E-Posters-10126

10126_Wolff

Pdf Summary

This study aimed to evaluate the effectiveness of pelvic floor physical therapy (PFPT), including myofascial release, for women with overactive bladder (OAB). The researchers found that women with OAB had high rates of improvement with PFPT, and PFPT with myofascial release resulted in significantly higher rates of improvement compared to PFPT alone. This suggests that there may be a muscular component in the development of OAB and warrants further investigation in a prospective trial.<br /><br />The study involved a retrospective chart review of patients who received PFPT between August and December 2016. Data on demographics, symptoms, physical exam findings, number of PFPT sessions attended, use of myofascial release, and patient-reported improvement were collected. Statistical analysis using SPSS was performed, including Cochran-Armitage Trend tests for ordinal variables and chi-square or Fisher's exact tests.<br /><br />The results showed that the percentage of patients who improved varied depending on the number of PFPT sessions attended, with a significant association between the number of sessions and improvement (p=<0.001). However, it is unclear whether patients who improved attended more sessions or if the physical therapy itself caused the improvement, as a control group was not included in this study.<br /><br />The study also mentioned that bladder training may be an effective treatment for overactive bladder and that physical therapy with myofascial release has been shown to have significant improvements in interstitial cystitis/painful bladder syndrome compared to global therapeutic massage.<br /><br />In conclusion, this study suggests that PFPT, especially with myofascial release, may be an effective treatment option for women with overactive bladder. Further research with a control group is needed to better understand the role of physical therapy in the improvement of OAB symptoms.

Keywords

pelvic floor physical therapy

myofascial release

overactive bladder

effectiveness

muscular component

prospective trial

retrospective chart review

bladder training

interstitial cystitis

improvement of symptoms