Differential Diagnosis and Physical Therapy Management of Lumbar Instability in a Patient With Pregnancy-Related Low Back Pain: A Case Report
Discussion: Lumbar instability should remain among the musculoskeletal differential diagnosis as a source of low back pain during pregnancy. In addition, early intervention consisting of patient education, spinal stabilization exercises, and gentle mobilization is effective in managing symptoms and preventing future complications. (Source: Journal of Womens Health Physical Therapy)
Source: Journal of Womens Health Physical Therapy - April 1, 2019 Category: Physiotherapy Tags: Case Report Source Type: research

Treat the Patient, Not the Label: A Pain Neuroscience Update
When dealing with chronic pain, it is often not possible for clinicians to provide adequate answers to their patients about what might be wrong, and why they continue to have their pain. This has led to greater use of diagnostic “labels” for conditions such as fibromyalgia, chronic fatigue syndrome, irritable bowel syndrome, chronic Lyme disease, and many others. Assigning such “labels” to patients with chronic pain has far-reaching consequences for all stakeholders. The aim of this clinical commentary is to highlight some of the common threads among 4 particular conditions common to women—fibromyalgia, chronic f...
Source: Journal of Womens Health Physical Therapy - April 1, 2019 Category: Physiotherapy Tags: Clinical Commentary Source Type: research

An International Survey of Commonly Used Interventions for Management of Pelvic Pain
Conclusion: Physical therapists routinely use education, manual therapy, and exercise to manage pelvic pain conditions. (Source: Journal of Womens Health Physical Therapy)
Source: Journal of Womens Health Physical Therapy - April 1, 2019 Category: Physiotherapy Tags: Research Reports Source Type: research

Establishing Expert-Based Recommendations for the Conservative Management of Pregnancy-Related Diastasis Rectus Abdominis: A Delphi Consensus Study
Conclusions: This study generated 28 expert-based recommendations achieved through a 3-phase consensus process for the assessment and conservative management of DRA. Nationally recognized Canadian expert physiotherapists in women's health agree that the impairments and dysfunctions related to DRA are multidimensional and emphasize the need for a global and tailored care approach. Clinical Relevance: This is the first study to establish consensus across key stakeholders to assist in bridging the current evidence-practice gap regarding pregnancy-related DRA. Our findings point to matters that require further study. Lev...
Source: Journal of Womens Health Physical Therapy - April 1, 2019 Category: Physiotherapy Tags: Research Reports Source Type: research

Experiences of Physical Therapists Working With Women With Chronic Pelvic Pain: A Phenomenological Qualitative Study
Conclusion: The lived experiences of physical therapists working with WWCPP revealed a complex integration of clinical reasoning, critical reflection, and adaptive expertise while concomitantly employing the principles of the biopsychosocial model and a patient-centered approach to care management for WWCPP. Physical therapists believed they constructed positive therapeutic relationships and held overall positive attitudes about WWCPP that enhanced overall outcomes for the women. Future studies should explore whether the positive therapeutic relationship and attitudes identified by participants in this study are recogniz...
Source: Journal of Womens Health Physical Therapy - April 1, 2019 Category: Physiotherapy Tags: Research Reports Source Type: research

What's Your Purpose?
No abstract available (Source: Journal of Womens Health Physical Therapy)
Source: Journal of Womens Health Physical Therapy - April 1, 2019 Category: Physiotherapy Tags: Editorial Source Type: research

The Efficacy of Manual Therapy for Treatment of Dyspareunia in Females: A Systematic Review
Background: Pelvic floor physical therapy is a noninvasive option for relieving pain associated with dyspareunia, genital pain associated with sexual intercourse. Manual therapy is a clinical approach used by physical therapists to mobilize soft tissues, reduce pain, and improve function. To date, the systematic efficacy of manual therapy for treating dyspareunia has not been investigated. Objective: To examine the efficacy of manual therapy in reducing pelvic pain among females with dyspareunia. Study Design: Systematic review. Methods: A systematic literature search was conducted in MEDLINE, EMBASE, and CINAHL...
Source: Journal of Womens Health Physical Therapy - January 1, 2019 Category: Physiotherapy Tags: Systematic Review Source Type: research

