well as with rectal and anal dysfunction, follow. With its thorough coverage, this highly practical text is essential reading for all health care professionals who wish to provide their patients suffering from disorders of the pelvic floor with the best care available. |
| exercises for postpartum urinary incontinence: Pelvic Floor Re-education Bernhard Schüssler, Jo Laycock, Stuart L. Stanton, 2013-04-17 Pelvic Floor Re-education encompasses a variety of techniques for increasing the strength of, and control over, the pelvic floor muscles. These techniques are now emerging as an effective and viable alternative to surgery in the treatment of urinary incontinence and related conditions. This volume presents a reasoned, scientific approach to the use of pelvic floor re-education. Starting with the latest theories on anatomy, pathophysiology and possible causes of pelvic floor damage, the text then describes the importance of pelvic floor evaluation in determining the type of treatment required. A number of re-education techniques are assessed including isolated muscle exercise, vaginal cones, biofeedback control and electrical stimulation. Recent research work is also reviewed which allows the reader to evaluate the different modalities advocated in the management of pelvic floor dysfunction. |
| exercises for postpartum urinary incontinence: Pelvic Floor Disorders A. Bourcier, Edward J. McGuire, Paul Abrams, 2004 Internationally known experts offer multidisciplinary guidance on the diagnosis and management of the full spectrum of pelvic floor disorders. It covers the diagnosis and clinical assessment of continence mechanisms and sexual dysfunction, as well as conservative management of the lower urinary tract, disorders of anorectal functions and sexual functions, exploring techniques such as electrical stimulation, anti-incontinence devices, and biofeedback. This valuable text also provides information on the management and treatment of a full range of disorders, from childbirth damage and post-prostatectomy incontinence, to neuropathic voiding dysfunction. Reviews normal anatomy and physiology as well as pathophysiology, providing an in-depth understanding of how and why various pelvic floor disorders occur. Covers the complete spectrum of pelvic floor disorders, including childbirth damage · lower urinary tract dysfunction in the female and male · urinary incontinence in the elderly · pelvic organ prolapse · post-prostatectomy incontinence · neurogenic voiding dysfunction · fecal incontinence · defecatory disorders · pediatric urology · male and female sexual dysfunction. Discusses all types of diagnostic approaches, including urodynamics · imaging · MRI · endoscopy · and electrodiagnosis. Conservative treatment is based on different techniques: pelvic floor muscles training · behavioral therapy · biofeedback · electrical stimulation and anti-continence devices. Represents a practical approach to surgery and conservative treatment for the physician and health care professionals and provides practical suggestions on these techniques. Features contributions from urologists, gynecologists, coloproctologists, continence specialists, specialist physical therapists, and nurses, for exceptionally multidisciplinary, well-rounded coverage of every aspect of the field. |
| exercises for postpartum urinary incontinence: Ferri's Clinical Advisor 2019 E-Book Fred F. Ferri, 2018-05-26 Updated annually with the latest developments in diagnosis and treatment recommendations, Ferri’s Clinical Advisor uses the popular 5 books in 1 format to organize vast amounts of information in a clinically relevant, user-friendly manner. This efficient, intuitive format provides quick access to answers on more than 900 common medical conditions, including diseases and disorders, differential diagnoses, and laboratory tests – all updated by experts in key clinical fields. Updated algorithms and current clinical practice guidelines help you keep pace with the speed of modern medicine. Contains significant updates throughout, with more than 500 new figures, tables, and boxes added to this new edition. Features 17 all-new topics including opioid overdose, obesity-Hypoventilation syndrome, acute pelvic pain in women, new-onset seizures, and eosinophilic esophagitis, among many others. Provides current ICD-10 insurance billing codes to help expedite insurance reimbursements. Includes cross-references, outlines, bullets, tables, boxes, and algorithms to help you navigate a wealth of clinical information. Offers access to exclusive online content: more than 90 additional topics; new algorithms, images, and tables; EBM boxes; patient teaching guides, color images, and more. |
| exercises for postpartum urinary incontinence: Vaginal Pessaries Teresa Tam, Matthew F. Davies, 2019-11-07 With mesh surgery for prolapse sometimes proving problematic, there has been a resurgence of professional medical interest in more traditional methods for the management of prolapse and of stress urinary incontinence. This concise guide to the practical aspects of pessary use will be of interest to all gynecologists involved in the clinical management of the patient with these problems. Contents: Historical review * Pessaries for pelvic organ prolapse * Incontinence pessaries * Pessary fitting * Pessary care * Outcomes of pessary use * Current clinical studies on vaginal pessaries Cover image of vaginal pessaries © 2019 Rick Hicaro, Jr., Chicago, IL 60647, USA |
| exercises for postpartum urinary incontinence: Pregnancy & Exercise Raul Artal Mittelmark, 1992 |
| exercises for postpartum urinary incontinence: Therapeutic Management of Incontinence and Pelvic Pain J. Laycock, J. Haslam, 2013-03-09 As medical knowledge advances we tend to compartmentalise our specialties into smaller units; but, hand in hand with this, there is a growing understanding between the different disciplines within the caring professions. Thus we are able to share our special skills to the benefit of patients. This book is an excellent example of the advantage of interdisciplinary communication and demonstrates a refreshing holistic approach to the problems of incontinence and pelvic pain. Written with physiotherapists in mind, the editors have invited contributions from many distinguished experts in their own field. These have been compiled into a comprehensive book, which will appeal to many healthcare professionals. I have had great pleasure in reading this book. During the time that I have been involved with 'pelvic dysfunction' there have been many exciting advances. These are all included in a most readable sequence, some presented with a refreshing new twist. In particular, I would like to bring to your attention the section on 'pelvic pain'. Because of our lack of understanding it has been a problem that is too often ignored and here at last are some practical ideas for therapeutic management. There is still much progress to be made in the field of incontinence and pelvic pain and as yet, no editors can be expected to produce a definitive work. However, I would like to recommend this book most strongly. It has a new approach to this topic, which is still a major problem for many people. |
