Retningslinjer for integrationen af ultralyd ved vurdering og behandling af neuromuskulære sygdomme i ryg og bækken

Lumbopelvic pain (LPP) is associated with altered abdominal muscle function yet few tools exist that enable physiotherapists to identify these changes in a clinical setting. Ultrasound imaging (USI) has potential however its ability to detect altered abdominal muscle function and associated changes in bladder base (BB) position during tests common to a physiotherapy assessment of LPP, has yet to be established. The aims of this research were to determine the validity and reliability of USI technique in a clinical setting, investigate the relationship between changes in abdominal muscle thickness and electrical activity, and compare sonographic characteristics of the abdominal wall, and BB position, between persons with and without LPP. Validity results indicate that 5o-10o of angular, and 8mm of inward/outward transducer motion don't produce measurement error, and that transducer motion can be kept within these thresholds during two commonly used clinical tests; the Active Straight Leg Raise (ASLR) test and Abdominal Drawing in Manoeuvre (ADIM). Regarding reliability, measurements of abdominal muscle thickness, inter-recti distance (IRD) and BB position (healthy and LPP cohorts) during the ASLR and ADIM were good to excellent (within day ICC; 0.84-0.99, between day; 0.80-0.99). Crosscorrelation functions examining the relationship between changes in abdominal muscle thickness and activity during an ASLR and ADIM were low (r=0.22-0.40), and associated time lags large (-0.44-1.15s), suggesting that changes in muscle thickness represent more than changes in electrical activity. On comparing sonographic features between cohorts a series of features were identified that differed between the groups. Specifically, the LPP cohort had a thinner rectus abdominis (p

This book presents the latest information and research on the prevention and management of musculoskeletal pain and dysfunction. It introduces the reader to an approach to clinical management and prevention based on that research. This text's impressively thorough coverage makes it an indispensable text for both researchers and clinicians in the field of musculoskeletal pain and dysfunction.

This issue of Physical Medicine and Rehabilitation Clinics of North America will cover musculoskeletal ultrasound in the outpatient. The articles will include: Fundamental Considerations for Ultrasound-Guided Musculoskeletal Interventions, Ultrasound-Guided Shoulder Procedures, Ultrasound-Guided Elbow Procedures, Ultrasound-Guided Hand and Wrist Procedures, Ultrasound-Guided Hip Procedures Ultrasound-Guided Knee Procedures, Ultrasound-Guided Foot and Ankle Procedures, Ultrasound-Guided Spine and Pelvis Procedures and many more exciting topics!

This text presents a logical approach to the examination. It features information on the assessment and treatment of the pelvic region and its related disorders that comes straight from real-world practice and research. The book summarizes the findings of the research and relates it to clinical practice through the presentation of examination techniques and guidelines for treatment. The material in this book, from a practitioner currently involved in research in the field, is completely up-to-date and theoretically sound.

With a focus on how to perform and effectively interpret pelvic ultrasound exams, Pelvic Ultrasound Imaging: A Cased-Based Application offers a unique learning experience that is ideal for ob/gyn and radiology practitioners and residents, urogynecology practitioners and fellows, diagnostic medical sonographers and those who are studying for Board exams. Current cases in gynecology and urogynecology are presented in a step-by-step format based on resident and fellow one-on-one didactic oral case reviews. An expert walk-through for each case’s imaging set includes directive questions to help the reader perform proper exam assessment. This workbook: Presents cases in the way a clinical day unfolds, varied and unrelated to the previous case. Cases get progressively harder, increasingly challenging the reader’s interpretation skills while moving through the text. Provides step-by-step instruction throughout, including development of 3D volume set skills, reporting nomenclature, discussion of diagnostic criteria, instrumentation topics, and clinical correlation. Highlights the importance of critically assessing, not merely diagnosing based on a presumed classic image appearance for the most common pathologies. Includes examples of common gynecology cases such as ovarian corpus luteum, hemorrhagic corpus luteum, uterine leiomyomata, endometrial polyps, and caesarean section scars, as well as more uncommon cases. Includes examples of common pelvic floor cases such as normal anal sphincter complex and thickened bladder wall, as well as more uncommon urogynecology pathologies such as rectal vaginal fistula, rectal prolapse, and mesh assessment. Walks the reader through each case with directive questions to improve diagnostic appraisal. Includes up to five images per case along with exam findings and brief clinical correlations.

