Surface Electromyography Evaluation

Semg Biofeedback For Pelvic Floor

The abdominal and pelvic floor,the two channels of sEMG muscle activity, should be monitored simultaneously during the sEMG evaluation and the sEMG biofeedback-assisted pelvic muscle exercise training. Interpretative problems arise when monitoring only pelvic floor muscles without controlling changes in the intraabdominal pressure. The transmission of abdominal artifact to perennial measurements invalidates changes in the pelvic floor muscle measurements and can inadvertently reinforce...

Enterocele Peritoneocele

Enterocele Defecography

A peritoneocele is a caudal invagination of the peritoneum, between the posterior vaginal wall Figure 9.3. Rectal intussusception or internal prolapse, increasingly pronounced with straining. Note the initial appearance of an anterior rectocele,fol-lowed by the teacup appearance of the middle image. Figure 9.3. Rectal intussusception or internal prolapse, increasingly pronounced with straining. Note the initial appearance of an anterior rectocele,fol-lowed by the teacup appearance of the middle...

Surgical Treatment of Puborectalis Hypertrophy

Good Defecation Dynamics

Defecation is a complicated procedure in which pelvic floor muscles actively participate in the process. Rectal distention evokes the desire to defecate and induces relaxation of the anal sphincter. Under conducive circumstances, the act of defecation is completed by adoption of a suitable posture, contraction of the diaphragm and abdominal muscles to increase the intraabdominal pressure, and relaxation of the two striated muscle of the puborectalis and external anal sphincter. Puborectalis...

Treatment of Combined Colonic Inertia and Obstructed Defecation

Transit studies and anorectal physiology tests can subdivide severely constipated patients into three groups colonic inertia causing slow transit, obstructed defecation, and a combination of both. Patients with obstructed defecation may have mechanical outlet obstruction related to the presence of anatomic abnormalities such as a rectocele, or functional outlet obstruction. The principles of treating slow-transit constipation or obstructed defecation alone are generally agreed upon. The optimal...

Diaphragmatic Breathing Physiological Quieting

The breathing cycle is intimately connected to both sympathetic and parasympathetic action of the autonomic nervous system.19 Bowel and bladder function is also mediated by the autonomic nervous system.10 Conscious deep diaphragmatic breathing is one of the best ways to quiet the autonomic nervous system. This breathing effectively initiates a cascade of visceral relaxation responses. The aim of this exercise is to make the shift from thoracic breathing to abdominal breathing.19 Patients are...