| exercises for postpartum urinary incontinence: Synopsis in the Management of Urinary Incontinence Ammar Alhasso, Holly Bekarma, 2017-02-08 The prevalence of urinary incontinence increases with age. It has recognised social and psychological impact on individuals as well as a financial implication to individuals and healthcare systems. The book attempt to discuss the assessment of urinary incontinence, followed by surgical and conservative treatment options in a concise way, within the framework of clinical practice. We would like to acknowledge all the authors for their hard work in completing this book. |
| exercises for postpartum urinary incontinence: Mayo Clinic Guide to a Healthy Pregnancy Mayo Clinic, 2009-03-17 Book description to come. |
| exercises for postpartum urinary incontinence: Pelvic Pain Explained Stephanie A. Prendergast, Elizabeth H. Akincilar, 2017-11-28 Pelvic pain is more ubiquitous than most people think and yet many suffer in silence because they don't know there is help or they are too embarrassed to seek it. This book looks at the variety of problems that can lead to pelvic pain, and how to address the issues when they arise. |
| exercises for postpartum urinary incontinence: Essential Exercises for the Childbearing Year Elizabeth Noble, 1982 |
| exercises for postpartum urinary incontinence: Postnatal Exercises to Strengthen Your Pelvic Floor , Postnatal Exercises to Strengthen Your Pelvic Floor Reclaim your strength and confidence with this essential guide to postnatal pelvic floor exercises. Learn how to regain control and support your body's recovery after childbirth. : Your Journey to Pelvic Floor Wellness Discover the significance of pelvic floor health in postnatal recovery and how these exercises can empower you. Chapter 1: Understanding the Postnatal Pelvic Floor Gain insights into the anatomy and function of your pelvic floor muscles and their role in postpartum health. Chapter 2: Benefits of Postnatal Pelvic Floor Exercises Explore the numerous advantages of incorporating pelvic floor exercises into your postpartum routine, from improved bladder control to enhanced intimacy. Chapter 3: The Basics of Pelvic Floor Exercises Learn the fundamental techniques and exercises to kickstart your pelvic floor strengthening journey. Chapter 4: Customizing Your Pelvic Floor Routine Discover tailored exercises and routines to address specific postnatal concerns and needs. Chapter 5: Beyond Kegels: Advanced Pelvic Floor Techniques Explore advanced techniques and exercises to challenge and strengthen your pelvic floor muscles further. Chapter 6: Maintaining Pelvic Floor Health for Life Gain insights into how to sustain your pelvic floor health long-term and prevent future issues. Chapter 7: Expert Guidance and Support Learn about the importance of consulting healthcare professionals, such as pelvic floor physical therapists, for personalized guidance. Conclusion: Embrace a Stronger, Healthier You Sum up your newfound knowledge and embrace the journey towards a stronger, healthier pelvic floor. Frequently Asked Questions: Your Pelvic Floor Concerns Addressed Find answers to common questions about postnatal pelvic floor exercises, ensuring you have the information you need to support your recovery. Postnatal Exercises to Strengthen Your Pelvic Floor is your go-to resource for regaining pelvic floor strength and ensuring a healthy postpartum experience. Whether you're a new mom or have experienced childbirth before, this book provides essential exercises and insights to help you take charge of your pelvic floor health. Reconnect with your body, boost your confidence, and embrace a life of strength and vitality. Grab your copy now and embark on your journey to pelvic floor wellness.Table of Contents Introduction Postnatal Exercises to Strengthen Your Pelvic Floor THE BENEFITS OF POSTNATAL EXERCISES WHEN TO START POSTNATAL EXERCISES C-SECTION RECOVERY EXERCISES VAGINAL DELIVERY RECOVERY EXERCISES EXERCISES FOR DIASTASIS RECTI YOGA AND STRETCHING FOR PELVIC FLOOR HEALTH EXERCISES TO AVOID SEEKING PROFESSIONAL GUIDANC E CONSISTENCY AND PROGRESSION FREQUENTLY ASKED QUESTIONS Have Questions / Comments? Get Another Book Free |
| exercises for postpartum urinary incontinence: Sex Without Pain Heather Jeffcoat (DPT.), 2014-02-15 |
| exercises for postpartum urinary incontinence: Pediatric Incontinence Israel Franco, Paul Austin, Stuart Bauer, Alexander von Gontard, Yves Homsy, 2015-09-23 Pediatric incontinence: evaluation and clinical management offers urologists practical, 'how-to' clinical guidance to what is a very common problem affecting up to 15% of children aged 6 years old. Introductory chapters cover the neurophysiology, psychological and genetic aspects, as well as the urodynamics of incontinence, before it moves on to its core focus, namely the evaluation and management of the problem. All types of management methods will be covered, including behavioural, psychological, medical and surgical, thus providing the reader with a solution to every patient's specific problem. The outstanding editor team led by Professor Israel Franco, one of the world’s leading gurus of pediatric urology, have recruited a truly stellar team of contributors each of whom have provided first-rate, high-quality contributions on their specific areas of expertise. Clear management algorithms for each form of treatment support the text, topics of controversy are covered openly, and the latest guidelines from the ICCS, AUA and EAU are included throughout. Perfect to refer to prior to seeing patients on the wards and in the clinics, this is the ideal guide to the topic and an essential purchase for all urologists, pediatric urologists and paediatricians managing children suffering from incontinence. |