This text is designed as a clinical reference to develop knowledge of the examination, diagnosis and classification of uncontrolled movement (motor control dysfunction) and the management of movement dysfunction. It will help the therapist: Develop clinical skills in the assessment and retraining of movement control To use movement control tests to identify uncontrolled movement To classify uncontrolled movement into diagnostic subgroups Access a large range of motor control and movement retraining strategies Develop an assessment framework that will provide a diagnosis of dysfunction, pain sensitive tissues and pain mechanisms Use a clinical reasoning framework to prioritise clinical decision making

Edited by Leon Chaitow and Ruth Lovegrove, this clearly written and fully illustrated multi-contributor volume offers practical, comprehensive coverage of the subject area accompanied by a range of video clips. Covering all aspects of current diagnosis and management, this new book is suitable for physiotherapists, osteopathic physicians and osteopaths, medical pain specialists, urologists, urogynaecologists, chiropractors, manual therapists, acupuncturists, massage therapists and naturopaths worldwide. Offers practical, validated, and clinically relevant information to all practitioners and therapists working in the field Edited by two acknowledged experts in the field of pelvic pain to complement each other’s approach and understanding of the disorders involved Carefully prepared by a global team of clinically active and research oriented contributors to provide helpful and clinically relevant information Abundant use of pull-out boxes, line artwork, photographs and tables facilitates ease of understanding Contains an abundance of clinical cases to ensure full understanding of the topics explored Focuses on the need for an integrated approach to patient care Includes an appendix based on recent European Guidelines regarding the nature of the condition(s) and of the multiple aetiological and therapeutic models associated with them Includes a bonus website presenting film clips of the manual therapy, biofeedback and rehabilitation techniques involved http://booksite.elsevier.com/9780702035326/

Pelvic Pain Management is an evidence-based guide to understanding the basics of pain mechanisms, pharmacology, invasive and noninvasive treatment modalities, and pain management protocols related to the complex problem of pelvic pain. The book addresses all aspects of pain management essentials, new technologies and devices, chronic pain issues, opioid and non-opioid pharmacology, including newly approved drugs, and special populations including pediatrics, the elderly, and patients with co-existing disease. It provides information on performing a proper physical exam, diagnosing the origins of the pain, and developing a treatment plan with emphasis on multidisciplinary management. This is an ideal resource for physicians, trainees, and nurses looking to recognize, diagnose and manage all major issues related to pelvic pain.

Practical Pelvic Floor Ultrasonography: A Multicompartmental Approach to 2D/3D/4D Ultrasonography of Pelvic Floor provides an introduction to pelvic floor imaging, as well as a resource to be used during initial and more advanced practice. The book helps readers gain competence in performing 2D/3D/4D transperineal, and 2D/3D endovaginal / endoanal ultrasound evaluation of the pelvic floor, including anal sphincter and levator ani complex. The text also shows interested clinicians how to obtain optimal images of pelvic floor muscles and organs, how to obtain useful images of the anal canal, levator ani complex, urethra, and how to interpret clinical implications of alterations of the anatomy. In addition, emerging techniques of “dynamic” pelvic floor ultrasound and 3D/4D ultrasound are introduced through step by step protocols that are aimed at optimizing sonographic images. Written entirely by experts in their fields, Practical Pelvic Floor Ultrasonography: A Multicompartmental Approach to 2D/3D/4D Ultrasonography of Pelvic Floor is a comprehensive resource that will be of great value to urogynecologists, colorectal surgeons, obstetrician and gynecologists, female urologists, ultrasonographers, radiologists, physiotherapists, as well as fellows in urogynecology and colorectal surgery.