Tags Archivesmedical

A Herman & Wallace Case Study on Ultrasound Imaging image

Ultrasound Imaging for Improved Home Exercise Outcomes: A Case Study  In a recent case study posted on The PelvicRehab Report, faculty member Allison Ariail details the story of a 34-year old, nulliparous low back pain patient who needed a bit of extra help with her home exercise program. Her therapist is an experienced clinician who is skilled with using verbal clues, positioning, and other methods to teach the patient how to activate her local core muscles, but somehow the results weren’t showing. “The therapist had fully evaluated the patient and did not find any articular issues within her spine or pelvis. What she did find was weakness in her local stabilizing muscles and tightness in her global stabilizing muscles… the therapist ...

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Physician’s Pelvic Health Choice…Morpheus® image

Physician’s Pelvic Health Choice…..Morpheus® Look to The Prometheus Group®, your trusted leader in Urogynecology and discover Morpheus®.  This system has the ability to perform Pelvic Floor Rehabilitation, Urodynamics, Anorectal Manometry with Paradoxical sEMG, and Multicompartment Pelvic Floor Ultrasound Imaging, all on one platform. Click here to learn more (link to www.theprogrp.com) Contact: Richard Poore, President 1 Washington Street, Suite 3171 Dover NH 03820 Phone ~800-442-2325 info@theprogrp.com

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Pathway® Ultrasound Imaging System for Lumbo Pelvic Rehabilitation image

FOR IMMEDIATE RELEASE: Grow your practice with Ultrasound Imaging Pathway® Ultrasound Imaging System for Lumbo Pelvic Rehabilitation Dover, New Hampshire – June 14, 2018 – The Prometheus Group continues to be the leader in the Physical Therapy/Rehabilitation marketplace and has expanded its product line to include the Pathway® Ultrasound Imaging System for Lumbo Pelvic Rehabilitation. The company, which prides itself on providing exceptional products, outstanding customer service, and unparalleled technical support, is excited to add this system to the Prometheus® family. Based on demand for ultrasound, Prometheus consulted with therapists in the field and created a Rehabilitation Ultrasound System that is affordable, tablet PC based, easy to use, and portable. Ramona C Horton, MPT had this to say, “The affordability, ...

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Pelvic Health Rehabilitation image

Pelvic Health Rehabilitation for many can be life-changing.  Our Morpheus® system can help to diagnose an incontinence issue and then provide the necessary Pelvic Health Therapy to help control that issue.  Many physicians are turning to Pelvic Health Rehabilitation pre and post-surgical procedures to inspire a more desired outcome from surgery as well as strengthening and maintain healthy pelvic floor musculature.  It is more than just exercises.  It becomes a way of life.  Pelvic Floor Muscle Rehab can be used in treating a variety of issues for, but not limited to, urinary and fecal incontinence, pelvic pain, urinary and fecal urgency/frequency and stress incontinence. Pelvic Health Rehabilitation Courses are offered through The Prometheus® Group for Physicians, Physician Assistants, Nurse Practitioners, ...

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Uroflow Studies image

Uroflow studies remain important for initial patient work-up.  The uroflow test quickly rules out voiding dysfunction with minimal investment. The Prometheus Group has designed the Morpheus® Uroflow that can run on Laptop or Tablet PC using the USB input, combined with Bluetooth (wireless) load cell. Results include Max Flow, Average Flow Rate, delay time, flow graph, voided volume.  Automatically detects patient flow to start the study and customizable timed stop feature that ends the patient flow study. The reports print in PDF or Microsoft® Word for easy transfer into Electronic Medical Records. Written by Keith Behrends National Sales Manager The Prometheus Group

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Children and Biofeedback image

Did you know that kids can benefit from biofeedback?  A major cause of urinary incontinence and/or frequent Urinary Tract Infections (UTI) in children is dyssynergia or “strain” dyssynergia resulting in  dysfunctional voiding issues.   These learned or acquired mechanisms are characterized by increased striated muscle tone.   Placing surface electrodes on the perianal area and abdomen (accessory muscles) while voiding can help to detect dyssynergia.  While keeping those same surface electrodes in place we can tailor a biofeedback technique for the child to follow along. An animated protocol can be set up specifically for the child, so as to help the child to understand the voiding problem and be able to comprehend a technique to be used during these dysfunctions.  ...

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Urethral Pressure Profile image

A Urethral Pressure Profile indicates the intraluminal pressure along the length of the urethra with the bladder at rest.  This is a Static UPP.  The Maximum Urethral Pressure is the maximum pressure of the measured profile.  The Maximum Urethral closure Pressure is the difference between the maximum urethral pressure and the intravesical pressure.  Otherwise known as PURA-PVES=Urethral Closure Pressure.  Urinary continence depends on the pressure in the urethra exceeding the pressure in the bladder at all times, even with increases in abdominal pressure.  With the catheter placed in the bladder it is withdrawn through the urethra with a slow and steady movement creating a pressure tracing marking the Closure Pressure. Functional Urethral Length is the length of the urethra along ...

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Hospital vs Office Based Procedures (OBP) image

Office based surgical procedures have been on the increase in recent years. Many new procedures are introduce to physicians in the surgery center or operating room setting but are later driven to the office setting based on many factors. One of the most significant incentives to do procedures in-office is the simple fact that the physician can continue to see patients while he or she performs these surgeries during their normal work flow. This correlates to more office revenue and less down time in the OR for the physician waiting on surgical suite availability. In most markets across the country, the financial challenges faced by hospital systems have forced the closings and consolidation of many facilities resulting in fewer available ...

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Interpretation of Urodynamics consist of the 3 C’s and 2 S’s image

Interpretation of Urodynamics consist of the 3 C’s and 2 S’s.  The 3 C’s referring to Capacity, Compliance and Competence of the sphincter.  The 2 S’s referring to Sensation and Stability. Bladder capacity is studied to determine the amount of fluid the bladder holds.  Compliance is the ability of the bladder wall to distend.  The relationship between change in the bladder volume and change in the detrusor pressure is measured.  The EFP or (End Filling Pressure) should be below 15cnH20.   The EFP or (End Filling Pressure) of 40cmH20 or greater may lead to high risk to upper tract.  Competence of the sphincter is the ability of the external striated muscle to hold urine and to relax and release urine.  ...

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