Section on Women's Health Combined Sections Meeting Posters
No abstract available (Source: Journal of Womens Health Physical Therapy)
Source: Journal of Womens Health Physical Therapy - January 1, 2019 Category: Physiotherapy Tags: Abstracts Source Type: research

Section on Women's Health Combined Sections Meeting Platforms
No abstract available (Source: Journal of Womens Health Physical Therapy)
Source: Journal of Womens Health Physical Therapy - January 1, 2019 Category: Physiotherapy Tags: Abstracts Source Type: research

Book Reviews
No abstract available (Source: Journal of Womens Health Physical Therapy)
Source: Journal of Womens Health Physical Therapy - January 1, 2019 Category: Physiotherapy Tags: Book Reviews Source Type: research

Telerehabilitation for Treating Pelvic Floor Dysfunction: A Case Series of 3 Patients' Experiences
Background: Pelvic floor dysfunctions (PFD) affect women, men, and children globally. While physical therapy (PT) has been shown to improve PFDs, overall access to PT is limited because of provider shortage and expertise. We hypothesize telerehabilitation (TR) is a novel approach to address access and expertise care for PFD. Study Design: Case series. Case Descriptions: Three pelvic health patients (1 male and 2 females) volunteered to receive initial and follow-up care via TR. The male patient was treated for premature ejaculation, and the female patients were seen for postpartum recovery, stress urinary incontine...
Source: Journal of Womens Health Physical Therapy - January 1, 2019 Category: Physiotherapy Tags: Case Report Source Type: research

Inappropriate Patient Sexual Behavior When Working in Sensitive Areas of the Body: Results From a National Physical Therapy Survey
Conclusion: Pelvic health physical therapy practitioners incurred more IPSB when treating sensitive body areas and transferred and terminated care more often than general respondents. Future research may determine whether internal examination is a stand-alone risk factor. (Source: Journal of Womens Health Physical Therapy)
Source: Journal of Womens Health Physical Therapy - January 1, 2019 Category: Physiotherapy Tags: Research Reports Source Type: research

The Efficacy of Manual Therapy for Treatment of Dyspareunia in Females: A Systematic Review
Background: Pelvic floor physical therapy is a noninvasive option for relieving pain associated with dyspareunia, genital pain associated with sexual intercourse. Manual therapy is a clinical approach used by physical therapists to mobilize soft tissues, reduce pain, and improve function. To date, the systematic efficacy of manual therapy for treating dyspareunia has not been investigated. Objective: To examine the efficacy of manual therapy in reducing pelvic pain among females with dyspareunia. Study Design: Systematic review. Methods: A systematic literature search was conducted in MEDLINE, EMBASE, and CINAHL...
Source: Journal of Womens Health Physical Therapy - January 1, 2019 Category: Physiotherapy Tags: Systematic Review Source Type: research

Assessment of Abdominal Muscle Thickness in Postpartum Women Who Have Undergone Cesarean Delivery as Compared With Vaginal Births: A Pilot Study
Conclusion: The results showed no differences in the percent change of deep abdominal muscle thickness during ADIM between women who delivered vaginally and those who delivered via cesarean delivery, indicating that the cesarean delivery surgical procedure may not further decrease abdominal muscle performance. (Source: Journal of Womens Health Physical Therapy)
Source: Journal of Womens Health Physical Therapy - January 1, 2019 Category: Physiotherapy Tags: Research Reports Source Type: research

Physical Therapist Clinical Education in Pelvic Health: Survey of Current Views
Background: Physical therapists have expressed an interest in understanding the current standards of entry-level clinical education (CE) in pelvic floor (PF) physical therapy. Objective: To report the views among the American Physical Therapy Association Section on Women's Health (SoWH) members on structuring PF CE for student physical therapists (SPTs). Study Design: Survey research report. Methods: A survey developed by the SoWH CE Task Force was e-mailed to 2287 members of the SoWH in July 2017, with 351 members responding (17.9% response rate). Results were analyzed using descriptive statistics to provide in...
Source: Journal of Womens Health Physical Therapy - January 1, 2019 Category: Physiotherapy Tags: Research Reports Source Type: research