| exercises for postpartum urinary incontinence: Biomechanics of the Female Pelvic Floor Lennox Hoyte, Margot Damaser, 2016-03-01 Biomechanics of the Female Pelvic Floor, Second Edition, is the first book to specifically focus on this key part of women's health, combining engineering and clinical expertise. This edited collection will help readers understand the risk factors for pelvic floor dysfunction, the mechanisms of childbirth related injury, and how to design intrapartum preventative strategies, optimal repair techniques, and prostheses. The authors have combined their expertise to create a thorough, comprehensive view of female pelvic floor biomechanics in order to help different disciplines discuss, research, and drive solutions to pressing problems. The book includes a common language for the design, conduct, and reporting of research studies in female PFD, and will be of interest to biomechanical and prosthetic tissue engineers and clinicians interested in female pelvic floor dysfunction, including urologists, urogynecologists, maternal fetal medicine specialists, and physical therapists. - Contains contributions from leading bioengineers and clinicians, and provides a cohesive multidisciplinary view of the field - Covers causes, risk factors, and optimal treatment for pelvic floor biomechanics - Combines anatomy, imaging, tissue characteristics, and computational modeling development in relation to pelvic floor biomechanics |
| exercises for postpartum urinary incontinence: Our Bodies, Ourselves Boston Women's Health Book Collective, Judy Norsigian, 2011-10-04 THE BESTSELLING WOMEN’S HEALTH CLASSIC—INFORMING AND INSPIRING WOMEN ACROSS GENERATIONS Hailed by The New York Times as a “feminist classic,” this comprehensive guide to all aspects of women’s sexuality and reproductive health—including menopause, birth control, childbirth, sexual health, sexual orientation, gender identity, mental health, and overall wellbeing—changed the women’s health movement around the world and remains as important and relevant as ever. Providing detailed and empowering information on women’s reproductive health and sexuality, this latest edition of Our Bodies, Ourselves shows how to find and access health information and offers additional resources and stories to educate women about health care injustices and inspires them to work collectively to address them. Including the latest vital information on: -Changes in the health care system—especially how health care reform affects women and how to get the care you need. -Safer sex—how to engage in pleasurable, satisfying sexual experiences while protecting your health and the health of your partner. -Environmental health risks—including minimizing exposure to everyday pollutants that endanger reproductive health. -Body image—resisting negative media stereotypes and embracing healthier approaches to looking and feeling good. -Local and global activism—using social media and organizing tactics to build community and advocate for policies that improve women’s lives. -As well as crucial information about gender identity, sexual orientation, birth control, abortion, pregnancy and birth, perimenopause, and sexuality and sexual health as we age. Together with its companion website, OurBodiesOurselves.org, Our Bodies, Ourselves is a one-stop resource that belongs on the bookshelves of women of all ages. |
| exercises for postpartum urinary incontinence: Obstetric and Gynecologic Care in Physical Therapy Rebecca Gourley Stephenson, Linda J. O'Connor, 2000 The second edition of Obstetric and Gynecologic Care in Physical Therapy has been thoroughly updated to cover recent changes in the field of physical therapy as it pertains to the treatment of women. Chapters cover topics on women. |
| exercises for postpartum urinary incontinence: Female Pelvic Medicine and Reconstructive Pelvic Surgery Harold P. Drutz, Sender Herschorn, Nicholas E. Diamant, 2007-12-31 This text includes sections on anatomy, normal and abnormal physiology, investigation techniques, inflammatory conditions and treatment options. The international panel of contributors is at the forefront of research in the field; the editors have assembled these contributors and topics that span the entire range of pelvic floor disorders in women. Throughout, the emphasis is on an evidence-based approach to the treatment of pelvic floor problems. Indispensable for gynecologists and urologists. |
| exercises for postpartum urinary incontinence: Pelvic Yoga Kimberlee Bethany Bonura, 2013-04-04 Pelvic Yoga facilitates optimum health of the urinary and reproductive systems by strengthening the pelvic floor. The focus is on preventing urinary incontinence, enhancing sexuality, and maintaining pelvic health. Men and women of all ages will benefit from a preventative program of pelvic exercises. For women who are pre- and post-pregnancy or pre- and post-menopause, the program is essential to overcome natural weakening of the pelvic floor caused by weight gain, stretching of pelvic muscles during pregnancy and delivery, and/or hormonal changes. Because male incontinence does occur, men will also benefit from Pelvic Yoga.Pelvic Yoga integrates pelvic floor exercises into a yoga practice designed to strengthen, tone, and increase flexibility in the muscles of the pelvis, abdomen, lower back, hips, and thighs. Pelvic floor exercises are a vital component of any health program and are particularly important to support reproductive and sexual well-being. Kimberlee gives a refreshingly human and down-to-earth presentation of some of the more subtle and complex aspects of yoga. Through her book, one may discover true applications of these ancient methods within modern times.David SwensonAshtanga Yoga ProductionsAs a psychologist interested in a holistic approach to health and well-being, I am always looking for ways to assist my clients in reconnecting body, mind, and spirit. Kimberlee's classes have introduced me to an almost immediate 'felt' sense of being whole and connected. This is definitely an approach to whole-health that I will recommend to my clients and that I will continue for myself.Marie CastiglioneRegistered PsychologistMember of Australian Psychological Society |
| exercises for postpartum urinary incontinence: Exercise in Pregnancy Raul Artal Mittelmark, Robert A. Wiswell, 1986 |
| exercises for postpartum urinary incontinence: Evidence-Based Physical Therapy for the Pelvic Floor - E-Book Kari Bø, Bary Berghmans, Siv Mørkved, Marijke Van Kampen, 2023-11-24 Written 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 |
