Is Pelvic-Floor Muscle Training a Physical Therapy or a Behavioral Therapy? A Call to Name and Report the Physical, Cognitive, and Behavioral Elements

Physical Therapy
Helena FrawleyE Jean C Hay-Smith

Abstract

This perspective article explores whether pelvic-floor muscle training (PFMT) for the management of female urinary incontinence and prolapse is a physical therapy or a behavioral therapy. The primary aim is to demonstrate that it is both. A secondary aim is to show that the plethora of terms used for PFMT is potentially confusing and that current terminology inadequately represents the full intent, content, and delivery of this complex intervention. While physical therapists may be familiar with exercise terms, the details are often incompletely reported; furthermore, physical therapists are less familiar with the terminology used in accurately representing cognitive and behavioral therapy interventions, which results in these elements being even less well reported. Thus, an additional aim is to provide greater clarity in the terminology used in the reporting of PFMT interventions, specifically, descriptions of the exercise and behavioral elements. First, PFMT is described as a physical therapy and as an exercise therapy informed predominantly by the discipline of physical therapy. However, effective implementation requires use of the cognitive and behavioral perspectives of the discipline of psychology. Second, the theoretical...Continue Reading

References

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Citations

Mar 16, 2018·American Journal of Men's Health·Aylin Aydın Sayılan, Ayfer Özbaş
Nov 16, 2017·PM & R : the Journal of Injury, Function, and Rehabilitation·Megan B ShannonColleen M Fitzgerald
May 8, 2020·The Cochrane Database of Systematic Reviews·Stephanie J WoodleyE Jean C Hay-Smith
Aug 25, 2019·International Urogynecology Journal·Fátima Faní FitzRodrigo Aquino Castro
May 31, 2019·Current Urology Reports·Seyedeh-Sanam Ladi-SeyedianAbdol-Mohammad Kajbafzadeh
Jun 30, 2019·International Urogynecology Journal·Cinara SacomoriFabiana Flores Sperandio
May 13, 2017·Physical Therapy·Patricia J Ohtake, Diane Borello-France
Dec 23, 2017·The Cochrane Database of Systematic Reviews·Stephanie J WoodleyE Jean C Hay-Smith
Jun 24, 2018·International Urogynecology Journal·Keyla Mara Dos SantosSoraia Cristina Tonon da Luz
Feb 21, 2021·International Urogynecology Journal·Becca ReischKatie Overton
Dec 6, 2020·Journal of Gynecology Obstetrics and Human Reproduction·Véronique BlanchardAnne-Cécile Pizzoferrato
Mar 24, 2021·Journal of Physiotherapy·Irmina Nahon
Apr 7, 2019·Physiotherapy·Susan C SladeHelena Frawley
May 6, 2021·International Urogynecology Journal·Stephanie J Woodley, E Jean C Hay-Smith
Jul 17, 2021·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Lia Gomes LopesPriscila de Souza Aquino
Dec 23, 2021·International Urogynecology Journal·Signe Nilssen StafneHege Hølmo Johannessen

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