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Read "The Ghost In The Box"
More Critical Reviews
What's the Best Treatment for Incontinence? Biofeedback or Electrical Stimulation? Home Training or Office Systems? How can you compare Apples and Oranges? One method is to convert everyone's data to Dr. Burgio's "Symptom Reduction Rate". The results are graphically displayed and explained in this new essay.
Just how effective
Biofeedback in the Treatment of Urinary and Fecal Incontinence? After years of being
"out of print", the 1988 study by Perry, Hullett &
Bolinger has been edited and reprinted here. When everything is done just right,
symptom reduction rates of over 99 percent were obtained in an average of 4.3 out-patient
Webmaster Offers Mentoring
For BCIA-PMD Certification
Dr. John Perry, a 30-year veteran of Pelvic Muscle Biofeedback, is now offering intensive on-line "mentoring" for the new "Pelvic Muscle Dysfunction" Certification announced by BCIA.
Email, fax, scanned attachments, and live face to face "Cam2Cam" services will be used to give private feedback on a Candidate's interventions and progress with patients.
Medicare’s Brave New World of Incontinence Treatment
Under new regulations, Kegel’s Perineometer will not be reimbursed, but failure at Kegel Exercises is now required. Medicare has just institutionalized a new treatment protocol that has never been the subject of research or public discussion. Reprinted from Biofeedback Newsmagazine.
AAPB Biofeedback Experts issue rebuttal to Mullally's AAN attack on the effectiveness and value of biofeedback in the treatment of headaches. W. J. Mullally, MD -- a neurologist who has never published on headaches or biofeedback -- was quoted extensively by Reuters Health in May after he presented an abstract of a research paper that even today hasn't been written, let alone accepted for publication in any journal. See headache.htm for the experts' response.
New Study Shows Popular Drugs No Match
For Biofeedback in Treating OverActive Bladder.
"My Close Encounter With The Electric Chair", a light-hearted but serious look at the new electromagnetic chair that is being hyped for the treatment of incontinence.
"Ask Dr. P." - reprints of formerly private email questions submitted to the webmaster. These have been made "anonymous" so that they could be shared with a wider audience. You may find your personal question has already been asked -- and answered!
Critical Reviews of (parts of) the AHCPR Guideline on Urinary Incontinence in Adults. Although we welcome the Guideline, there are some serious errors in the section on Biofeedback, which are discussed in detail. And the section on Electrical Stimulation is downright misleading. Check them out!
Webmaster Wins AAPB Service Award
John D. Perry, PhD (left) receives The Sheila M. Adler Award from AAPB President Doil Montgomery, PhD at the group's annual convention in Raleigh, NC in April 2001. The award, "in recognition of outstanding contributions to the Association for Applied Psychophysiology and Biofeedback", was based on Perry's two-year effort to obtain Medicare reimbursement for biofeedback for urinary incontinence.
Our real-time mailing list, Incontinence, is a standard email "broadcast" list; click on the name for instructions to join. Whenever anyone posts email to "Incontinence" it is instantly distributed to the several hundred members. Also all "what's new" announcements for this website are posted there first. Note: This new list replaces our original lists and now features both digest format, read it on the web only, and archives.
The original fria™ OTC
home trainer (above) has been replaced by an improved model called "Myself™",
which adds automatic scale selection and other new features but sells for $30
LESS! Now pay only $99.95 for real biofeedback!
"When is Prostatitis NOT Prostatitis?" - A popular essay reprinted from the Winter, 1999 issue of Biofeedback Newsmagazine, published by the Association for Applied Psychophysiology and Biofeedback.
Major Medicare Victory! National Coverage for Biofeedback for Incontinence is now Mandated by HCFA! Click here for a one-page summary. Click here for links to all the official documents, position papers, and a summary of this two-year-long battle. Click on this link for the official Medicare announcement on their website. And Click Here for a critical Commentary by Dr. Perry.
"Is Electrical Stimulation a form of 'Behavioral Therapy'?" An essay from the our email list is reproduced here for your consideration. The AHCPR says it is, but are they accurate?
"The Ghost in the Box"
Do YOU need more professional training to treat patients with Pelvic Muscle Dysfunctions? Click on the link to see the latest continuing education offerings, courtesy of The Prometheus Group!
"Handbook of Perineometry" posted to
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This page was last updated on:
December 10, 2006,
What's Available Here? (Table of Contents)
1. Personal Needs -- Here is easy-to-understand information about incontinence and how to obtain help for yourself or a loved one. Also, Directories of Clinicians offering Services, and Listings of Manufacturers offering adult continence products, including mail orders.
2. Professional Issues -- Scientific Articles, Abstracts, Critiques and Essays about the treatment of Pelvic Muscle Disorders such as urinary and fecal incontinence, urinary retention and functional constipation (anismus); also chronic pelvic pain and sexual dysfunctions.
3. Technical Topics -- What you need to know about biofeedback instrumentation for the treatment of incontinence and PMD, including clinical systems and home trainers and supplies. Sources to buy, rent, or lease!
4. The Business of Incontinence -- All about operating a Continence Clinic, including where to get training for yourself or your staff, how to get reimbursement, etc.-- all the nitty-gritty stuff you really need to know to survive.
5. Miscellaneous Important Stuff
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