| exercises for postpartum urinary incontinence: Incontinence, physical activity, and pelvic floor muscle training in female pelvic cancer survivors after radiotherapy Anna Lindgren, 2020-09-28 Background: Cancer treatment continues to improve, contributing to an ever-growing population of cancer survivors. Pelvic cancer survivors (PCS) constitute the second largest group of female cancer survivors after breast cancer. Many female PCS have been treated with radiotherapy as a part of their cancer treatment. Unfortunately, like all effective cancer treatments, pelvic radiotherapy is associated with a risk of subsequent, unwanted side effects. Some side effects remain or persist long after the end of treatment and some are even lifelong. A common and burdensome side effect after pelvic radiotherapy is urinary and/or fecal incontinence. Incontinence is known to negatively affect quality of life (QoL) and physical activity levels. Physical activity contributes to several positive health effects. In cancer survivors, it may reduce the risk of recurrence and even the mortality risk. Cancer survivors in general, and female PCS in particular, tend to be less physically active after cancer treatment than before treatment. When suffering from urinary and even fecal incontinence, pelvic floor muscle training (PFMT) is recommended as a first-line treatment for the general population. In addition to decreased incontinence levels, PFMT may contribute to increased physical activity and better QoL. However, little attention is given to PFMT as a potential treatment for incontinence in the Swedish national care program for pelvic cancer rehabilitation. Furthermore, there is as yet no evidence that PFMT is as effective in female PCS as in female non-cancer survivors. The effectiveness of PFMT cannot be taken for granted because female PCS survivors often have treatmentinduced damage to structures in the pelvic floor that might affect its applicability. However, the problem of incontinence among female PCS remains, along with the fact that they tend to be less physically active than other cancer survivors. Indeed, this is an important research area and a necessary problem for health-care providers to resolve, not least for physiotherapists. Aim: The overall aim of this thesis is to improve the understanding of female PCS’ experiences of incontinence in relation to physical activity, QoL, and rehabilitative efforts, including PFMT. This includes gaining increased knowledge about the relation between incontinence and physical activity in the form of exercise and QoL, and whether PCS experience that physiotherapy contributes in a valuable way to reducing their incontinence. This could enable the development of meaningful physiotherapeutic interventions, that PCS can and are willing to engage in, to achieve a potential reduction in incontinence, as well as increased QoL and activity levels. Methods: The thesis includes four different studies, using three different methods, all conducted with female PCS. Studies I (n=13) and IV (n=11) are qualitative individual interview studies, using semi-structured interview guides. Study II is a cohort-based cross-sectional observational study (n=578) and Study III is a prospective cohort-based observational study (n=260). Results: Female PCS reported an absence of information regarding incontinence as a potential side effect of radiotherapy treatment. They experienced that incontinence prevented them from being as physically active as before treatment, and that incontinence of urine and feces impaired several aspects of QoL, including sexual health. They lacked potential rehabilitative options beyond conventional pelvic cancer rehabilitation. After practicing PFMT for three months, they found it a valuable rehabilitative measure for incontinence. They also experienced the physiotherapeutic support and guidance as valuable in teaching them how to contract the pelvic floor muscles correctly and providing individual guidance regarding dose, frequency, and progression of the training. In Study II, 67% of female PCS exercised at least once a week, while 33% exercised less than once a week. Women who reported leakage of large or all volume of feces (multivariable analysis) were statistically significantly more likely to exercise less than once a week. A similar co-variation was seen among women who reported leakage of moderate to large volumes of urine (univariate analysis). This, however, was not statistically significant in a multivariable analysis. When exercising on a weekly basis, they reported less frequently depressed mood and better QoL, compared to those who exercised less than once a week. Three months after an individually designed intervention program, in line with the conventional pelvic cancer rehabilitation offered within Swedish healthcare today, female PCS reported statistically significantly lower levels of urinary and fecal incontinence. However, no statistically significant changes in frequency of exercise were seen. Conclusion: Incontinence was a barrier to physical activity and exercise, and it reduced QoL and impaired sexual health in female PCS. When experiencing incontinence, and in particular fecal incontinence, female PCS were less likely to exercise on a weekly basis. Female PCS who exercise at least once a week experienced better QoL and less frequently depressed mood than PCS who were not exercising every week. Female PCS did not exercise more often after conventional pelvic cancer rehabilitation, not even after incontinence levels were reduced. Female PCS had a positive attitude towards PFMT. After at least three months’ experience of practicing PFMT, they found it a valuable rehabilitative effort for incontinence. They also found physiotherapeutic support and guidance to be of great importance. Female PCS expressed a need for better information routines regarding side effects, such as incontinence, after cancer treatment. They also expressed a need for better information routines, including accessibility of additional rehabilitative efforts, beyond the conventional pelvic cancer rehabilitation offered today, when suffering from incontinence of urine and/or feces. Bakgrund: Behandlingen av cancersjukdomar förbättras ständigt vilket bidrar till en växande population av cancerövrelevare. Bäckencanceröverlevare utgör den näst vanligaste gruppen kvinnliga canceröverlevare efter bröstcanceröverlevare. Många av kvinnorna behandlas med strålterapi som är associerad med en risk för oönskade sidoeffekter. Vissa sidoeffekter kvarstår eller uppstår långt efter behandlingen och andra medför ett livslångt rehabiliteringsbehov. En vanlig, belastande sen sidoeffekt av strålterapi mot bäckenet är urin- och eller avföringsinkontinens. Inkontinens påverkar ofta såväl livskvalitet som fysisk aktivitetsnivå negativt. Fysisk aktivitet kan bidra till ett flertal positiva hälsoeffekter som att minska risken för återfall i sjukdomen. Det kan sannolikt också bidra till ökad överlevnad. Canceröverlevare i allmänhet, och kvinnliga bäckencanceröverlevare i synnerhet, har ofta en lägre fysisk aktivitetsnivå efter cancerbehandlingen jämfört med innan. Vid urin- och även vid avföringsinkontinens rekommenderas bäckenbottenmuskelträning (BMT) som ett förstahandsval av behandling till kvinnor i allmänhet. Bäckenbottenmuskelträning kan, förutom att bidra till att minska inkontinens, även bidra