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Ultrasound in Pelvic Floor Physiotherapy

Chapter

Abstract

This chapter describes the use of pelvic floor ultrasound in physical therapy. As in urogynecology, ultrasound in physical therapy can be used for both clinical purposes and research. It provides an understanding of the different ways in which physicians and physiotherapists approach the scan and positioning of the patient during the scan. For the physiotherapist, the orientation of the image on the screen can be a powerful instrument for patient education and visual biofeedback. In physiotheraphy, ultrasound provides an excellent assessment of biomechanics behind the symptoms and the re-assessment of objective changes in mechanics that can be correlated with subjective outcomes. As a perfect tool for patient education and for visual biofeedback at every time during therapy, ultrasound can be used during the initial patient evaluation, during treatment, for re-assessment at the same treatment session, and for follow-up at a later date. The chapter provides ultrasound evaluation of different pelvic floor symptoms, as well as a quick overview of instrumentation and techniques, followed by principles of physiotherapy and its approach to patient evaluation and rehabilitation.

Keywords

Technology 2D for therapy 3D for research 2D evaluation Therapy and follow-up Pelvic floor and abdominal muscles Pelvic organ prolapse Fecal incontinence Urinary incontinence 

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Copyright information

© Springer International Publishing AG 2017

Authors and Affiliations

  1. 1.Department of Obstetrics and GynecologyGynecologic Subspecialties, INOVA Women’s Hospital, Virginia Commonwealth UniversityFalls ChurchUSA
  2. 2.Department of BioengineeringGeorge Mason UniversityFairfaxUSA
  3. 3.Pelvic Floor Centre, Charité Universitaetsmedizin BerlinDepartment of GynecologyBerlinGermany

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