presented by Cindy Neville
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 describe the problem of stress incontinence using a patient case study. The functional anatomy of the pelvic floor will be explained, and the exercise physiology of pelvic floor muscle training will be discussed. Participants will learn basic evaluation and non-invasive interventions to improve pelvic floor muscle function and bladder control 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.
This chapter will discuss the scope of bladder control problems and introduce a standard outcome measure that can be used to identify them in adults.
This chapter will explain the etiology of stress urinary incontinence, and differentiate stress urinary incontinence from other forms of incontinence.
This chapter will explain the anatomy and physiology of the lower urinary tract and the pelvic floor.
This chapter will explain the exercise physiology of pelvic floor muscle training and its application to bladder control problems.
This chapter will describe a case study and outcomes of an elder woman experiencing stress UI.