Web-enabled Glazer surface electromyographic protocol for the remote, real-time assessment and rehabilitation of pelvic floor dysfunction in vulvar vestibulitis syndrome. A case report.
BACKGROUND
The browser-based software for the Glazer pelvic floor muscle surface electromyography (sEMG) protocol can be used for remote, real-time assessment and treatment over the Internet.


METHODS
The initial application of this system is reported for a patient meeting clinical diagnostic criteria for vulvar vestibulitis syndrome. The patient underwent pelvic floor muscle sEMG evaluation in the Washington, D.C., office of the second author, remotely controlled by the first author from his office in New York City. Pelvic muscle sEMG findings were consistent with previous reports on vestibulitis patients, and rehabilitative exercises were prescribed. Follow-up evaluations and home training normalized the sEMG and resulted in elimination of pain.


CONCLUSIONS
Remote, real-time pelvic floor muscle sEMG in the diagnosis and treatment of vulvar vestibulitis is a novel application of telemedicine with demonstrated efficacy, permitting this technology to be available to all practitioners.
Glazer
Howard I
HI
Department of Psychiatry, Department of Obstetrics and Gynecology, Joan and Sanford I. Weill Medical College, Cornell University, USA.
Marinoff
Stanley C
SC
Sleight
Irene J
IJ
D003195:Computer Communication Networks; D003199:Computer Systems; D004576:Electromyography / Q000379:methods*; D005260:Female; D006801:Humans; D020407:Internet; D017773:Pelvic Floor / Q000503:physiopathology*; D019114:Remote Consultation / Q000379:methods*; D013577:Syndrome; D014845:Vulvar Diseases / Q000150:complications / Q000503:physiopathology* / Q000534:rehabilitation*; D014847:Vulvitis / Q000150:complications / Q000503:physiopathology* / Q000534:rehabilitation*