Clinical Pilates in Practice: Pelvic Floor Muscle Training for Stress Urinary Incontinence (December 2020)

 

"The aims of the present systematic review and meta-analysis were:

  1. To analyze the effectiveness of pelvic floor muscle exercises ... in women with stress urinary incontinence (SUI), and
  2. To determine which pelvic floor muscle training characteristics (length of the program, frequency, duration, exercises) produced the greatest adaptations for decreasing urine loss."

 

García-Sánchez E, Ávila-Gandía V, López-Román J, Martínez-Rodríguez A, Rubio-Arias JÁ. What Pelvic Floor Muscle Training Load is Optimal in Minimizing Urine Loss in Women with Stress Urinary Incontinence? A Systematic Review and Meta-Analysis. Int J Environ Res Public Health. 2019 Nov 8;16(22):4358. doi: 10.3390/ijerph16224358. PMID: 31717291; PMCID: PMC6887794

 

KEY POINTS: PELVIC FLOOR MUSCLE TRAINING FOR STRESS URINARY INCONTINENCE

  • 10% of the female population experience stress urinary incontinence (UI)...
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Research Roundup: November 2020

 

Interested in keeping up to date with research relevant to your clinical practice?

The Calibrate Pilates team rounds this up so that you can integrate new information into your evidence-informed practice: join our newsletter now.

 

Locomotion and Dynamic Posture: Neuro-evolutionary Basis of Bipedal Gait

Guillaud E, et al. Locomotion and dynamic posture: neuro-evolutionary basis of bipedal gait. Neurophysiologie Clinique/Clinical Neurophysiology (2020),  https://doi.org/10.1016/j.neucli.2020.10.012

This review article explains the networks that the trunk in vertebrates with limbs, and also how the central nervous system acts dynamically on the musculoskeletal system.

 

Key Points

  • Dynamic control of gait is supported by:
    • Locomotor activity that is produced by specialized rhythmogenic spinal circuits called central pattern generators (CPGs), and which cyclically drive axial and leg muscle activity (p.8)
    • Posture control systems which involve long...
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Research Roundup: October 2020

 

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Migraine: Musculoskeletal and Balance Dysfunction

Carvalho, Gabriela F., Annika Schwarz, Tibor M. Szikszay, Waclaw M. Adamczyk, Débora Bevilaqua-Grossi, and Kerstin Luedtke. "Physical therapy and migraine: musculoskeletal and balance dysfunctions and their relevance for clinical practice." Brazilian Journal of Physical Therapy 24, no. 4 (2020), 306-317. doi:10.1016/j.bjpt.2019.11.001.

This Masterclass / review article discusses current literature and clinical practice for physiotherapists working with patients with migraines.

 

Key Points

  • Migraines are under-diagnosed and under-treated.

  • Patients may present with episodic, highly frequent, or chronic migraines.
  • Neck pain is common as part of...

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Anatomy Review: Iliocapsularis & Other Muscles of the Hip Capsule (October 2020)

 

An informal poll of our colleagues has concluded that no-one knew that the iliocapsularis muscle existed until two days ago… This got us thinking about other muscles of the hip that insert into the joint capsule, and their role in hip function and movement dysfunction.

 

ANATOMY REVIEW: ILIOCAPSULARIS

  • The iliocapsularis is a constant muscle. ie., found in all human specimens!
  • Origin = Inferior border of the anterior inferior iliac spine + antereomedial joint capsule.
  • Insertion = Distal to the lesser trochanter.
  • Runs anterolaterally to posteromedially.
  • Lies under rectus femoris and lateral to iliacus (sometimes blends with iliacus).
  • Contraction pulls the hip joint capsule zona orbicularis superomedially -> stabilizing the hip anteriorly.
  • Hypertrophy of the iliocapsularis is seen in patients with hip dysplasia, particularly helping to stabilize the femoral head when there is a deficient acetabulum.

Iliocapsularis limits synovial impingement...

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Research Roundup: September 2020

 

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Current trends in the biokinetic analysis of the foot and ankle

Metsavaht L, Leporace G. Current trends for the biokinetic analysis of the foot and ankle. J Foot Ankle. 2020;14(2):191-6.

This literature review argues that clinically we need to observe functional - rather than conventional - biomechanics at the ankle and foot. Functional biomechanics observes that all segments in a joint can be simultaneously mobile. The authors suggest that "the reader should be able to understand how the 3-dimensional biokinetic analysis of the ankle and foot can contribute along with imaging examinations to the clinical setting, thus allowing the construction of a more complete proļ¬le of the patient."

