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Physiotherapeutic Diagnostic Process for Female Urinary Incontinence

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Women's Health and Biomechanics

Part of the book series: Lecture Notes in Computational Vision and Biomechanics ((LNCVB,volume 29))

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Abstract

The International Consultation on Incontinence (ICI) recommendations for initial management of female urinary incontinence, including pelvic physiotherapy, are based on presumed (medical) diagnosis, so indication, not (yet) diagnosis. This chapter demonstrates the role of a physiotherapeutic diagnostic process (PDP) for female urinary incontinence in clinical (research) practice. Furthermore, the technique and a practice protocol for the PDP including troubleshooting and interpretation are presented. Based on the PDP including the analysis, evaluation and based on that, the formulation of hypotheses, if indicated, optimal and adequate pelvic physiotherapy treatment can be selected.

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References

  1. Algorithm: initial management of urinary incontinence in women, p 1913. In: Abrams P, Cardozo L, Khoury S, Wein A (eds) Incontinence 5th international consultation on incontinence Paris, ICUD-EAU

    Google Scholar 

  2. WHO (1992) International Classification of Diseases ICD-10. World Health Organisation, Geneva, Switzerland

    Google Scholar 

  3. WHO (2001) International classification of functioning, disability and health. World Health Organisation, Geneva, Switzerland

    Google Scholar 

  4. Guidelines for hygienic working in the pelvic floor region. Dutch Association for Physical Therapy for Pelvic Floor Disorders and Pre- and Postnatal Healthcare (NVFB 2014)

    Google Scholar 

  5. Brown JS, Bradley CS, Subak LL et al (2006) The sensitivity and specificity of a simple test to distinguish between urge and stress urinary incontinence. Ann Intern Med 16;144(10):715–723

    Google Scholar 

  6. Hendriks EJ, Bernards AT, Berghmans BC et al (2007) The psychometric properties of the PRAFAB-questionnaire: a brief assessment questionnaire to evaluate severity of urinary incontinence in women. Neurourol Urodyn 26(7):998–1007. https://doi.org/10.1002/nau.20450

    Article  Google Scholar 

  7. Hendriks EJ, Bernards AT, Staal JB et al (2008) Factorial validity and internal consistency of the PRAFAB questionnaire in women with stress urinary incontinence. BMC Urol 8:1. https://doi.org/10.1186/1471-2490-8-1

    Article  Google Scholar 

  8. Staskin D et al (2013) Initial assessment of urinary incontinence in adult male and female patients (5A). In: Abrams P, Cardozo L, Khoury S, Wein A (eds) Incontinence 5th international consultation on incontinence, Paris, ICUD-EAU

    Google Scholar 

  9. Hodges PW, Sapsford R, Pengel LH (2007) Postural and respiratory functions of the pelvic floor muscles. Neurourol Urodyn 26(3):362–371

    Article  Google Scholar 

  10. Smith MD, Russell A, Hodges PW (2006) Disorders of breathing and continence have a stronger association with back pain than obesity and physical activity. Aust J Physiother 52(1):11–16

    Article  Google Scholar 

  11. Devreese AM, Nuyens G, Staes F et al (2000) Do posture and straining influence urinary-flow parameters in normal women? Neurourol Urodyn 19(1):3–8

    Article  Google Scholar 

  12. Townsend MK, Danforth KN, Rosner B et al (2007) Body mass index, weight gain, and incident urinary incontinence in middle-aged women. Obstet Gynecol 110(2 Pt 1):346–353

    Article  Google Scholar 

  13. Bernards ATM, Berghmans BC, Slieker-Ten Hove MC et al (2014) Dutch Guidelines for physiotherapy in patients with stress urinary incontinence: an update. Int Urogynecol J 25(2):171–179. https://doi.org/10.1007/s00192-013-2219-3