till ökad fysisk aktivitetsnivå och förbättrad livskvalitet. Bäckenbottenmuskelträning har emellertid fått obetydligt utrymme som potentiell behandlingsmetod för inkontinens i det svenska nationella vårdprogrammet för bäckencancerrehabilitering. Än så länge saknas evidens för att BMT är lika effektivt hos kvinnliga bäckencanceröverlevare som hos kvinnor som inte genomgått cancerbehandling. Att BMT skulle vara lika effektivt hos dessa kvinnor är inte självklart då de ofta har behandlingsinducerade skador i strukturer i bäckenbotten som kan påverka träningens resultat. Problemet att kvinnliga bäckencanceröverlevare ofta besväras av inkontinens och ofta är mindre fysiskt aktiva än andra canceröverlevare kvarstår. Det är således ett viktigt område för vidare forskning och ett problem som behöver lösas av hälso- och sjukvårdspersonal, inte minst av fysioterapeuter. Syfte: Det övergripande syftet med avhandlingen är att förbättra förståelsen för kvinnliga bäckencanceröverlevares upplevelser av inkontinens i relation till fysisk aktivitet, livskvalitet och rehabiliteringsinsatser, inklusive BMT. Detta inkluderar förbättrad kunskap om relationen mellan motion och livskvalitet och huruvida bäckencanceröverlevare upplever att fysioterapi kan bidra på ett värdefullt sätt till att reducera inkontinensbesvär. Detta för att möjliggöra utformande av meningsfulla fysioterapeutiska interventioner, som bäckencanceröverlevare kan och är villiga att delta i, för att uppnå en potentiell minskning av inkontinens såväl som ökad livskvalitet och ökad fysisk aktivitetsnivå. Metod: Avhandlingen innehåller fyra studier, med tre olika metoder, där alla studiedeltagare utgörs av kvinnliga bäckencanceröverlevare. Studie I (n=13) och IV (n=11) är kvalitativa studier där individuella intervjuer genomfördes med semistrukturerade intervjuguider. Studie II är en kohortbaserad tvärsnittsstudie (n=578) och Studie III är en prospektiv, kohortbaserad observationsstudie (n=260). Resultat: Kvinnorna uttryckte avsaknad av information om inkontinens som en potentiell bieffekt av strålterapi. De upplevde att inkontinens hindrade dem från att vara fysiskt aktiva i samma utsträckning som innan behandlingen och att urin och avföringsinkontinens försämrade flera aspekter av deras livskvalitet, inklusive sexuell hälsa. Det uttryckte avsaknad av rehabiliteringsalternativ utöver det som erbjuds inom konventionell bäckencancerrehabilitering i svensk hälso- och sjukvård. Efter att ha tränat BMT under tre månader upplevde de BMT som en meningsfull rehabiliteringsåtgärd för urin- och avföringsinkontinens. De upplevde även att stöd och guidning från en fysioterapeut var värdefullt för att lära sig att kontrahera bäckenbottenmuskulaturen korrekt och för att få individuell guidning avseende dos, frekvens och progression av träningen. I Studie II, rapporterade 67% av 568 kvinnor att de motionerade minst en gång i veckan medan 33% rapporterade att de motionerade mindre än en gång i veckan. Kvinnor som rapporterade stor mängd avföringsläckage, (p=0.01, multivariabel analys) var statistiskt signifikant mer benägna att motionera mindre än en gång i veckan. En liknande samvariation sågs hos kvinnor som rapporterade stor mängd av urinläckage (p=0.04, univariat analys). Samvariationen var inte statistiskt signifikant i en multivariabel analys (p=0.105). Kvinnliga bäckencanceröverlevare som motionerade minst en gång i veckan rapporterade mer sällan nedstämdhet (p=0.044) och bättre livskvalitet (p <0.001) jämfört med de som motionerade mindre än en gång i veckan. Tre månader efter individuell sedvanlig bäckencancerrehabilitering rapporterade kvinnorna statistiskt signifikant lägre nivåer av urin och avföringsinkontinens (p=0.046 and p <0.001). Däremot, rapporterade inte kvinnorna någon statistiskt signifikant förändring i hur ofta de motionerade (p=0.763). Konklusion: Inkontinens utgjorde ett hinder för att utöva fysisk aktivitet och för att motionera bland kvinnliga bäckencanceröverlevare. Inkontinens försämrade dessutom livskvalitet och sexuell hälsa. De som upplevde inkontinens, i synnerhet avföringsinkontinens, var mindre benägna att motionera veckovis. Kvinnliga bäckencanceröverlevare som motionerade varje vecka upplevde bättre livskvalitet och mer sällan nedstämdhet än de kvinnor som inte motionerade veckovis. Kvinnliga bäckencanceröverlevare motionerade inte oftare efter konventionell bäckencancerrehabilitering även om inkontinensbesvären minskade. Kvinnliga bäckencanceröverlevare hade en positiv attityd till BMT. Efter tre månaders erfarenhet av BMT, upplevde de att det var en meningsfull rehabiliteringsåtgärd för inkontinens. De ansåg även att stöd och guidning från en fysioterapeut var av stor vikt. Kvinnliga bäckencanceröverlevare efterfrågade bättre informationsrutiner avseende potentiella sidoeffekter efter cancerbehandling, så som urin- och avföringsinkontinens. De efterfrågade även bättre informationsrutiner och tillgänglighet vad gäller rehabilitering av inkontinens utöver det som erbjuds inom sedvanlig bäckencancerrehabilitering idag. |
| exercises for postpartum urinary incontinence: Urogenital Manipulation J. P. Barral, 1993 This book completes Jean-Pierre Barral's widely acclaimed four-volume exploration of the osteopathic implications of the dysfunctions of the internal viscera. The focus of this volume is on the pelvis, especially of women. The introduction provides an overview of the relationships of the pelvis and spine. Tests which are particularly useful for pelvic disorders, including the genitohumeral and completed Las gue's tests, are detailed. Also included are imaging studies that demonstrate the utility of the viscersl manipulative approach to the pelvis. Chapter 2 focuses on the bladder, and especially the treatment of stress incontinence and the effects of the various systems of pressure on the lower pelvis. The role of bladder restrictions in low back pain, lower leg problems, and hip pain is explained. Chapter 3 discusses the uterus, focusing on the cervix. The reader will gain an appreciation for the osteopathic view of the importance of the different motions affecting the uterus, and how they can become dysfunctional. Chapter 4 concludes the tour of the female pelvis with the uterine tubes and ovaries. The holistic osteopathic viewpoint is typified by Barral's presentation of the various elements that must work in harmony for fertilization to occur. |
