This study was a randomized controlled trial to investigate the effect of treating women with stress or mixed urinary incontinence (SUI or MUI) by diaphragmatic, deep abdominal and pelvic floor muscle (PFM) retraining. Seventy women were randomly allocated to the training (n = 35) or control group (n = 35). Women in the training group received 8 individual clinical visits and followed a specific exercise program. Women in the control group performed self-monitored PFM exercises at home. The primary outcome measure was self-reported improvement. Secondary outcome measures were 20-min pad test, 3-day voiding diary, maximal vaginal squeeze pressure, holding time and quality of life. After a 4-month intervention period, more participants in the training group reported that they were cured …

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Abstract: Specific palpation skills are required to identify and treat myofascial pain. The aim of this study was to develop a device that reflects absolute pressure values during simulated palpation, and to test the hypothesis that training through standardized manual palpation results in improved skills for experienced and inexperienced examiners. Experienced (n = 30) and inexperienced (n = 30) examiners were randomly divided into either training or control. A device (Palpation Trainer) was constructed to measure pressure intensity (Ppeak) and rate of pressure development (RPD). Training consisted of 8–10 min standardized simulated palpation, during which examiners followed a standardized pressure–time curve (visualized in real-time on a pc-monitor). Controls received no trainin…

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Abstract: Poor adherence to treatment can have negative effects on outcomes and healthcare cost. However, little is known about the barriers to treatment adherence within physiotherapy. The aim of this systematic review was to identify barriers to treatment adherence in patients typically managed in musculoskeletal physiotherapy outpatient settings and suggest strategies for reducing their impact. The review included twenty high quality studies investigating barriers to treatment adherence in musculoskeletal populations. There was strong evidence that poor treatment adherence was associated with low levels of physical activity at baseline or in previous weeks, low in-treatment adherence with exercise, low self-efficacy, depression, anxiety, helplessness, poor social support/activity, great…

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The Healing Power Of Massage Therapy: Enjoy The Healing Benefits Of Massage Treatment As Medicine, As Relaxation, And As Physical Rehabilitation (Paperback)
By K M S Publishing.com

Buy new: $15.95
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Customer tags: stress management(40), stress(40), health and wellness(40), therapy(40), massage(40), health(40), stress relief(40), healing(40), massage therapy(40), wellness(40), relaxation(40)

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(Source: Manual Therapy)

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Epidemiological evidence confirms that low back pain has a tendency to recur. Over the last decade, insights have increased significantly into diagnostic approaches and the development of effective treatment packages which are often multi-modal in nature. There has been a move into a bio-psychosocial philosophical approach to care, although, contrary to this integrated philosophy there are Instances where some clinicians take a completely hands-off approach to care, whilst others simply ignore the psychosocial dimension. Patients of course are not really in a position of awareness or knowledge to be able to comment or express their views and needs in relation to treatment and therefore, to a large extent, this polarity may go un-noticed. (Source: Manual Therapy)

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In conclusion, severity of main complaint and catastrophising seem to modify treatment success. Increased pain severity or catastrophising at baseline increased the chance of treatment success after manual therapy compared to physiotherapy. (Source: Manual Therapy)

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In this Essential Evidence Plus daily POEM (formerly InfoPOEMs), the authors ask, “What are the preferred approaches to treating patients with fibromyalgia?” They discuss the fibromyalgia guidelines developed by the European League Against Rheumatism (EULAR) and conclude, “Antidepressants, pramipexole, pregabalin, tramadol, tropisetron, and heated pool treatments have been shown to have short-term effectiveness in the treatment of fibromyalgia pain (strength of evidence: A).”

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The Berkshire Priorities Committees have published a policy statement on the management of Chronic Fatigue Syndrome (CFS)/Myalgic Encephalomyelitis (ME). The Committees reviewed the evidence for interventions in CFS/ME and in line with NICE guidance consider that (direct from source):

“The evidence of clinical and cost effectiveness for cognitive behavioural therapy (CBT) and graded exercise therapy (GET) is sufficient to recommend that PCTs should commission either or both therapies within their local pathways for CFS/ME. Where CBT and/or GET are not currently commissioned, they are recommended as a service development for future PCT commissioning.

All other interventions for CFS/ME and the provision of any intervention on an in-patient or residential basis are considered to be a LOW PRIORITY due to lack of evidence of clinical and cost effectiveness.”

The full policy statement can be accessed at the link above.

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