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Urinary incontinence (UI) is a worldwide problem associated with negative rehabilitation outcomes for adults with a wide range of orthopedic and neurologic diagnoses and across the spectrum of rehabilitation settings. Physical and occupational therapists play an important if not critical role in identifying and treating bladder control problems yet they frequently fail to identify UI or provide recommended interventions. This course will use patient case studies to describe urgency incontinence and other bladder control problems widely experienced by patients undergoing rehabilitation. Participants will learn basic evaluation and non-invasive interventions to improve bladder control and to improve rehabilitation outcomes.
Dr. Cynthia Neville is a certified Women's Health Clinical Specialist (WCS) and Clinical Faculty at the University of North Florida, Department of Physical Therapy where she teaches classes in anatomy of the pelvis and pelvic floor and topics in women’s health physical therapy. She practices in private clinical practice at SmartBody Physical Therapy in Jacksonville,…
Bladder diaries help clinicians understand the bladder behaviors of patients with overactive bladder symptoms. In this chapter, Dr. Neville explains how to provide patient instructions for a bladder diary, as well as how to review and analyze the log.
3. Fluid Management
In Chapter Three, Dr. Neville describes fluid management strategies for improving bladder control.
4. Relationship Between the Bladder and Pelvic Floor
This chapter explains the neuromotor relationship between the bladder and the pelvic floor muscles.
5. Behavioral Interventions to Improve Bladder Control and Awareness
In this chapter, participants will learn how to prescribe behavioral interventions for and teach strategies to inhibit urinary urgency.
6. Neuromuscular Electrical Stimulation
In this chapter, Dr. Neville outlines parameters and protocols for the use of electrical stimulation in the treatment of bladder control problems.
7. Case Studies
This chapter presents a detailed case study of a real patient, focusing on symptom assessment and strategies for improving bladder control. Dr. Neville also demonstrates the placement of neuromuscular electrical stimulation electrodes and teaches correct potty posture.
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