Contributors

vii

Foreword - International Continence Society   Walter Artiboni

ix

Foreword - International Urogynecology

Association   Paul A. Riss

xi

Foreword - World Confederation of Physical Therapy   Sandra Mercer Moore

xiii

Preface   Kari Bø, Bary Berghrnans, Sir Merkved and Marijke Van Kampen

xv

1

Overview of Physical Therapy for Pelvic Floor Dysfunction   Kariv Bø

1

2

Critical Appraisal of Randomized Trials and Systematic Reviews of the Effects of Physical Therapy Interventions for the Pelvic Floor   Rob Herbert

9

3

Functional Anatomy of the Female Pelvic Floor   James A. Ashton-Miller and John O. L Deiancey

19

4

Neuroanatomy and Neurophysiology of Pelvic Floor Muscles   David B. Vodusek

35

5

Measurement of Pelvic Floor Muscle Function and Strength and Pelvic Organ Prolapse

45

Introduction   Kari Bø and Margaret Sherburn

47

Visual Observation and Palpation   Kari Bø and Margaret Sherburn

50

Electromyography   David B. Vodusek

56

Vaginal Squeeze Pressure Measurement   Kari Bø and Margaret Sherburn

63

Urethral Pressure Measurements   Mohammed Belal and Paul Abrams

69

Pelvic Floor Dynamometry   Chantale Dumoulin and Mélonie Morin

76

Ultrasound in the Assessment of Pelvic Floor Muscle and Pelvic Organ Descent   Hans Peter Dietz

81

MRIof Intact and Injured Female Pelvic Floor Muscles   John O. L DeLancey and James A Ashton-Miller

93

Clinical Assessment of Pelvic Organ Prolapse   Richard C Bump

105

6

Pelvic Floor and Exercise Science

113

Motor Learning   Kori Bø and Siv Mørkved

113

Strength Training   Kari Bø and Arve Aschehouy

119

7

Strategies To Enhance Adherence and Reduce Drop Out in Conservative Treatment   Dianne Alewijnse, Ilse Masters, Job F.M. Metsemakers and Bart Van Den Borne

133

8

Lifestyle Interventions for Pelvic Floor Dysfunction   Pauline Chiarem

147

9

Pelvic Floor Dysfunction and Evidence-Based Physical Therapy

161

Female Stress Urinary Incontinence

164

Prevalence, Causes, Pathophysiology: Two Views, One Disease Jacques Corcos and Anders Mattiosson

164

Pelvic Floor Muscle Training for Stress Urinary Incontinence   Kari Bø

171

Electrical Stimulation for SUI   Bory Bcrghman

187

Overactive Bladder

201

Introduction   Anders Mattiabson

201

Bladder Training for OAB   Jean P. Wyrnan

208

Pelvic Floor Muscle Training for OAB   Kari Bø

218

Electrical Stimulation for OAB Bury Berghmans

222

Pelvic Organ Prolapse

233

Introduction   James Balmforth and Dudley Robinson

233

Pelvic Floor Muscle Training in the Prevention and Treatment of POP   Kari Bø and Helena Frawley

240

Pelvic Pain

249

Pelvic Floor Muscle Assessment   Helena Frawley and Wendy Bower

249

Treatment of Pelvic Floor Muscle Pain And/Or Overactivity   Helena Frawltyand Wendy Bower

258

Female Sexual Dysfunction

266

Assessment   Alessandro Groziottin

266

Treatment   Alessandro Groziottin

277

Male Sexual Dysfunction

287

Introduction   Grace Dorey

287

Treatment   Grace Dorey

294

Fecal Incontinence

304

Introduction   James Balmforth and Dudley Robinson

304

Physical Therapy for Fecal Incontinence   Sivmøfkved

309

10

Evidence for Pelvic Floor Physical Therapy for Urinary Incontinence During Pregnancy and After Childbirth   Siv Mørkved

317

Urinary Incontinence During Pregnancy and After Childbirth

318

Evidence for Pelvic Floor Physical Therapy for Urinary Incontinence During Pregnancy

323

Evidence for Pelvic Floor Physical Therapy for Urinary Incontinence After Delivery

327

11

Evidence for Pelvic Floor Physical Therapy for Neurological Diseases   Marijke Van D Karnpen

337

Stroke

338

Multiple Sclerosis

341

12

Evidence for Pelvic Floor Physical Therapy in the Elderly   Margaret Sherburn

345

13

Pelvic Floor Physical Therapy in Elite Athletes   Kari Bø

369

14

Evidence for Pelvic Floor Therapy in Men   Marijke Van O Kompen

379

Post Prostatectomy Incontinence

380

Terminal and Postvoid Dribble

389

15

Evidence for Pelvic Floor Therapy in Children   Wendy F. Bower

395

Dysfunction of Bladder Control

395

Constipation in Children

401

16

The Development of Clinical Practice Guidelines in Physical Therapy   Bary Berghmons, Erik Hendriks, Nol Bernards and Rob De Bie

409

Appendix

Useful URLs

419

Index

423