The effect of manual physical therapy in patients diagnosed with interstitial cystitis, high-tone pelvic floor dysfunction, and sacroiliac dysfunction

Lukban, James; Whitmore, K. E.; Kellogg‐Spadt, Susan; Bologna, Raymond; Lesher, Aaron; Fletcher, Erica L.

doi:10.1016/s0090-4295(01)01074-3

Cited by 59 publications

(23 citation statements)

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“…Weiss [41] found that symptoms of urgency/frequency were reduced in 35 of 42 patients with manual therapy aimed at decreasing pelvic muscle tone. Similar results were found by Lukban et al [42] using myofascial release, joint mobilization, and home exercises. Research in this particular area of OAB management is hampered by a lack of data regarding the distribution of the phenomenon of pelvic floor muscle overactivity in women with OAB and the absence of a standardized means by which to measure it (for review of pelvic muscle overactivity in chronic pelvic pain, see Westesson and Shoskes [43].…”

Section: Biofeedback Pelvic Floor Overactivitysupporting

confidence: 89%

Biofeedback Treatment for Overactive Bladder

Spettel

Frawley

Blais

et al. 2012

Curr Bladder Dysfunct Rep

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For several decades, biofeedback has been utilized to help patients gain control of urinary problems. First described in the 1950s, pelvic floor muscle training employing biofeedback techniques has re-emerged as many patients seek to improve their urinary symptoms without medications or invasive procedures. Developing evidence and clinical agreement suggest that the pelvic floor musculature plays an important and often overlooked role in the etiology of lower urinary tract symptoms. New techniques involving computerized visual feedback and electrical stimulation or magnetic stimulation seek to improve the efficacy of pelvic floor muscle exercises. However, findings from the literature for increased response to these exercises with intensity of biofeedback programs are conflicting. While they pose few risks or side effects, biofeedback programs are a timeconsuming exercise for patients and providers. As we explore the promising role of pelvic floor rehabilitation in treatment of pelvic floor disorders, we must continue to assess the efficacy and cost-effectiveness of biofeedback as an adjunct to pelvic floor muscle exercises.

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Section: Biofeedback Pelvic Floor Overactivitysupporting

confidence: 89%

Biofeedback Treatment for Overactive Bladder

Spettel

Frawley

Blais

et al. 2012

Curr Bladder Dysfunct Rep

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show abstract

“…Additional finding in some of these studies (see below) indicate that sacroiliac dysfunction may at times also be a part of the complex of overlapping influences (Anderson et al, 2005;Weiss, 2001;Holzberg et al, 2001;Lukban et al, 2001;Glazer, 2000;Oyama et al, 2004;Riot et al, 2005;Mckay et al, 2001;Ling and Slocumb, 1993). Bernstein et al (1992) observed that patients, with the urgency-frequency syndrome, commonly demonstrated a high tonic level in the pelvic floor muscles, associated with a poor ability to relax or tense these muscles, often leading to inadequate voluntary control of urinary flow.…”

Section: Trigger Points Pelvic Pain and Associated Symptomsmentioning

confidence: 98%

Chronic pelvic pain: Pelvic floor problems, sacro-iliac dysfunction and the trigger point connection

Chaitow¹

2007

Journal of Bodywork and Movement Therapies

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“…Most often QOL-improving therapy has been used for chronic pain problems, like vulvar vestibulitis syndrome (N = 35, 71-79% improved) (Schultz et al 1996;Bergeron et al 2002), suprapubic pain (Lukban et al 2001), urinary frequency (N = 42, 82% improved) (Lukban et al 2001;Weiss 2001), pelvic, perianal and perineal pain (N = 179, 87% good to very good response) (Markwell 2001). Recently infertility has also been successfully helped (Wurn et al 2008).…”

Section: Quality Of Life As Medicine 425mentioning

confidence: 99%