Myofascial pain and pelvic floor dysfunction in patients with interstitial cystitis

Bassaly, Renee; Tidwell, Natalie; Bertolino, Siobhan; Hoyte, Lennox; Downes, Katheryne; Hart, Stuart

doi:10.1007/s00192-010-1301-3

Cited by 78 publications

(48 citation statements)

References 16 publications

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“…71 Those patients who have tenderness on iC/BPS guideline physical exam might benefit from various physical therapy techniques, including: physiotherapy (± biofeedback); myofascial tender points release; or intravaginal Thiele massage. Various techniques have been described that involve skillful, hands-on maneuvers directed toward relaxation, elongation, stretching, and massaging of tightened muscles.…”

Section: Physiotherapy and Massage (Recommended For Patients With Pelmentioning

confidence: 99%

CUA guideline: Diagnosis and treatment of interstitial cystitis/ bladder pain syndrome

Cox

Golda

Nadeau

et al. 2016

CUAJ

113

121

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MethodologyThe following guidelines were based on MEDLINE and PUBMED searches of English language literature, in addition to consensus conference proceedings. Levels of evidence and grades of recommendation were assigned for each investigation and treatment, as per the modified Oxford Centre for Evidence-Based Medicine grading system. Where the literature was inconsistent or scarce, a consensus expert opinion was generated to provide treatment guidelines.

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Section: Physiotherapy and Massage (Recommended For Patients With Pelmentioning

confidence: 99%

CUA guideline: Diagnosis and treatment of interstitial cystitis/ bladder pain syndrome

Cox

Golda

Nadeau

et al. 2016

CUAJ

113

121

View full text Add to dashboard Cite

show abstract

“…Urinary incontinence, pelvic organ prolapse, fecal incontinence, and defecatory dysfunction are some of the post-partum pelvic floor symptoms [1], [2], [3], [4], [5]. Typically, characterization of these symptoms is performed by evaluation of structural and anatomical properties of organs and tissues of the pelvis in MR images [6], [7], [8].…”

Section: Introductionmentioning

confidence: 99%

A Logarithmic Opinion Pool Based STAPLE Algorithm for the Fusion of Segmentations With Associated Reliability Weights

Akhondi-Asl

Hoyte

Lockhart

et al. 2014

IEEE Trans. Med. Imaging

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Pelvic floor dysfunction is very common in women after childbirth and precise segmentation of magnetic resonance images (MRI) of the pelvic floor may facilitate diagnosis and treatment of patients. However, because of the complexity of the structures of pelvic floor, manual segmentation of the pelvic floor is challenging and suffers from high inter and intra-rater variability of expert raters. Multiple template fusion algorithms are promising techniques for segmentation of MRI in these types of applications, but these algorithms have been limited by imperfections in the alignment of each template to the target, and by template segmentation errors. In this class of segmentation techniques, a collection of templates is aligned to a target, and a new segmentation of the target is inferred. A number of algorithms sought to improve segmentation performance by combining image intensities and template labels as two independent sources of information, carrying out decision fusion through local intensity weighted voting schemes. This class of approach is a form of linear opinion pooling, and achieves unsatisfactory performance for this application. We hypothesized that better decision fusion could be achieved by assessing the contribution of each template in comparison to a reference standard segmentation of the target image and developed a novel segmentation algorithm to enable automatic segmentation of MRI of the female pelvic floor. The algorithm achieves high performance by estimating and compensating for both imperfect registration of the templates to the target image and template segmentation inaccuracies. The algorithm is a generalization of the STAPLE algorithm in which a reference segmentation is estimated and used to infer an optimal weighting for fusion of templates. A local image similarity measure is used to infer a local reliability weight, which contributes to the fusion through a novel logarithmic opinion pooling. We evaluated our new algorithm in comparison to nine state-of-the-art segmentation methods by comparison to a reference standard derived from repeated manual segmentations of each subject image and demonstrate our algorithm achieves the highest performance. This automated segmentation algorithm is expected to enable widespread evaluation of the female pelvic floor for diagnosis and prognosis in the future.

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“…The obturator internus, arcus tendineus, iliococcygeus, puborectalis, and rectus abdominis muscles should be bilaterally and separately palpated for evidence of myofascial pain. 37 …”

Section: Patient Historymentioning

confidence: 97%

“…Furthermore, 67.9% of interstitial cystitis patients had 6 or more separately identifiable trigger points. 37 Invasive Treatment…”

Section: Physical Therapymentioning

confidence: 99%

Diagnosis and Treatment of Interstitial Cystitis in Adolescents

Yoost

Hertweck

Loveless

2012

Journal of Pediatric and Adolescent Gynecology

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Myofascial pain and pelvic floor dysfunction in patients with interstitial cystitis

Abstract: Myofascial pain is prevalent among IC patients and positively correlated with pelvic floor dysfunction scores. These findings support evaluation of pelvic floor myofascial pain in IC patients and suggest a possible benefit from pelvic floor therapy.

Cited by 78 publications

References 16 publications

CUA guideline: Diagnosis and treatment of interstitial cystitis/ bladder pain syndrome

CUA guideline: Diagnosis and treatment of interstitial cystitis/ bladder pain syndrome

A Logarithmic Opinion Pool Based STAPLE Algorithm for the Fusion of Segmentations With Associated Reliability Weights

Diagnosis and Treatment of Interstitial Cystitis in Adolescents

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