| biofeedback therapy for incontinence: Therapeutic Management of Incontinence and Pelvic Pain J. Laycock, J. Haslam, 2013-03-09 As medical knowledge advances we tend to compartmentalise our specialties into smaller units; but, hand in hand with this, there is a growing understanding between the different disciplines within the caring professions. Thus we are able to share our special skills to the benefit of patients. This book is an excellent example of the advantage of interdisciplinary communication and demonstrates a refreshing holistic approach to the problems of incontinence and pelvic pain. Written with physiotherapists in mind, the editors have invited contributions from many distinguished experts in their own field. These have been compiled into a comprehensive book, which will appeal to many healthcare professionals. I have had great pleasure in reading this book. During the time that I have been involved with 'pelvic dysfunction' there have been many exciting advances. These are all included in a most readable sequence, some presented with a refreshing new twist. In particular, I would like to bring to your attention the section on 'pelvic pain'. Because of our lack of understanding it has been a problem that is too often ignored and here at last are some practical ideas for therapeutic management. There is still much progress to be made in the field of incontinence and pelvic pain and as yet, no editors can be expected to produce a definitive work. However, I would like to recommend this book most strongly. It has a new approach to this topic, which is still a major problem for many people. |
| biofeedback therapy for incontinence: Pelvic Floor Re-education Bernhard Schüssler, Jo Laycock, Stuart L. Stanton, 2013-04-17 Pelvic Floor Re-education encompasses a variety of techniques for increasing the strength of, and control over, the pelvic floor muscles. These techniques are now emerging as an effective and viable alternative to surgery in the treatment of urinary incontinence and related conditions. This volume presents a reasoned, scientific approach to the use of pelvic floor re-education. Starting with the latest theories on anatomy, pathophysiology and possible causes of pelvic floor damage, the text then describes the importance of pelvic floor evaluation in determining the type of treatment required. A number of re-education techniques are assessed including isolated muscle exercise, vaginal cones, biofeedback control and electrical stimulation. Recent research work is also reviewed which allows the reader to evaluate the different modalities advocated in the management of pelvic floor dysfunction. |
| biofeedback therapy for incontinence: Pelvic Floor Disorders Giulio A. Santoro, Andrzej P. Wieczorek, Abdul H. Sultan, 2020-12-10 This excellent textbook provides up-to-date information on all aspects of pelvic floor disorders. After an opening section on anatomy and physiology, it explains the methodology, role and application of the integrated imaging approach in detail, including the most advanced 3D, 4D, and dynamic ultrasound techniques, illustrated with hundreds of images. It then discusses in depth the epidemiology, etiology, assessment, and management of the full range of pelvic floor disorders from multidisciplinary and practical perspectives. The book also provides information on the various forms of obstetric perineal trauma, urinary incontinence and voiding dysfunction, anal incontinence, pelvic organ prolapse, constipation and obstructed defecation, pelvic pain and sexual dysfunction, and fistulas, and includes treatment algorithms as well as helpful guidance on what to do when surgical treatment goes wrong. The authors are leading experts in the field from around the globe. Since the first edition from 2010 (more than 200,000 chapter downloads), the book has been extensively rewritten and features numerous additional topics. The result is a comprehensive textbook that is invaluable for gynecologists, colorectal surgeons, urologists, radiologists, and gastroenterologists, beginners and veterans alike. |
| biofeedback therapy for incontinence: Pediatric Incontinence Israel Franco, Paul Austin, Stuart Bauer, Alexander von Gontard, Yves Homsy, 2015-09-23 Pediatric incontinence: evaluation and clinical management offers urologists practical, 'how-to' clinical guidance to what is a very common problem affecting up to 15% of children aged 6 years old. Introductory chapters cover the neurophysiology, psychological and genetic aspects, as well as the urodynamics of incontinence, before it moves on to its core focus, namely the evaluation and management of the problem. All types of management methods will be covered, including behavioural, psychological, medical and surgical, thus providing the reader with a solution to every patient's specific problem. The outstanding editor team led by Professor Israel Franco, one of the world’s leading gurus of pediatric urology, have recruited a truly stellar team of contributors each of whom have provided first-rate, high-quality contributions on their specific areas of expertise. Clear management algorithms for each form of treatment support the text, topics of controversy are covered openly, and the latest guidelines from the ICCS, AUA and EAU are included throughout. Perfect to refer to prior to seeing patients on the wards and in the clinics, this is the ideal guide to the topic and an essential purchase for all urologists, pediatric urologists and paediatricians managing children suffering from incontinence. |
