Adherence to Behavioral Interventions for Urge Incontinence When Combined With Drug Therapy: Adherence Rates, Barriers, and Predictors.
The purpose of this study was to describe adherence to behavioral interventions (pelvic-floor muscle [PFM] exercises, UI prevention strategies, and delayed voiding), patient-perceived exercise barriers, and predictors of exercise adherence in women with urge-predominant UI. Design This was a prospectively planned secondary data analysis from a 2-stage, multicenter, randomized clinical trial. Patients and Intervention Three [...]
Guidelines for rehabilitation management of non-neurological urinary incontinence in women
Pelvic floor rehabilitation is prescribed as first-line treatment for women with stress urinary incontinence, particularly in cases of urinary incontinence with no first-degree uterine prolapse, with poor-quality perineal testing results or inverted perineal command. Prescription of 15 sessions should suffice to evaluate the possibilities of improving the incontinence. The sessions can be continued if the [...]
An alternative intervention for urinary incontinence: Retraining diaphragmatic, deep abdominal and pelvic floor muscle coordinated function
This study was a randomized controlled trial to investigate the effect of treating women with stress or mixed urinary incontinence (SUI or MUI) by diaphragmatic, deep abdominal and pelvic floor muscle (PFM) retraining. Seventy women were randomly allocated to the training (n =Â 35) or control group (n =Â 35). Women in the training group received 8 [...]
2010 Annual Evidence Update on Urinary Incontinence
NHS Evidence – women’s health (formerly a Specialist Library of the National Library for Health) has released their 2010 Annual Evidence Update on Urinary Incontinence. It includes titled sections that cover the following topics: for Conservative management of stress urinary incontinence in women, Pharmacotherapy for Overactive Bladder Syndrome (OAB), Pharmacotherapy for stress urinary incontinence, Sacral [...]
Electrical stimulation of the pelvic floor versus vaginal cone therapy for the treatment of stress urinary incontinence
The purpose of this study was to compare the effects of functional electrostimulation of the pelvic floor and therapy with cones in women with stress urinary incontinence (SUI). 45 patients with SUI had the effects of functional electrostimulation of the pelvic floor were evaluated in the SUI treatment of 24 women, with the use of [...]
The development of an Incontinence Treatment Motivation Questionnaire for patients undergoing pelvic floor physiotherapy in the treatment of stress incontinence.
Sarma S, Hawthorne G, Thakkar K, Hayes W, Moore KH The aim of this research was to develop a motivation questionnaire regarding perseverance in pelvic floor muscle training (PFMT) supervised by physiotherapists for stress urinary incontinence. Sixteen semi-structured interviews were conducted in women with stress urinary incontinence that revealed 15 common themes; 117 items were [...]
Stability, continence and breathing: The role of fascia following pregnancy and delivery
D.G. Lee, L.J. Lee, L. McLaughlin This article explores the function of the abdominal canister immediately and over time following pregnancy in relation to lumbopelvic pain, incontinence and breathing disorders. Biomechanical aspects of the myofascial piece of the clinical puzzle as it pertains to the abdominal canister during pregnancy and delivery is the focus of [...]
The integrated continence system: A manual therapy approach to the treatment of stress urinary incontinence
Stress urinary incontinence (SUI) constitutes a large-scale public health concern. The integrated continence system (ICS) developed by the authors is an evidence-based model that demonstrates how urinary incontinence is maintained through the interaction of three structural systems (intrinsic urethral closure, urethral support and lumbopelvic stability) and three modifiable factors (motor control, musculoskeletal and behavioural). The [...]
A phase II exploratory cluster randomized controlled trial of a group mobility training and staff education intervention to promote urinary continence in UK care homes
Sackley, C. M, Rodriguez, N. A, van den Berg, M., Badger, F., Wright, C., Besemer, J., van Reeuwijk, K. T., van Wely, L. The objective of this study was to assess feasibility, acceptability and potential efficacy of group exercise and staff education intervention to promote continence in older people residing in care homes. Thirty-four care [...]
Pelvic floor muscle training in the prevention and treatment of urinary incontinence in women – what is the evidence?
Brostrøm S, Lose G Many women suffer from urinary incontinence (UI). During and after pregnancy, women are advised to perform pelvic floor muscle training (PFMT) to prevent the development of UI. In established UI, PFMT is prescribed routinely as first-line treatment. This article argues that previous studies lack validity and that the available evidence suggests [...]
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