| exercises for postpartum urinary incontinence: The Female Athlete Triad Catherine M. Gordon, Meryl S. LeBoff, 2014-10-28 This is the first book of its kind to focus solely on the female athlete triad - its origins, its recognition, and most importantly, its management. Since the symptoms themselves cover a range of medical specialties, chapters are written by experts in a number of relevant fields - sports medicine, orthopedics, endocrinology, and pediatrics - with an eye toward overall care of the young female athlete. Additionally, each chapter includes suggestions on how to educate and communicate with young athletes and their parents, as well as trainers and coaches, on how to manage the illness outside of the direct clinical setting. The female athlete triad is often seen in sports where low body weight is emphasized, such as gymnastics, figure skating, and running, though it can appear in any sport or activity. The interrelated symptoms - eating disorders, amenorrhea, and low bone mass - exist on a spectrum of severity and are serious and potentially life-threatening if not properly treated. Psychological problems, in addition to medical ones, are not uncommon. The Female Athlete Triad: A Clinical Guide discusses all of these areas for a well-rounded and in-depth approach to the phenomenon and will be a useful reference for any clinician working with female athletes across the lifespan. |
| exercises for postpartum urinary incontinence: Female Pelvic Medicine Kathleen C. Kobashi, Steven D. Wexner, 2021-04-13 This book is designed as a guide for management of advanced clinical scenarios encountered by the contemporary pelvic floor surgeon. It is organized by pelvic floor disorder (PFD) and covers the evaluation and treatment of urinary incontinence, fecal incontinence, and pelvic organ prolapse. Opening chapters in each section cover the fundamentals of proper and comprehensive assessment of patient PFDs, as well as the treatment options that are available for each disorder. The book then focuses on more complex and challenging situations that are becoming more frequently encountered as the number of patients being treated for PFD increases and the length of patient follow-up grows. Each chapter finally includes an expert commentary to address these new scenarios and offers a shifted approach from that required for treatment-naïve patients. Female Pelvic Medicine: Challenging Cases with Expert Commentary teaches the reader how to approach the most difficult of clinical situations in a multidisciplinary fashion. |
| exercises for postpartum urinary incontinence: Urogynecology Linda Cardozo, 1997 |
| exercises for postpartum urinary incontinence: Pregnancy, Childbirth, and the Newborn Janet Walley, Penny Simkin, Ann Keppler, Janelle Durham, April Bolding, 2016-03-29 If you only buy one pregnancy book, this should be the one! It’s the most complete. It covers all aspects of childbearing, from conception through early infancy, and tells you what to expect. It offers detailed information, suggestions on decisions to make, and advice on steps to take to have a safe and satisfying experience. The Award-Winning Resource Recommended by Experts & Loved by Parents Parents love this book because it puts them in control by explaining a wide range of options, information, and questions to ask, so parents can find what works best for their health situation, personal goals, and priorities. Experts love this book because it’s based on the latest medical research and recommendations from leading health organizations. It’s practical—rooted in the real-life experiences of new families. The five authors bring a combined total of 150 years of experience working with expectant and new families as educators, nurses, counselors, doulas, physical therapists, and lactation consultants. They have attended hundreds of births, heard thousands of birth stories, and assisted innumerable new parents in adapting to their new lives. Not only that, the authors have a combined total of 12 children and 12 grandchildren. All of this experience allows them to write with compassion, understanding, and wisdom based on what really works in the real-world of parenting. The companion website offers even more details on select subjects, including lists of all the best resources on each topic and worksheets to guide parents’ decision-making process. The website also includes a bonus chapter on pre-conception, which provides ways to improve your health and fertility before pregnancy begins. |
| exercises for postpartum urinary incontinence: Sacroiliac Pain Deborah B. Riczo, 2018 Learn how to address sacroiliac pain through a simple approach that focuses on muscle imbalances and weakness. This book provides basic education, screening guidelines, and exercises for those affected by sacroiliac dysfunction. It introduces the Pelvic Girdle Musculoskeletal MethodSM, a program that empowers individuals to monitor their symptoms and address them with exercises that focus on muscle imbalances and weakness, helping to improve day-to-day functioning and overall quality of life. Includes access to online videos demonstrating exercises as well as an exercise planner for logging workouts. -- Amazon.com. |
| exercises for postpartum urinary incontinence: The Overactive Pelvic Floor Anna Padoa, Talli Y. Rosenbaum, 2015-12-01 This textbook provides a comprehensive, state-of-the art review of the Overactive Pelvic Floor (OPF) that provides clinical tools for medical and mental health practitioners alike. Written by experts in the field, this text offers tools for recognition, assessment, treatment and interdisciplinary referral for patients with OPF and OPF related conditions. The text reviews the definition, etiology and pathophysiology of non-relaxing pelvic floor muscle tone as well as discusses sexual function and past sexual experience in relation to the pelvic floor. Specific pelvic floor dysfunctions associated with pelvic floor overactivity in both men and women are reviewed in detail. Individual chapters are devoted to female genital pain and vulvodynia, female bladder pain and interstitial cystitis, male chronic pelvic and genital pain, sexual dysfunction related to pelvic pain in both men and women, musculoskeletal aspects of pelvic floor overactivity, LUTS and voiding dysfunction, and anorectal disorders. Assessment of the pelvic floor is addressed in distinct chapters describing subjective and objective assessment tools. State of the art testing measures including electromyographic and video-urodynamic analysis, ultrasound and magnetic resonance imaging are introduced. The final chapters are devoted to medical, psychosocial, and physical therapy treatment interventions with an emphasis on interdisciplinary management The Overactive Pelvic Floor serves physicians in the fields of urology, urogynecology and gastroenterology as well as psychotherapists, sex therapists and physical therapists. |
| exercises for postpartum urinary incontinence: Pelvic Floor Recovery Sue Croft, 2011 |
