Review of pelvic and perineal neuromuscular fatigue: Evaluation and impact on therapeutic strategies / Maëlys Teng in Annals of physical and rehabilitation medicine, Vol. 61, n°5 (Septembre 2018)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 61, n°5 (Septembre 2018) . - p. 345-351 Titre : Review of pelvic and perineal neuromuscular fatigue: Evaluation and impact on therapeutic strategies Type de document : texte imprimé Auteurs : Maëlys Teng ; Florian Kervinio ; Mirella Moutounaïck ; Gabriel Miget ; Audrey Charlanes ; Camille Chesnel ; Frédérique Le Breton ; Gérard Amarenco Année de publication : 2018 Article en page(s) : p. 345-351 Note générale : Doi : 10.1016/j.rehab.2018.06.006 Langues : Anglais (eng) Mots-clés : Pelvic floor muscle  Perineal fatigue  Evaluation  Stress urinary incontinence  Pelvic organ prolapse  Pelvic floor fatigue rehabilitation Résumé : Background Pelvic floor fatigue is known by its clinical consequences (fecal incontinence, stress urinary incontinence, pelvic organ prolapse), but there are still few studies on the subject. Objective This article presents an overview of the current knowledge of pelvic and perineal fatigue, focusing on its assessment and consequences in terms of evaluation and therapeutic strategies, to propose an evaluation that could be routinely performed. Methods We performed a systematic review of the literature in MEDLINE via PubMed and Cochrane Library databases by using the keywords pelvic floor, muscular fatigue, physiopathology, stress urinary incontinence, pelvic organ prolapse, fecal incontinence, physical activity, and pelvic rehabilitation. We included reports of systematic reviews and retrospective and prospective studies on adult humans and animals in English or French published up to April 2018 with no restriction on start date. Results We selected 59 articles by keyword search, 18 by hand-search and 3 specific guidelines (including the 2009 International Continence Society recommendations); finally 45 articles were included; 14 are described in the Results section (2 reviews of 6 and 20 studies, and 12 prospective observational or cross-over studies of 5 to 317 patients including 1 of animals). Perineal fatigue can be assessed by direct assessment, electromyography and spectral analysis and during urodynamics. Because pelvic floor fatigue assessments are not evaluated routinely, this fatigability is not always identified and is often falsely considered an exclusive pelvic floor weakness, as suggested by some rehabilitation methods that also weaken the pelvic floor instead of enhancing it. Conclusion Pelvic floor fatigue is not evaluated enough on a routine basis and the assessment is heterogeneous. A better knowledge of pelvic floor fatigue by standardized routine evaluation could lead to targeted therapeutic strategies. Permalink : ./index.php?lvl=notice_display&id=80637 [article] Review of pelvic and perineal neuromuscular fatigue: Evaluation and impact on therapeutic strategies [texte imprimé] / Maëlys Teng ; Florian Kervinio ; Mirella Moutounaïck ; Gabriel Miget ; Audrey Charlanes ; Camille Chesnel ; Frédérique Le Breton ; Gérard Amarenco . - 2018 . - p. 345-351. Doi : 10.1016/j.rehab.2018.06.006 Langues : Anglais (eng) in Annals of physical and rehabilitation medicine > Vol. 61, n°5 (Septembre 2018) . - p. 345-351 Mots-clés : Pelvic floor muscle  Perineal fatigue  Evaluation  Stress urinary incontinence  Pelvic organ prolapse  Pelvic floor fatigue rehabilitation Résumé : Background Pelvic floor fatigue is known by its clinical consequences (fecal incontinence, stress urinary incontinence, pelvic organ prolapse), but there are still few studies on the subject. Objective This article presents an overview of the current knowledge of pelvic and perineal fatigue, focusing on its assessment and consequences in terms of evaluation and therapeutic strategies, to propose an evaluation that could be routinely performed. Methods We performed a systematic review of the literature in MEDLINE via PubMed and Cochrane Library databases by using the keywords pelvic floor, muscular fatigue, physiopathology, stress urinary incontinence, pelvic organ prolapse, fecal incontinence, physical activity, and pelvic rehabilitation. We included reports of systematic reviews and retrospective and prospective studies on adult humans and animals in English or French published up to April 2018 with no restriction on start date. Results We selected 59 articles by keyword search, 18 by hand-search and 3 specific guidelines (including the 2009 International Continence Society recommendations); finally 45 articles were included; 14 are described in the Results section (2 reviews of 6 and 20 studies, and 12 prospective observational or cross-over studies of 5 to 317 patients including 1 of animals). Perineal fatigue can be assessed by direct assessment, electromyography and spectral analysis and during urodynamics. Because pelvic floor fatigue assessments are not evaluated routinely, this fatigability is not always identified and is often falsely considered an exclusive pelvic floor weakness, as suggested by some rehabilitation methods that also weaken the pelvic floor instead of enhancing it. Conclusion Pelvic floor fatigue is not evaluated enough on a routine basis and the assessment is heterogeneous. A better knowledge of pelvic floor fatigue by standardized routine evaluation could lead to targeted therapeutic strategies. Permalink : ./index.php?lvl=notice_display&id=80637

Exemplaires (1)

Cote	Support	Localisation	Section	Disponibilité
Revue	Revue	Centre de Documentation HELHa Campus Montignies	Armoires à volets	Document exclu du prêt - à consulter sur place Exclu du prêt

---

1 (1 - 1 / 1)