Open Access
Subscription Access
Open Access
Subscription Access
Effect of Structured Bladder Training in Urinary Incontinence
Subscribe/Renew Journal
Introduction: Urinary incontinence is considered a very distressing condition affecting multiple domains of human life i.e. social, physical, psychological, occupational, domestic, and sexual aspects experienced by all ages. However, only pathophysiology varies according to each condition, and therefore demanding different therapeutic approaches according to the mechanism of urine loss. This study was designed to find out the effect of structured bladder training in urinary incontinence. To find out effect of conventional bladder training in urinary incontinence. To compare the effect between two on the basis of demographic variables.
Method: This was an experimental study with the total of 28 spinal cord injury patients who had urinary incontinence were selected with random allocation from the Krishna Institute of Medical Sciences, Karad in this study. Their ages were 20 years and above according to inclusion and exclusion criteria. Prior consent was taken. They were divided into two groups: group A and group B. Group A received conventional therapy and group B received structured bladder training with conventional training. Pre assessment was taken prior to the treatment. These subjects were treated for 4 weeks, 3 days per week, 30 – 45 min. After 4 weeks the post treatment assessment was taken. The outcome measures were included King’s Health Questionnaire and 1 hour Pad Test.
Results: The obtained results showed a statistically highly significant improvement (p < 0.0001) noted in the urinary incontinence in spinal cord injury patients.
Conclusion: It was concluded that structured bladder training was effective in controlling urinary incontinence secondary to spinal cord injury.
Keywords
- Susan B. O’Sullivan, Physical Rehabilitation, 6th edition: 889.
- Harvey LA, Physiotherapy rehabilitation for people with spinal cord injuries, Journal of Physiotherapy, 2016, 62:4 – 11.
- Glady SR, Physiotherapy in Neuro-conditions, 2006: 218 – 219.
- Darshan P. Patel, Sara M. Lenherr, Study Protocol: patient reported outcomes for bladder management strategies in spinal cord injury, BMC Urology, (2017) 17:95.
- Marlene Elmelund, Niels Klarskov, Treatment of Urinary Incontinence in Women With Spinal Cord Injury, Clinical Trials.gov NCT02427230, April 27, 2015.
- Jill Mantle, Jeanette Haslam, Physiotherapy in Obstetrics and Gynaecology, 2nd Edition: 333.
- Barbara T Benevento, Marca L Sipski, Neurogenic Bladder, Neurogenic Bowel, and Sexual Dysfunction in People With Spinal Cord Injury, Physical Therapy, June 2002, Volume 82: Number 6.
- Kari Bø, Trygve Talseth, Single blind, randomised controlled trial of pelvic floor exercises, electrical stimulation, vaginal cones, and no treatment in management of genuine stress incontinence in women, BMJ, 20 February 1999, Volume 318: 487 – 93.
- Y Akkoc1, Effects of different bladder management methods on the quality of life in patients with traumatic spinal cord injury, Spinal Cord, 2013, 51, 226 – 231.
- Moore, J. L.; Neville, C. E., Treatment of Urinary Incontinence Following Spinal Cord Injury With Traditional Physical Therapy Techniques: A Case Report, Journal of Neurologic Physical Therapy: December 2006, Volume 30, Issue 4 – p 216 – 217.
- Carla Maria de Abreu Pereira, Effect of physiotherapy treatment for urinary incontinence in patients with multiple sclerosis, Journal of Physical Therapy Science.
- Kikuo Okamura, Reliability and validity of the king’s health questionnaire for lower urinary tract symptoms in both genders, BJU International, 27 May 2009, Volume 103, Issue 12.
- Cristine Homsi Jorge Ferreira, The Pad Test for urinary incontinence in women, Journal of Physiotherapy 61 (2015) 98.
- CW Liu, The relationship between bladder management and health – related quality of life in patients with spinal cord injury in the UK, Spinal Cord (2010) 48, 319 – 324.
Abstract Views: 692
PDF Views: 0