Pelvic floor muscle training (PFMT)
is effective for treating stress urinary incontinence (SUI), say authors of an article published in International Urogynecology Journal.
There is no apparent add-on effect of biofeedback (BF) training in short-term
follow-up, they add.
Women with SUI were randomized to
PFMT with BF (BF group, n = 23) or without BF (PFMT group, n = 23) for
12 weeks. As primary outcome measures, subjective symptoms and QOL were
assessed by the King's Health Questionnaire (KHQ) and International
Consultation on Incontinence Questionnaire-Short Form (ICIQ-SF). A voiding
diary, 1-h pad test, and measurement of PFM strength were secondary outcome
measures. Changes in the primary and secondary outcomes were assessed before
and after 12 weeks of exercise training.
Of the 9 domains of the KHQ, the
scores of 5 significantly decreased in the PFMT group; the scores of 7
significantly decreased in the BF group. All ICIQ-SF items and the total score
significantly decreased in both groups after therapy. The number of
incontinence episodes significantly decreased in the PFMT group, and tended to
decrease in the BF group, but this was not significant. The leakage volume in
the 1-h pad test tended to decrease in both groups, but was not significant.
Maximum vaginal squeeze pressure significantly increased in both groups. There
were no significant inter-group differences in the changes in any of the
a new APTA podcast lead
investigator Gail Jensen, PT, PhD, FAPTA,
and coinvestigators Jan Gwyer, PT, PhD,
FAPTA, and Terry Nordstrom, PT, EdD,
describe the history and background of the study Physical Therapist Education for the 21st Century (PTE-21).
The PTE-21 research team, which also includes Laurita M. Hack, PT, DPT,
MBA, PhD, FAPTA, and Elizabeth
Mostrom, PT, PhD, is in the process of conducting 4 site visits aimed
at uncovering and examining the crucial dimensions of excellence in physical
therapist education across academic and clinical settings.
The group will issue a final report on the first phase of the study in the
fall of 2013. Also in 2013, Jensen and colleagues will begin fundraising for
the second phase of the study that will include an additional 6 sites.
Phase I of the study is funded by a 2-year APTA award of $50,000. The
funding is the result of a request for proposal (RFP) for "Innovation and
Excellence in Academic and Clinical Education Funding" developed by APTA
and announced in November 2010. The RFP was targeted at stakeholder groups
throughout the profession.
Measuring patients' vital signs,
wellness coaching for cancer survivors, genetics and stroke, and lean health
care are just a few of the topics covered in today's CSM Daily News. Thursday's
issue also summarizes the 16th annual Pauline Cerasoli Lecture.
week the Department of Health and Human Services (HHS) started referring to
state health insurance exchanges as "marketplaces" in an attempt to
rebrand the central component of the Affordable Care Act, says an article in The Hill.
A press release issued January
17 by HHS announced new grants to support states building health insurance "marketplaces."
The agency also revamped HealthCare.gov to reflect the name
of the health care law say the name change shows the administration is
"failing" at getting support for the state-run programs and won't
make any difference.
to The Hill, supporters of health
care reform say the name change wasn't meant to assuage political opposition to
the health care law. They say that "exchange" simply isn't a very
good description. States have come up with their own names for their exchanges.
Massachusetts', which predates the federal health care law, is called the "Connector."
California named its exchange "Cover California."
CSM Daily News includes coverage of the ABPTS
Opening Ceremony and Linda Crane Lecture, and articles on gait pattern, a "flipped"
classroom model, fraud and abuse, "oxygen debt" in patients with
chronic fatigue syndrome, and more.
of an article published online in Diabetes Care say that
compared with younger adults, older adults receive equal glycemic benefit from
participating in self-management interventions. Clinicians can safely recommend
group diabetes interventions to community-dwelling older adults with poor
glycemic control, they add.
For their study, the researchers randomized 71 community-dwelling older
adults and 151 younger adults to attend a structured behavioral group, an
attention control group, or 1-to-1 education. Half of the younger group and
nearly a third of the older group had type 1 diabetes, and the rest had type 2.
All group interventions were delivered separately to patients with type 1
diabetes and those with type 2 diabetes. The researchers measured A1C,
self-care (3-day pedometer readings, blood glucose checks, and frequency of
self-care), and psychosocial factors (quality of life, diabetes distress,
frustration with self-care, depression, self-efficacy, and coping styles) at
baseline and 3, 6, and 12 months postintervention.
Both older and younger adults had improved A1C equally over time. Older and
younger adults in the group conditions improved more and maintained
improvements at 12 months. Furthermore, the authors say, frequency of
self-care, glucose checks, depressive symptoms, quality of life, distress,
frustration with self-care, self-efficacy, and emotional coping improved in
older and younger participants at follow-up.
"Many clinicians are reluctant to refer older patients to group
education, feeling that older people may require individual attention in order
to benefit," study coauthor Katie Weinger, EdD, told Medscape Medical News. She notes
that the new study answers research questions posed in a recent consensus statement from the American Diabetes Association and the American
Geriatrics Society regarding which education approaches work best for older
people with diabetes. "Our paper addresses these issues by including both
middle-aged and older adults," Weinger says.