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, Florida, and primarily cares for women and men with bladder control problems and pelvic floor disorders. She has authored several research articles, book chapters, and online educational videos about women’s health rehabilitation, incontinence, and pelvic pain. She has presented courses, research platforms, and posters at national and international meetings, including the World Congress of Physical Therapy, the International Continence Society, the World Congress of Low Back and Pelvic Pain, and the American Physical Therapy Association. Dr. Neville is a nationally and internationally recognized educator and speaker in women’s health and pelvic floor rehabilitation. She developed the first credentialed women’s health physical therapy residency program in the state of Florida. She teaches postgraduate continuing education courses on topics including women’s health rehabilitation, incontinence, pain, pelvic floor examination and treatment, and pregnancy and postpartum rehabilitation.
The first chapter of this course describes the etiology of bladder control problems of urgency incontinence.
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.
In Chapter Three, Dr. Neville describes fluid management strategies for improving bladder control.
This chapter explains the neuromotor relationship between the bladder and the pelvic floor muscles.
In this chapter, participants will learn how to prescribe behavioral interventions for and teach strategies to inhibit urinary urgency.
In this chapter, Dr. Neville outlines parameters and protocols for the use of electrical stimulation in the treatment of bladder control problems.
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.