In the current issue of the journal Physical Therapy, Wang and colleagues describe the characteristics of patients (and their pelvic floor diagnoses) presenting for outpatient physical therapy. 109 outpatient clinics participated in this data collection and included information about 2452 patients. The system used for collecting data is FOTO (Focus On Therapeutic Outcomes), and you may have heard the results of this research presented at the most recent Combined Sections Meeting of the American Physical Therapy Association. The results of the study include that most of the people presenting to the clinics for pelvic floor dysfunction were women (92%), and that many reported a combination of urinary, bowel, or pelvic pain symptoms. The authors found a mean patient age of 50 with a standard deviation of 16. Most patients reported symptoms as chronic (74%). You can see from the following chart that is adapted from the article that subgroups of patient populations were noted, and the categories used for reporting include urinary disorders, bowel disorders, and pain (not all subgroups of combinations of pain are included in the chart below.) In general, 67% of the patients reported urinary dysfunction, 27% reported bowel dysfunction, and 39% reported pelvic pain.
|Leakage (32.1%)||Constipation (53.7%)||Abdominal (15.1%)|
|Frequency (10.9%)||Leakage (27.9%)||Rectal (3.7%)|
|Retention (2.7%)||Leakage, constipation (18.4%)||Sacroiliac (5.9%)|
|Leakage, frequency (30.2%)||Vaginal (23.9%)|
|Leakage, retention (5.1%)||Abdominal, sacroiliac (4.5%)|
|Frequency, retention (4.7%)||Abdominal, vaginal (17.1%)|
|Leakage, frequency, retention (14.3%)||Abdominal, rectal, vaginal (5.1%)|