Renew Physical
Therapy Research Center
At your fingertips, some of the latest and best research broken up by particular conditions. Also scroll down to find abstracts on Renew PT original case studies.
Pre Natal and Post Partum
Jennifer Block Responds to New York Magazine Article on Cara Muhlhahn
Apr 2009 - Extreme Birth, Indeed
EXCERPT: The current New York magazine titles a feature about it "Extreme Birth." The piece, by Andrew Goldman, tries to be a character study of Cara Muhlhahn, the home-birth midwife and now memoirist featured in Lake's film The Business of Being Born. But after raising her to a teetering pedestal, crowning her "the fearless -- some say too fearless -- new leader of the home-birth movement," Goldman shoots her down. It feels more like a character assassination -- of both her and the movement.
This is unfortunate for many reasons. ...Read the Full Story
Early C-Section Carries Risks, Study Finds
Jan 2009 - Elective Procedures Increase Complications for Infants When Done Before 39 Weeks
EXCERPT: Elective Caesarean-section deliveries can increase problems for a newborn if done too early -- even when the baby has technically reached full term, according to a large new study.
The findings could help diminish a widely popular practice -- now about one in every 14 births -- in which mothers choose to schedule c-sections, or surgical removal of the baby. The study, published in the New England Journal of Medicine, found that about a third of elective c-sections are done too early -- before 39 weeks. Although a fetus is considered to have reached full term after 37 weeks, most medical experts have long recommended the 39-week threshold for performing an elective c-section.
Caesarean sections have for years been controversial, and health officials have repeatedly sought to reduce their frequency to minimize post-partum complications and ...Read the Full Story
Incontinence
Prevalence of Symptomatic Pelvic Floor Disorders in US Women
Sept 2008 - This JAMA study estimates to the national prevalence of symptomatic pelvic floor disorders of urinary, fecal and stress incontinence in US women.
CONCLUSION: Pelvic floor disorders affect a substantial 23.7% of all women and increased with age.
CONTEXT: Pelvic floor disorders (urinary incontinence, fecal incontinence, and pelvic organ prolapse) affect many women.
No national prevalence estimates derived from the same population-based sample exists for multiple pelvic floor disorders
in women in the United States.
DESIGN, SETTING, AND PARTICIPANTS: A cross-sectional analysis of 1961 nonpregnant women (>or=20 years) who participated in the 2005-2006
National Health and Nutrition Examination Survey, a nationally representative survey of the US noninstitutionalized population. Women were
interviewed in their homes and then underwent standardized physical examinations in a mobile examination center. Urinary incontinence
(score of >or=3 on a validated incontinence severity index, constituting moderate to severe leakage), fecal incontinence (at least monthly
leakage of solid, liquid, or mucous stool), and pelvic organ prolapse (seeing/feeling a bulge in or outside the vagina) symptoms were
assessed. Read the Full Story
Pelvic Pain New Insights Into Genital Pain in Women
Jan 2008 - Jane Brody writes about a few options for women suffereing from vulvadynai.
EXCERPT: When a woman complains of genital pain so severe that it makes sexual intercourse all but impossible, her partner may jump to the conclusion that she has a phobia about sex. But what if that same woman also experiences excruciating pain when trying to insert a tampon, undergo a pelvic exam, wear a pair of jeans, ride a bicycle or go jogging? Can phobia explain all those problems?
Not very likely. In fact, studies have shown that sexual phobias are rarely the explanation for a condition known as vulvodynia, a chronic discomfort of the vulva that can result in searing or shooting pain when any amount of pressure is placed on the sensitized tissues. Some women compare the feeling to acid being poured on an open wound.
The problem can last months, years or a lifetime. Worse, doctors often...Read the Full Story
Prostate Health and Male Pelvic Conditions
Living With Incontinence After Prostate Cancer
March 2009 - This great article is part of a series by the New York Times that talks about issues relating to prostate cancer.
EXCERPT: Incontinence and impotence are the evil twins of prostate cancer and its aftermath. While impotence can breed deep melancholy, incontinence is a more primal problem: Only babies and toddlers are supposed to wet themselves. Beyond those ages, it becomes a hushed subject, an object of shame, frustration and bad jokes.
I’ll never forget the relief of finally having my catheter removed last July, some three weeks after my radical open prostatectomy. It seemed as if I’d just given birth to a half-mile of latex attached to a deflated dirigible. (That was in there?) But I remember even more vividly what happened after...
Read the Full Story
Orthopedics
Pelvic Pain and Interstitial Cystitis
Renew Physical Therapy Case Studies
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