| exercises for postpartum urinary incontinence: Geriatric Urology, An Issue of Clinics in Geriatric Medicine Tomas L Griebling, 2015-12-11 This issue of Clinics in Geriatric Medicine is devoted to Geriatric Urology. Guest Editor Tomas L. Griebling, MD, MPH has assembled a group of expert authors to review the following topics: Non-Surgical Treatment of Urinary Incontinence in Elderly Women; Outcomes of Surgery for Stress Urinary Incontinence in Older Women; Evaluation and Management of Pelvic Organ Prolapse in Elderly Women; Underactive Bladder in Older Adults; Translational Research and Voiding Dysfunction in Older Adults; Functional Brain Imaging and Voiding Dysfunction in Older Adults; The Role of Urodynamics in Elderly Patients; Associations Between Voiding Symptoms and Sexual Health in Older Adults; Asymptomatic Bacteriuria and Urinary Tract Infections in Older Adults; Comorbidity and Surgical Risk in Older Urologic Patients; Small Renal Masses in Older Adults; Prostate Cancer in Elderly Men: Active Surveillance and Other Considerations; Late Onset Hypogonadism and Testosterone Replacement in Elderly Men; and Contemporary Chemotherapy for Urologic Malignancies in Geriatric Patients. |
| exercises for postpartum urinary incontinence: Physical Therapies in Sport and Exercise Gregory Kolt, Lynn Snyder-Mackler, 2007-08-22 Physical Therapies in Sport and Exercise provides a truly comprehensive source of the latest evidence-based approaches to the assessment, management, rehabilitation and prevention of injuries related to sport and exercise. Written by an international, multidisciplinary team of contributors, all of whom are leaders in their fields, it has been expertly compiled and edited by two experienced and well-respected practitioners from Australia/New Zealand and the USA. Fully referenced and research based International team of experts are contributors Applied/practical approach New chapters on Cartilage, Prevention of Injury, and Rehabilitation of lower limb muscle and tendon injuries Authors are world leading experts in their fields representing 10 countries |
| exercises for postpartum urinary incontinence: Urinary and Fecal Incontinence Horst-Dieter Becker, Arnulf Stenzl, Diethelm Wallwiener, Tilman T. Zittel, 2005-08-15 - This text gives a more universal approach to the subject - Reaches a wide range of physicians from different disciplines - Easily structured for hands-on diagnosis |
| exercises for postpartum urinary incontinence: Maternity and Pediatric Nursing Susan Scott Ricci, Terri Kyle, 2009 Authors Susan Ricci and Terri Kyle have teamed up to deliver a unique resource for your students to understand the health needs of women and children. This new combination book, Maternity and Pediatric Nursing, will empower the reader to guide women and their children toward higher levels of wellness throughout the life cycle. The textbook emphasizes how to anticipate, identify, and address common problems to allow timely, evidence-based interventions. Features include unfolding case studies throughout each chapter, multiple examples of critical thinking, and an outstanding visual presentation with extensive illustrations depicting key concepts. A bound-in CD-ROM and a companion Website include video clips and NCLEX®-style review questions. |
| exercises for postpartum urinary incontinence: Visceral Manipulation J. P. Barral, Pierre Mercier, 2005 Osteopathy and other systems of manual medicine have developed a variety of models for understanding the mechanics of proper and improper motion of the musculoskeletal system. In this important and pioneering work, that same structural vision is applied to the visceral system. The central premise of 'Visceral Manipulation' is that the interrelationship of structure and function among the internal organs is at least as strong as that among the constituents of the musculoskeletal system; and that, like the musculoskeletal system, manipulation of the viscera can be beneficially used in the treatment of a wide variety of problems affecting any of the body's systems.--Publisher description. |
| exercises for postpartum urinary incontinence: Essentials of Maternity, Newborn, and Women’s Health Susan Ricci, 2020-08-20 Give students the confidence and competence to meet the challenges of today’s maternity, newborn, and women’s health nursing practice. Focusing on the reproductive issues of women throughout the lifespan, Essentials of Maternity, Newborn, and Women's Health Nursing, Fifth Edition, builds the knowledge and clinical capabilities students need to excel on the NCLEX® and confidently care for women and their families. Updated with the latest practices, interventions and cultural considerations, this practical text immerses students in realistic nursing case studies, delivering step-by-step guidance and real-world clinical practice to prepare students for success throughout their nursing careers. |
| exercises for postpartum urinary incontinence: Exercise and Physical Activity During Pregnancy and Postpartum Rita Santos-Rocha, 2022-10-26 This is the second edition of a well-received, practice oriented, multidisciplinary book filling the gap between evidence-based knowledge on the benefits of physical activity and exercise during pregnancy and postpartum and the implementation of exercise programs and related health promotion measures in pregnant women. Readers will find up-to-date evidence on the psychological, social, physiological, body composition, musculoskeletal, and biomechanical changes that occur during pregnancy and their implications for physical activity and exercise. Further, the authors equip the reader with the latest guidelines and detailed description of exercise testing, prescription, selection and adaptation for pregnant and postpartum women, including those with clinical conditions. This new edition has been thoroughly updated, and includes additional chapters focused on the pedagogical intervention in pre and postnatal exercise programs, exercise prescription and adaptation during postpartum and diet recommendations for the pregnant exerciser and athlete. Written by recognized experts in the field, the book aims to allay undue fears regarding the consequences of exercising during pregnancy. Moreover, it provides medical, sports, and fitness professionals both with the knowledge and the practical expertise needed to offer an optimal guidance on exercising to pregnant exercisers and athletes. |
| exercises for postpartum urinary incontinence: Evaluation and Treatment of Urinary Incontinence Jerry G. Blaivas, 1996 |
10 Best Exercises for Everyone - Healthline
Feb 11, 2025 · We’ve rounded up the 10 best and most powerful exercises to do every single day. Do these for 30 days straight or twice a week to see and feel a difference.
