Prevention of pelvic floor disorders: international urogynecological association research and development committee opinion

Bazi, Tony; Takahashi, Satoru; Ismail, Sharif I. M. F.; Bø, Kari; Ruiz‐Zapata, Alejandra M.; Duckett, Jonathan; Kammerer-Doak, Dorothy

doi:10.1007/s00192-016-2993-9

Cited by 36 publications

(23 citation statements)

References 95 publications

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“…Many of the pelvic floor problems that afflict women can be prevented by proper risk assessment, patient education, and early intervention 7 . Until recently, a more passive, sometimes fatalistic attitude has prevailed among women and their care providers.…”

Section: Pre‐reproductive Agesmentioning

confidence: 99%

Urogynecologic pelvic floor problems: Across the entire spectrum of women’s lives

Davila

2020

Intl J Gynecology & Obste

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Section: Pre‐reproductive Agesmentioning

confidence: 99%

Urogynecologic pelvic floor problems: Across the entire spectrum of women’s lives

Davila

2020

Intl J Gynecology & Obste

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“…8 Treatment should include the reduction of risks and previous research has identified multiple risk factors for UI that may be modifiable. 9 These factors include environmental, 10 psychological, 11 and lifestyle and behavioral. 12,13 In addition, significant associations between specific toileting behaviors and presence of lower urinary tract symptoms (LUTS), predominantly UI, were found in employed women, 13 female nurses, 14,15 and young women.…”

Section: Introductionmentioning

confidence: 99%

Review of the 6th International Consultation on Incontinence: Primary prevention of urinary incontinence

Palmer

Cockerell²,

Griebling

et al. 2019

Neurourology and Urodynamics

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Aims:To report the state of the science on primary prevention of urinary incontinence (UI) in adults from the 6th International Consultation on Incontinence with an update through January 2019. Methods: Online databases PubMed, CINAHL, PsycInfo, and Medline were searched in March 2016 and February 2019 with a focus on literature published after 2010. The International Consultation on Urological Diseases modified Oxford Centre for Evidence-Based Medicine Levels of Evidence and grades of recommendation were used to evaluate the literature.Results: Grade B recommendations to prevent UI in pregnant and postpartum women are available and promising evidence exists for educational interventions to prevent UI up to 2 years in older women. There is little evidence for adding preoperative pelvic floor muscle exercises to postprostatectomy pelvic floor muscle exercises for men to regain continence. Insufficient evidence exists for the effectiveness of screening for UI in women. The absence of information on primary prevention remains for adolescents, nulliparous and perimenopausal women, and middle-aged and aged men and women. Conclusions: Few primary prevention interventions for UI exist for specific populations, especially pregnant and postpartum women. Research interest in developing foundational knowledge to design these interventions is growing. K E Y W O R D Sadult, evidence-based medicine, female, male, primary prevention

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“…2 Women have a 2 to 8 times higher risk of anterior cruciate ligament (ACL) injuries, 3 2 to 10 times higher risk of patellofemoral pain syndrome, 4-6 a 3 to 12 times higher risk of stress fractures, 6,7 2 times higher risk of symptomatic osteoarthritis after the age of 60, 8 3 to 4 times higher risk of osteoporosis, 9 2 times higher risk of osteoporosisrelated fracture, 9 and 2 to 3 times higher risk of pelvic floor dysfunction and urinary incontinence. [10][11][12] Seventy percent to 86% of women in the United States and Scandinavian countries report lumbar and/or pelvic girdle pain during their pregnancies. 13 Up to 25% of women experience daily chronic pelvic pain (defined as pelvic pain lasting longer than 6 months).…”

Section: Introductionmentioning

confidence: 99%

“…Women live 7 years longer than men (on average) and experience a higher level of chronic illness, including musculoskeletal disorders, in their lifetime . Women have a 2 to 8 times higher risk of anterior cruciate ligament (ACL) injuries, 2 to 10 times higher risk of patellofemoral pain syndrome, a 3 to 12 times higher risk of stress fractures, 2 times higher risk of symptomatic osteoarthritis after the age of 60, 3 to 4 times higher risk of osteoporosis, 2 times higher risk of osteoporosis‐related fracture, and 2 to 3 times higher risk of pelvic floor dysfunction and urinary incontinence . Seventy percent to 86% of women in the United States and Scandinavian countries report lumbar and/or pelvic girdle pain during their pregnancies .…”

Section: Introductionmentioning

confidence: 99%

Musculoskeletal Women's Health Education in Physiatry: A Mismatch in Residency Education and Clinical Practice

Bennis

Rho

2019

PM&R

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Background Musculoskeletal Women's Health (MSK WH) is a niche subspecialty within physical medicine & rehabilitation (PM&R). Women make up 50.7% of the population of the United States but are burdened with higher rates of musculoskeletal disease compared to men. MSK WH topics are not included in PM&R or Primary Care Accreditation Council for Graduate Medical Education (ACGME) program requirements. Given the comprehensive training provided in PM&R, physiatrists are ideal candidates to diagnose, treat, and provide education on MSK WH conditions. Objective To identify the prevalence of formalized MSK WH education and of WH physiatrists at ACGME‐accredited PM&R residency programs. Design Cross‐sectional survey design. Setting Computer‐based survey. Participants ACGME‐accredited residency programs (N = 86; as of February 2017). Methods A single, multiple choice, computer‐generated Research Electronic Data Capture (REDCap) survey with branching logic was sent to all ACGME‐accredited PM&R residency programs (N = 86). Outcomes The primary outcome was to assess the prevalence of women's health curricula at ACGME‐accredited PM&R residency programs in the United States. The secondary outcome was to assess the prevalence of WH physiatrists at these programs. Results Eighty‐six ACGME‐accredited PM&R residency programs were contacted with 55 completed responses (64% response rate). Only six programs (11%) reported the presence of a formal WH curriculum at their residency program. In contrast, 25 programs (45%) reported having WH physiatrists at their institutions, and 36 programs (65%) reported that general physiatrists were providing WH‐related care. Conclusions The study findings identify a mismatch between the prevalence of MSK WH residency education (11% of programs) and the prevalence of physiatrists providing MSK WH care (66% of programs). Physiatrists are ideally suited to manage MSK WH care. Based on the findings of this cross‐sectional study, residency programs and governing bodies should evaluate these trends and consider the addition of topics pertinent to women's musculoskeletal health into PM&R graduate medical education. Level of Evidence III.

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Prevention of pelvic floor disorders: international urogynecological association research and development committee opinion

Abstract: Pelvic floor disorders have a long latency, and may go through periods of remission, thus making causality difficult to confirm. Nevertheless, prevention strategies targeting modifiable risk factors should be incorporated into clinical practice before the absence of symptomatology.

Cited by 36 publications

References 95 publications

Urogynecologic pelvic floor problems: Across the entire spectrum of women’s lives

Urogynecologic pelvic floor problems: Across the entire spectrum of women’s lives

Review of the 6th International Consultation on Incontinence: Primary prevention of urinary incontinence

Musculoskeletal Women's Health Education in Physiatry: A Mismatch in Residency Education and Clinical Practice

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