Pelvic floor muscle training versus no treatment for urinary incontinence in women. A Cochrane systematic review.
Dumoulin C, Hay-Smith J The aim of this systematic review was to determine the effects of pelvic floor muscle training for women with urinary incontinence in comparison to no treatment, placebo or sham treatments, or other inactive control treatments. The review included randomized or quasi-randomized trials in women with stress, urge or mixed urinary incontinence. [...]
Results of conservative non-pharmacological therapy in female patients with urinary incontinence
Krhut J, Holanová R, Muronová I, Gärtner M This study assesses both subjective and objective results of the conservative non-pharmacological therapy and its effect to the quality of life in the set of female patients with urinary incontinence of all types. 69 female patients suffering from urinary incontinence were treated in a complex way in [...]
Systematic review: randomized, controlled trials of nonsurgical treatments for urinary incontinence in women.
Shamliyan TA, Kane RL, Wyman J, Wilt TJ The purpose of this systematic review was to synthesize evidence of management of urinary incontinence in women. Moderate levels of evidence suggest that pelvic floor muscle training and bladder training resolved urinary incontinence in women. Anticholinergic drugs resolved urinary incontinence, with similar effects from oxybutynin or tolterodine. [...]
Rehabilitation versus drug therapy for urge urinary incontinence: long-term outcomes.
Kafri R, Shames J, Raz M, Katz-Leurer M The objective of this study was to compare the residual effect of a 3-month rehabilitation treatment and a standard drug treatment for urge urinary incontinence 21 months post intervention. Forty-four women who were diagnosed with overactive bladder were divided into 2 treatment groups over 3 months: 24 [...]
Physiotherapy for urinary incontinence.
Neumann P, Morrison S This article discusses the role of a physiotherapy program in treating women with urinary incontinence. Treatment usually involves five consultations with a pelvic floor physiotherapist over 4-6 months. After an assessment of bladder function and the pelvic floor muscles, an individualised training program is prescribed. The focus of pelvic floor muscle [...]
Urinary incontinence after stroke: identification, assessment, and intervention by rehabilitation professionals in Canada
Urinary incontinence is a common and distressing problem which may occur as a result of a stroke, and although there is evidence of new and effective rehabilitation interventions for this specific group, it is not known whether occupational therapists (OT's) and physical therapists (PT's) actual practices are best practice. This study sought to determine the [...]
The diagnostic strength of the 24-h pad test for self-reported symptoms of urinary incontinence in pregnancy and after childbirth.
Wijma, J., Weis Potters, A.E., Tinga, D.J. and Aarnoudse, J.G. (2007) The need for an accurate objective diagnostic test for measuring incontinence during pregnancy and after childbirth is growing. Data on pad testing during pregnancy is lacking, therefore this study assessed its clinical relevance amongst this population, when compared with self reported symptoms of urinary [...]
Integrated care pathways: The way forward for continence services?
Jha, S., Moran, P., Blackwell, A. and Greenham, H. (2007) This project was designed as a prospective cohort study to assess whether an integrated care pathway improves the services provided for continence care. An Integrated Care Pathway (ICP) was developed at a UK district general hospital for the management of women presenting in primary care [...]
Healthy adults can more easily elevate the pelvic floor in standing than in crook-lying: an experimental study.
Kelly, M., Tan, B.K., Thompson, J., Carroll, S., Follington, M., Arndt, A. and Seet, M (2007) This study aimed to consider whether there are any differences between the displacement and endurance in the pelvic floor during a voluntary pelvic floor contraction in standing or crook-lying. Furthermore, differences between males and females in each position were [...]
Pelvic-Floor Strength in Women With Incontinence as Assessed by the Brink Scale.
Fitzgerald, M.P., Burgio, K.L., Borello-France, D.F., Menefee, S.A., Schaffer, J., Kraus, S., Mallett, V.T. and Network, Y.X. (2007) This study aimed to consider whether clinical pelvic floor muscle (PFM) strength (force-generating capacity) is related to patient characteristics, lower urinary tract symptoms, and faecal incontinence symptoms. PFM strength as described by the Brink scoring system was [...]
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