| biofeedback therapy for incontinence: Evidence-Based Physical Therapy for the Pelvic Floor Kari Bø, Bary Berghmans, Siv Mørkved, Marijke Van Kampen, 2014-11-04 Bridging the gap between evidence-based research and clinical practice, Physical Therapy for the Pelvic Floor has become an invaluable resource to practitioners treating patients with disorders of the pelvic floor. The second edition is now presented in a full colour, hardback format, encompassing the wealth of new research in this area which has emerged in recent years. Kari Bø and her team focus on the evidence, from basic studies (theories or rationales for treatment) and RCTs (appraisal of effectiveness) to the implications of these for clinical practice, while also covering pelvic floor dysfunction in specific groups, including men, children, elite athletes, the elderly, pregnant women and those with neurological diseases. Crucially, recommendations on how to start, continue and progress treatment are also given with detailed treatment strategies around pelvic floor muscle training, biofeedback and electrical stimulation. aligns scientific research with clinical practice detailed treatment strategies innovative practice guidelines supported by a sound evidence base colour illustrations of pelvic floor anatomy and related neuroanatomy/ neurophysiology MRIs and ultrasounds showing normal and dysfunctional pelvic floor incorporates vital new research and material uses key summary boxes throughout new edition to highlight quick reference points now in full colour throughout and a hardback format |
| biofeedback therapy for incontinence: Urinary Incontinence , 2006 Urinary incontinence (UI) is a common symptom that can affect women of all ages, with a wide range of severity and nature. While rarely life-threatening, incontinence may seriously influence the physical, psychological and social well being of affected individuals. The impact on the families and carers of women with UI may be profound, and the resource implications for the health considerable. The International Continence Society (ICS) has standardised terminology in lower urinary tract function: UI is defined as the complaint of any involuntary urinary leakage. This may occur as a result of a number of abnormalities of function of the lower urinary tract, or as a result of other illnesses, and these tend to cause leakage in different situations. Definitions for stress, mixed and urge UI and overactive bladder (OAB) are given in the glossary. Other types of UI may be described by the situations that provoke urine loss, for example during sexual intercourse, or on laughing or giggling. Some patients may simply report being wet all the time. This may be a reflection of the severity of their condition, although may on occasions be due to other pathologies, for example fistula. There are currently approximately 80 cases of fistula between the urinary tract and genital tract treated each year in England and Wales and this condition is not considered further in this guideline. It is recognised that UI may be of a transient nature on occasion, reflecting acute health or environmental factors. |
| biofeedback therapy for incontinence: Evaluation and Treatment of Urinary Incontinence Jerry G. Blaivas, 1996 |
| biofeedback therapy for incontinence: Synopsis in the Management of Urinary Incontinence Ammar Alhasso, Holly Bekarma, 2017-02-08 The prevalence of urinary incontinence increases with age. It has recognised social and psychological impact on individuals as well as a financial implication to individuals and healthcare systems. The book attempt to discuss the assessment of urinary incontinence, followed by surgical and conservative treatment options in a concise way, within the framework of clinical practice. We would like to acknowledge all the authors for their hard work in completing this book. |
| biofeedback therapy for incontinence: Biofeedback John V. Basmajian, 1983 |
| biofeedback therapy for incontinence: Bowel Control Christine Norton, Michael A. Kamm, 1998-11-01 |
| biofeedback therapy for incontinence: Pelvic Floor Disorders A. Bourcier, Edward J. McGuire, Paul Abrams, 2004 Internationally known experts offer multidisciplinary guidance on the diagnosis and management of the full spectrum of pelvic floor disorders. It covers the diagnosis and clinical assessment of continence mechanisms and sexual dysfunction, as well as conservative management of the lower urinary tract, disorders of anorectal functions and sexual functions, exploring techniques such as electrical stimulation, anti-incontinence devices, and biofeedback. This valuable text also provides information on the management and treatment of a full range of disorders, from childbirth damage and post-prostatectomy incontinence, to neuropathic voiding dysfunction. Reviews normal anatomy and physiology as well as pathophysiology, providing an in-depth understanding of how and why various pelvic floor disorders occur. Covers the complete spectrum of pelvic floor disorders, including childbirth damage · lower urinary tract dysfunction in the female and male · urinary