Urine incontinence

What Will I Learn?
  • 1. Understand (the different types of) SUI
  • 2. Discuss and understand the biological rationale of physiotherapy for these different types of SUI and theire prognostics for success or failure
  • 3. Insight and knowledge of the current level of evidence for physiotherapy and its place in the algorithm of treatment options

Curriculum for this course
00:53:00 Hours
  • Stress urine urine incontinence 00:53:00
  • Webinar pdf
  • Berghmans, 2017, Pelvic Floor Muscle Training: What is Important? A Mini-Review
  • Berghmans, 2016, Long Term Effects of Pre- and post Partum Pelvic Floor Muscle Treatment in Primigravid with Stress Urinary Incontinence: A Short Systematic Review
  • Bernards, 2014, Dutch guidelines for physiotherapy in patients with stress urinary incontinence: an update
  • Bo, 2012, Pelvic Xoor muscle training in treatment of female stress urinary incontinence, pelvic organ prolapse and sexual dysfunction
  • Borrie, 2002, Managing adults with urinary incontinence
  • Cummin, 2000, Urinary Stress Incontinence Among Obese Women: Review of Pathophysiology Therapy
  • Fitz, 2017, Outpatient biofeedback in addition to home pelvic floor muscle training for stress urinary incontinence: a randomized controlled trial
  • Glazener,2017, Electrical stimulation with non-implanted devices for stress urinary incontinence in women (Review)
  • Gordon, 2016, Obesity with Comorbid Stress Urinary Incontinence in Women: A Narrative Review to Inform Dietetics Practice
  • Howard, 2000, Racial Differences in the Structure and Function of the Stress Urinary Continence Mechanism
  • Khorasani, 2020, The Effects of home-based stabilization exercises focusing on the pelvic floor on postnatal stress urinary incontinence and low back pain: a randomized controlled trial
  • Labrie, 2014, Predicting who will undergo surgery after physiotherapy for female stress urinary incontinence
  • Labrie, 2013, Surgery versus Physiotherapy for Stress Urinary Incontinence
  • Latorre, 2018, An ideal e-health system for pelvic floor muscle training adherence: Systematic review
  • Luqinbuehl, 2014, Pelvic Floor Muscle Activation and Strength Components Influencing Female Urinary Continence and Stress Incontinence: A Systematic Review
  • Miller, 2001, Pelvic Floor Muscle Contraction During a Cough and Decreased Vesical Neck Mobility
  • Salmon,2019, Implementing pelvic floor muscle training in womenʼs childbearing years: A critical interpretive synthesis of individual, professional, and service issues
  • Sipila, 2019, Highlighting the need for de- implementation – Choosing Wisely recommendations based on clinical practice guidelines
  • Tetreault, 2019, Development and Implementation of Clinical Practice Guidelines: An Update and Synthesis of the Literature With a Focus in Application to Spinal Conditions
  • Yuaso, 2018, Yuaso, 2018. Female double incontinence prevalence, incidence, and risk factors from the SABE( Health, Wellbeing and Aging) study
  • Suggested level: minimal basic knowledge advised
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Stress urinary incontinence (SUI) is the most common form of incontinence impacting on quality of life (QOL) and is associated with high financial, social, and emotional costs. In this webinar it is demonstrated that in SUI, to improve the extrinsic closing mechanism of the urethra, pelvic physiotherapy focuses mainly on pre-contraction, timing, increase of strength, endurance and fatigability, and coordination of the peri-urethral and pelvic floor muscles (PFM). It shows treatment modalities for SUI being patient information and education, pelvic floor muscle training (PFMT), with or without biofeedback, electrical stimulation and vaginal cones. With an adequate patient selection scientific evidence for PFMT shows high short and long term results. Long term results depend also on patient’s adherence to home-maintenance training and the physiotherapist’s skills and knowledge of relevant training programs. Pelvic physiotherapy for (predominant) stress urinary incontinence is effective and is a first-line, attractive treatment option.

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