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I I Международный конгресс «САНАТОРНО-КУРОРТНОЕ ЛЕЧЕНИЕ»
Urinary incontinence rehabilitation at hemiplegic
females patients
Prof. Dr. Adriana Sarah Nica
1, 2
, Dr. Roxana Nartea
National Institute of Rehabilitation and Balneoclimatology
University of Medicine and Pharmacy “Carol Davila”, Bucharest, Romania
Urinary incontinence is defined by the International
Continence Society as the involuntary loss of urine that represents a personal
hygienic or social problems to the individual. Urinary incontinence can be
thought of as a symptomas reportedby the patient, as a sign that is demonstrable
on examination, and as a disorder from functional point of view (ICF). Urinary
incontinence is an underdiagnosed and underreported problem that increases
with age and at any age is more than twice as common in females than inmales.
Urinary incontinence isn't a disease, it's a symptom. It can be caused by
everyday habits, underlying medical conditions or physical problems and so,
having a huge impact on quality of life.
Types of urinary incontinence: Stress, Urge, Mixed, Functional.
Aprospective cohort studywas conducted regarding
30 women with hemiplegic fromNational Institute of Rehabilitation- 3
Follow-up evaluation at 6 month including standardized measures of urinary
and bowel transit incontinence and symptom check list asking about common
physical health problems.
Acording to the rehabilitation team, pelvic floor rehabilitation
is an effective noninvasive treatment for adult women with stress and mixed
incontinence. In women with mild stress urinary incontinence without vaginal
prolapse, a success can be attained by properly performed pelvic floor exercises.
Pelvic floor exercises work best in mild cases of stress incontinence associated
with urethral hypermobility but not intrinsic sphincter deficiency. They also
benefit men who develop urinary incontinence following prostate surgery.
Kegel exercises have been shown to improve the strength and tone of the
muscles of the pelvic floor that means a real benefice for quality of life. During
times of increased intra-abdominal pressure, tensing of these muscles tightens
the connective tissue that supports the urethra. Thus, pressure transmission
to the urethra may increase, and the urethra compresses shut during times
of increased stress. Vaginal cones are weighted devices designed to increase
the strength of the pelvic floor muscles. The best results are achieved when
standard pelvic muscle exercises are performed with intravaginal weights.
Biofeedback therapy is a form of pelvic floor muscle rehabilitation using an
electronic device for individuals having difficulty identifying levator ani muscles.
Biofeedback therapy is recommended for treatment of stress incontinence,