incontinence in the elderly · pelvic organ prolapse · post-prostatectomy incontinence · neurogenic voiding dysfunction · fecal incontinence · defecatory disorders · pediatric urology · male and female sexual dysfunction. Discusses all types of diagnostic approaches, including urodynamics · imaging · MRI · endoscopy · and electrodiagnosis. Conservative treatment is based on different techniques: pelvic floor muscles training · behavioral therapy · biofeedback · electrical stimulation and anti-continence devices. Represents a practical approach to surgery and conservative treatment for the physician and health care professionals and provides practical suggestions on these techniques. Features contributions from urologists, gynecologists, coloproctologists, continence specialists, specialist physical therapists, and nurses, for exceptionally multidisciplinary, well-rounded coverage of every aspect of the field. |
| biofeedback therapy for incontinence: Women's Health in Primary Care Anne Connolly, Amanda Britton, 2017-04-06 This book provides pragmatic practical advice to support primary care providers in delivering high-quality holistic care to women at various life stages. |
| biofeedback therapy for incontinence: Electrodiagnosis in New Frontiers of Clinical Research Dr.Hande Turker, 2013-05-22 Utilization of electrodiagnosis; namely electromyography (EMG), nerve conduction studies, late responses, repetitive nerve stimulation techniques, quantitative EMG and evoked potentials, has long been discussed in many text books as basic principles. However the usage of electroneuromyography is rather new in some aspects when compared with tasks of daily practise. This book, we believe, will cover and enlighten those aspects where electrodiagnosis has begun to play important roles nowadays. |
| biofeedback therapy for incontinence: Post-Prostatectomy Incontinence Ajay Singla, Craig Comiter, 2017-06-28 This text provides a comprehensive, state – of – the art review of this new and emerging field, as the number of men who suffer from post-prostatectomy incontinence increases by greater than 10,000 per year. How to evaluate and manage this devastating disorder has become a necessary part of nearly every urologic practice. This book serves a valuable resource for physicians with an interest in managing patients with post-prostatectomy incontinence. In addition, treatment includes algorithms and suggested office evaluation that will help guide conservative management that is appropriate for most patients. The text provides insight into the history of male incontinence surgery, as well as the current surgical techniques for the operative management of post-prostatectomy incontinence in those who fail conservative management. This text reviews current data regarding surgical outcomes for the most common and newly developed incontinence procedures, as well as step-by-step descriptions of the key surgical steps necessary for success. All chapters are written by world renowned experts in this field and include the most up to date clinical information. |
| biofeedback therapy for incontinence: Benign Anorectal Disorders Nisar Ahmad Chowdri, Fazl Q. Parray, 2015-11-09 Management of benign anorectal disorders is challenging for the treating surgeons as the patients are highly distressed, the symptoms are always alarming, and surgical intervention may be associated with lifelong disabilities such as loss of sphincter control. Written by highly experienced colorectal surgeons, this book provides detailed notes on optimal management of these disorders including pre- and post-operative management. Chapters cover the entire range of benign disorders such as hemorrhoids, fissure, fistula-in-ano, anorectal injuries, anal incontinence, rectal prolapse, pelvic floor disorders, benign tumors and ulcers, and strictures. Chapters on surgical anatomy and physiology equip the surgeons with the information necessary to understand the complex anatomy and functioning of this region which makes surgery all the more difficult. Benign Anorectal Disorders is an essential reading for colorectal surgeons, general surgeons, fellows-in-training and the post-graduate students. |
| biofeedback therapy for incontinence: Patient Teaching Jenifer Wilson-Barnett, 1983 |
| biofeedback therapy for incontinence: Clinical Electrophysiology Andrew J. Robinson (Ph. D.), 2008 Organized by therapeutic goals, the Third Edition of this comprehensive textbook on electrotherapies provides a fundamental understanding of contemporary, evidence-based intervention and assessment procedures. The text takes a problem-oriented approach and recommends interventions consistent with both theory and the clinical efficacy of the intervention for specific, clearly identified clinical disorders. This edition has a new chapter on electrical stimulation and biofeedback for genitourinary dysfunction, including incontinence management in both women and men. All the intervention-based chapters have a new format that emphasizes evidence-based practice and practical application. Additional self-study questions are included in each chapter. NEW TO THIS EDITION: New chapter on Electrical Stimulation and Biofeedback for Genitourinary Dysfunction (Chapter 9) includes topics such as incontinence management in both women and men, and gives solid evidence to support or refute specific procedures. New organization Chapter on mechanisms of pain transmission and pain control with electrotherapy will be moved up to chapter 4 to make the first four chapters the theoretical basis for the clinical application chapters that follow. Chapter on electrophysiologic evaluation will become the last chapter (chapter 12) in order to enable students to meet core educational competencies. New chapter format for the intervention chapters (chapters 5-11) adds consistency and clarity to emphasize evidenced-based practice and practical application. Additional self-study questions are included in each chapter to enhance understanding of key concepts. New emphasis on evidence-based preferential practice patterns. |