 

Key Points

  • The central...
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Clinical Pilates in Practice: Neurodyamics

Integrating neural mobility exercises into functional movements and clinical Pilates practice can have multiple benefits, regardless of whether a client is displaying neural mechanosensitivity: all tissues in the body need to move!

 

Key Points: Neurodynamics
  • Mechanical and physiological events within the nervous system are dynamically interdependent.
  • Neurodynamics (ND) is the term used to describe the integration of the morphology,
    biomechanics, and physiology of the nervous system." 10
  • In neurodynamics, posture and multi-joint movements are combined to apply force to a nerve.
  • Mobilisation triggers a range of responses in nervous tissues, including tension and pressure changes, and positive impacts on nervous impulses, axonal transport, viscoelasticity, microcirculation, and abnormal impulse-generating sites.
  • Theoretically, neural mobilisation restores homeostasis in and around the nerve, dispersing intraneural oedema in the nerve root and axon, thereby decreasing...
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Clinical Pilates in Practice: Diaphragmatic Breathing for Posture (August 2020)

 

By no means a thorough or robust study, we are including this one because of our belief in evidence-informed practice, and this paper does serve as a reminder of the importance of the diaphragm for postural control. (Better references included below.)

 

Menon, Vivek V., Mudasir R. Baba, Pavankumar, and Sneha Suresh. "Effects of Diaphragmatic Training on Posture and Stability in Asymptomatic Subjects: A Randomized Clinical Trial." Indian Journal of Physiotherapy and Occupational Therapy 14, no. 2 (April-June 2020), 221-225.

 

ANATOMICAL REVIEW: THE DIAPHRAGM

  • The thoracic diaphragm separates the thoracic and abdominal cavities.
  • Comprised of central and peripheral parts, that converge at the central tendon.
  • The central tendon fuses with the inferior surface of the pericardium.
  • On either side of the central tendon, the diaphragm ascends to the left and right domes.

The peripheral, muscular portion  of the diaphragm is divided into...

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Research Roundup: April 2020

 

Interested in keeping up to date with research relevant to your clinical practice?

The Calibrate Pilates team rounds this up so that you can integrate new information into your evidence-informed practice: join our newsletter now.

 

Exploring to Learn and Learning to Explore

Hacques, Guillaume et al. “Exploring to learn and learning to explore.” Psychological research, 10.1007/s00426-020-01352-x. 10 May. 2020, doi:10.1007/s00426-020-01352-x

This review focuses on the contributions made by exploratory behaviors to skilled perception and action. 

 

Key Points

  • Exploratory activities are those that generate information about the association between environmental factors and action capabilities.
  • Exploration describes the active process by which individuals disclose information during control of action.
  • In ecological psychology, information resides as patterns in ambient arrays (mechanical, acoustic, and optical).
    • These ambient arrays...
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Research Roundup: February 2020

 

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Differences in Hip Strength, Gluteus Medius Activity, and Trunk, Pelvis, and Lower Limb Biomechanics During Different Functional Tasks.

Komsak Sinsurin, Raul Valldecabres & Jim Richards (2020) An exploration of the differences in hip strength, gluteus medius activity, and trunk, pelvis, and lower-limb biomechanics during different functional tasks, International Biomechanics, 7:1, 35-43, DOI: 10.1080/23335432.2020.1728381

This small study of healthy volunteers explored differences in the coronal biomechanics of the trunk, pelvis, hip, and knee joints, as well as gluteus medius muscle activity during walking and step down tasks.

 

Key Points 

  • Functional impairment of glute med can lead to excessive lateral trunk bending, which is often observed...
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Research Roundup: January 2020

 

Interested in keeping up to date with research relevant to your clinical practice?

The Calibrate Pilates team rounds this up so that you can integrate new information into your evidence-informed practice: join our newsletter now.

 

The Perception of Auditory Motion

Simon Carlile, Johahn Leung (2016): The Perception of Auditory Motion, Trends in Hearing, DOI: 10.1177/2331216516644254

This review of auditory motion is a fascinating look at how we are able to perceive the motion of objects, even as our bodies (and heads) are constantly moving.

 

Key Points 

  • Auditory motion cues arrive when either the sound is in motion, or the listener is in motion.
  • Listeners are best able to perceive auditory localisation (accurately and precisely) in the anterior field.
  • Auditory targets are encoded in a body-centred, rather than a head-centred coordinate system:
    • This implies that the accurate perception of the location of a sound source requires the integration of...
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