Pictures of the 7 Most Effective Exercises to Do at the Gym or
Feb 24, 2025 · Let WebMD show you how to properly perform seven exercises including squats, lunges, crunches, and the bend-over row. Good technique is a must for effective and safe …
Exercise Video Guides: 1500+ Exercises with Instructions & Tips
The largest and most comprehensive database of free video exercise guides! Learn how to perform exercises using correct technique.
20 Best Strength Training Exercises For A Complete Workout
Feb 11, 2023 · Here are the 20 Best Strength Training Exercises for a Complete Workout. Squats are a multi-joint, compound exercise that are often included in strength training routines for …
19 Cardio Exercises for an Effective At-Home Workout - Verywell Fit
May 3, 2024 · No equipment or gym membership? No problem. Here are 19 high-intensity cardio exercises you can do in your living room.
The 13 best exercises for overall health and fitness - Medical …
Dec 22, 2020 · Here, we look at 13 of the best exercises for overall health and fitness. We explain what areas of the body each exercise primarily works and provide step-by-step instructions.
5 Types of Exercises To Add to Your Workouts - Cleveland Clinic …
Feb 17, 2025 · There are five main types of exercise: resistance/strength training, cardio, flexibility training, balance exercises and sport-specific training.
Exercise Library: Workouts & Fitness Guides | ACE
Browse through total-body exercises or movements that target more specific areas of the body. Each comes with a detailed description and photos to help ensure proper form.
10 Best Exercises for Everyone - Baptist Health
May 11, 2022 · Incorporating a variety of exercises into your daily routine ensures a balanced workout that targets different muscle groups. Below is a list of the best workout exercises that …
6 At-Home Exercises That Sculpt Your Body Fast - Eat This Not That
1 day ago · Below, Rachel outlines six at-home exercises that sculpt your body quicker than gym machines. Deadlifts. Shutterstock “Deadlifts are a compound movement and highly effective in …
10 Best Exercises for Everyone - Healthline
Feb 11, 2025 · We’ve rounded up the 10 best and most powerful exercises to do every single day. Do these for 30 days straight or twice a week to see and feel a difference.
Pictures of the 7 Most Effective Exercises to Do at the Gym or
Feb 24, 2025 · Let WebMD show you how to properly perform seven exercises including squats, lunges, crunches, and the bend-over row. Good technique is a must for effective and safe …
Exercise Video Guides: 1500+ Exercises with Instructions & Tips
The largest and most comprehensive database of free video exercise guides! Learn how to perform exercises using correct technique.
20 Best Strength Training Exercises For A Complete Workout
Feb 11, 2023 · Here are the 20 Best Strength Training Exercises for a Complete Workout. Squats are a multi-joint, compound exercise that are often included in strength training routines for …
19 Cardio Exercises for an Effective At-Home Workout - Verywell Fit
May 3, 2024 · No equipment or gym membership? No problem. Here are 19 high-intensity cardio exercises you can do in your living room.
The 13 best exercises for overall health and fitness - Medical …
Dec 22, 2020 · Here, we look at 13 of the best exercises for overall health and fitness. We explain what areas of the body each exercise primarily works and provide step-by-step instructions.
5 Types of Exercises To Add to Your Workouts - Cleveland Clinic …
Feb 17, 2025 · There are five main types of exercise: resistance/strength training, cardio, flexibility training, balance exercises and sport-specific training.
Exercise Library: Workouts & Fitness Guides | ACE
Browse through total-body exercises or movements that target more specific areas of the body. Each comes with a detailed description and photos to help ensure proper form.
10 Best Exercises for Everyone - Baptist Health
May 11, 2022 · Incorporating a variety of exercises into your daily routine ensures a balanced workout that targets different muscle groups. Below is a list of the best workout exercises that …
6 At-Home Exercises That Sculpt Your Body Fast - Eat This Not That
1 day ago · Below, Rachel outlines six at-home exercises that sculpt your body quicker than gym machines. Deadlifts. Shutterstock “Deadlifts are a compound movement and highly effective in …
