Featured Review: Pelvic floor muscle training versus no treatment, or inactive control treatments, for urinary incontinence in women
Chantal Dumoulin andLicia P Cacciari fromCochrane Incontinence wanted to find out if pelvic floor muscle training (PFMT) helps women with urinary incontinence problems. They did this by comparing the effects of this training with no treatment, or with any inactive treatment (for example, advice on management with pads). We asked Chantal and Lucia questions a bout this recentCochrane Review.1.Please can you describe yourself and your Cochrane Group?Since 2012 I have held a Canada Research Chair in Urogyneacoogical health and Aging. Our research program's overarching goal is toImprove continence care in older Canadian women.With this goal in mind, I partnered with a New Zealand expert in pelvic floor rehabilitation reviews; Dr. J. Hay Smith and a post-doctoral fellow and physiotherapist from Brazil, Dr Licia Carciari, to update our knowledge of the effectiveness of pelvic floor rehabilitation for urinary incontinence, in women. Conducting this review update will help inform my research program but most importantly will transfer the evidence to patients, clinicians and researchers with the overall goal to improve continence care, in women.2.What was the background to the Review? Stress incontinence is leaking of urine which cannot be easily controlled (if at all) when performing a physical activity. Physical activities could include coughing, sneezing, sporting activities or suddenly changing position. Urgency incontinence happens with a sudden, strong need to urinat...
CONCLUSIONS: Adherence to home-based PFME is a complex phenomenon. Assessing self-efficacy may help physiotherapists to detect patients' confidence in performing home-based exercises and, when necessary, give patients additional incentives. PMID: 29863450 [PubMed - as supplied by publisher]
Condition: Urinary Incontinence, Stress Interventions: Other: Hip external rotation exercise; Other: Pelvic floor muscle exercise Sponsors: University of Alberta; Physiotherapy Alberta - College + Association Recruiting
CONCLUSION: These preliminary data indicate that UI is a condition afflicting many individuals who present to outpatient physical therapy beyond those seeking care for UI. We recommend using a simple screening measure for UI and its impact on HRQoL as part of a routine initial evaluation in outpatient physical therapy settings. PMID: 26863987 [PubMed - as supplied by publisher]
On August 18, 2008 I went up to the office to do a load of xeroxing, throwing my bag in the back seat of the car. When I got to school, however, something was wrong. Though early in the am, it was like I was drunk, with walking wobbly and difficult. Being a compulsive, I idiotically worked for half an hour, holding on to the copying machine to steady myself. Then I drove home (second stupid act), called the health help line, where they told me to get to the ER. And don't drive! Once there, they figured I had had a stroke and put me on coumadin, a powerful blood thinner. Three days later, in the evening, a nurse wrote on my...