    Article  Google Scholar 

  14. Slieker-ten Hove MC, Pool-Goudzwaard AL, Eijkemans MJ et al (2009) Face validity and reliability of the first digital assessment scheme of pelvic floor muscle function conform the new standardized terminology of the International Continence Society. Neurourol Urodyn 28(4):295–300. https://doi.org/10.1002/nau.20659

    Article  Google Scholar 

  15. Bø K, Sherburn M (2007) Vaginal squeeze pressure measurement. In: Bo K, Berghmans B, Møkved S, Kampen M van (eds) Evidence based physical therapy for the pelvic Floor. Bridging science and clinical practice. Butterworth Heinemann Elsevier, Edinburgh, pp 63–68

    Google Scholar 

  16. Dumoulin C, Gravel D, Bourbonnais D et al (2004) Reliability of dynamometric measurements of the pelvic floor musculature. Neurourol Urodyn 23(2):134–142

    Article  Google Scholar 

  17. Bø K, Sherburn M (2005) Evaluation of female pelvic floor muscle function and strength. Phys Ther 85(3):269–282

    Google Scholar 

  18. Dietz HP, Jarvis SK, Vancaillie TG (2002) The assessment of levator muscle strength: a validation of three ultrasound techniques. Int Urogynecol J Pelvic Floor Dysfunct. 13(3):156–159

    Article  Google Scholar 

  19. Stoker J, Halligan S, Bartram CI (2001) Pelvic floor imaging. Radiology 218(3):621–641

    Article  Google Scholar 

  20. Vodusek DB (2007) Electromyography. In: Berghmans B, Møkved S, van Kampen M (eds) Evidence based physical therapy for the pelvic floor. Bridging science and clinical practice. Butterworth Heinemann Elsevier, Edinburgh, pp 56–63

    Google Scholar 

  21. Messelink B, Benson T, Berghmans B et al (2005) Standardization of terminology of pelvic floor muscle function and dysfunction: report from the pelvic floor clinical assessment group of the International Continence Society. Neurourol Urodyn 24(4):374–380. https://doi.org/10.1002/nau.20144

    Article  Google Scholar 

  22. Dietz H (2007) Ultrasound in the assessment of pelvic floor muscle and pelvic organ descent. In: Evidence-based physical therapy for the pelvic floor: bridging science and clinical practice. In: Bø K, Berghmans B, Mørkved S, Van Kampen M (eds) London Churchill Livingstone Elsevier

    Google Scholar 

  23. Ashton-Miller JA, DeLancey JOL (2007) Functional anatomy of the female pelvic floor. In: Evidence-based physical therapy for the pelvic floor: bridging science and clinical practice. In: Bø K, Berghmans B, Mørkved S, Van Kampen M (eds) London Churchill Livingstone Elsevier

    Google Scholar 

  24. Constantinou CE, Govan DE (1982) Spatial distribution and timing of transmitted and reflexly generated urethral pressures in healthy women. J Urol 127(5):964–969

    Article  Google Scholar 

  25. Bø K (1995) Pelvic floor muscle exercise for the treatment of stress urinary incontinence: an exercise physiology perspective. Int Urogynecol J Pelvic Floor Dysfunct 6(5):282–291

    Article  Google Scholar 

  26. Moore K et al (2013) Adult conservative management. In: Abrams P, Cardozo L, Khoury S, Wein A (eds) Incontinence 5th international consultation on incontinence, Paris, ICUD-EAU

    Google Scholar 

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Correspondence to Bary Berghmans .

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Berghmans, B., Seleme, M. (2018). Physiotherapeutic Diagnostic Process for Female Urinary Incontinence. In: Brandão, S., Da Roza, T., Ramos, I., Mascarenhas, T. (eds) Women's Health and Biomechanics. Lecture Notes in Computational Vision and Biomechanics, vol 29. Springer, Cham. https://doi.org/10.1007/978-3-319-71574-2_14

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  • DOI: https://doi.org/10.1007/978-3-319-71574-2_14

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