Publications by authors named "J Garcia-Casado"

Several studies have shown interstitial cystitis/bladder pain syndrome (IC/BPS), a chronic condition that poses challenges in both diagnosis and treatment, is associated with painful pelvic floor muscles (PFM) and altered neural drive to these muscles. However, its pathophysiology could also involve other alterations in the electrical activity of PFM motor units (MUs). Studying these alterations could provide novel insights into IC/BPS and help its clinical management.

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Preterm birth a common and severe pregnancy complications, causing significant health, development, and economic problems. Accurate diagnosis of imminent labor for women with threatened preterm labor (TPL) is crucial. Electrohysterography (EHG), which represents uterine myometrial electrical activity, is a potential tool for predicting preterm birth.

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Article Synopsis
  • - The study investigated electrical coupling in pelvic floor muscles (PFM) of 24 chronic pelvic pain (CPP) patients before and after botulinum neurotoxin type A (BoNT/A) treatment, comparing results to 24 healthy women.
  • - Researchers analyzed surface electromyographic (sEMG) signals to assess both two-sided (left and right) and one-sided (same side) coupling of the PFMs, measuring changes in amplitude and phase before and after treatment.
  • - Findings revealed that while two-sided coupling was similar for both groups before treatment, one-sided coupling in the most painful side of CPP patients remained disrupted, indicating potential ongoing effects of pain and treatment on neuromotor control and muscle function.
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Vestibulodynia is a gynecological condition with different treatment options available, including botulinum neurotoxin type A (BoNT/A) injections into the vulvar vestibule. Unlike other treatments, no studies have assessed changes in the myoelectrical activity of the pelvic floor muscles (PFM) after BoNT/A treatment. The aim of this study was thus to evaluate these changes and to correlate them with changes in vulvar pain sensitivity.

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The studies carried out to date on vulvodynia treatment with botulinum neurotoxin type A (BoNT/A) have followed generic injection protocols and reported contradictory outcomes on its effects. The aim of the present study was thus to propose a protocol for injecting BoNT/A into targeted painful points, to comprehensively assess the clinical effect of BoNT/A treatment and identify the risk/protective factors for successful treatment. Thirty-five vestibulodynia patients were treated with submucosal injections of incobotulinumtoxinA and assessed 8, 12 and 24 weeks after their treatment.

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