| biofeedback therapy for incontinence: Multidisciplinary Care of Urinary Incontinence Lewis Chan, Vincent Tse, 2012-10-10 Multidisciplinary Care of Urinary Incontinence - a Handbook for Health Professionals effectively uses a multidisciplinary approach to assist health professionals in their care of patients with urinary incontinence. It is recognized that the best outcomes are achieved by a multidisciplinary team approach especially with regard to complex cases and care of the elderly. This book is written by expert authors from around the world with a wealth of experience in conducting clinics on pelvic floor, aged care voiding dysfunction and neuro-rehabilitation. The text is illustrated throughout and contains case-studies with input and practical tips from the different health disciplines at each point. Each chapter concludes with a list of seminal publications and web-based resources to assist the reader in the clinical environment. Multidisciplinary Care of Urinary Incontinence - a Handbook for Health Professionals is of benefit to medical and allied health disciplines including family physicians, nurses, urologists, gynecologists, physiotherapists, geriatricians, neurologists and rehabilitation specialists. |
| biofeedback therapy for incontinence: Urinary Incontinence in Adults United States. Urinary Incontinence in Adults Guideline Update Panel, 1996 |
| biofeedback therapy for incontinence: Urinary and Fecal Incontinence Horst-Dieter Becker, 2005-04-11 The book surveys the prevalence, the pathophysiology, the diagnosis, the current therapy, both conservative and operative, and the long-term outcome of treatment of urinary and fecal incontinence. It is targeted at general and colorectal surgeons, urologists, gynecologists and gastroenterologists who treat incontinent patients, and also gives general practitioners and geriatric physicians an overview of the diagnostic methods and treatment options that can be offered to incontinent patients. |
| biofeedback therapy for incontinence: Continence Gopal Badlani, G. Willy Davila, Martin C. Michel, Jean J. M. C. H. Rosette, 2008-12-10 This comprehensive volume covers the entire field of uncomplicated incontinence ranging from current concepts, to surgical management, to medical management. It includes a special focus on the latest diagnostic tests, new surgery including laparoscopy, and medical therapies. Additional coverage includes special topics such as prolapse, male incontinence, and costs and education. It is a state-of-the-art reference work on continence management for all urologists and gynecologists. |
| biofeedback therapy for incontinence: Fecal Incontinence Carlo Ratto, Giovanni B. Doglietto, 2007-10-10 Fecal incontinence is a common and embarrassing condition with a devastating impact on patients’ lives. Since it may result from a variety of pathophysiological situations, an accurate diagnostic work-up is crucial. A range of therapies is available, but choosing the correct option is pivotal to successful management. This book reviews the latest advances in the epidemiologic, socio-economic, psychological, diagnostic, and therapeutic aspects of fecal incontinence, helping to establish effective treatment guidelines. |
| biofeedback therapy for incontinence: Bowel Continence Nursing Christine Norton, Sonya Chelvanayagam, 2004 Suitable for nurses and allied health professionals working with patients with disordered bowel function, this title provides the basis for an understanding of normal as well as disordered bowel function, and the causes of faecal incontinence and constipation. |
| biofeedback therapy for incontinence: Compendium of Biomedical Instrumentation, 3 Volume Set Raghbir Singh Khandpur, 2020-02-25 An essential reference filled with 400 of today's current biomedical instruments and devices Designed mainly for the active bio-medical equipment technologists involved in hands-on functions like managing these technologies by way of their usage, operation & maintenance and those engaged in advancing measurement techniques through research and development, this book covers almost the entire range of instruments and devices used for diagnosis, imaging, analysis, and therapy in the medical field. Compiling 400 instruments in alphabetical order, it provides comprehensive information on each instrument in a lucid style. Each description in Compendium of Biomedical Instrumentation covers four aspects: purpose of the instrument; principle of operation, which covers physics, engineering, electronics, and data processing; brief specifications; and major applications. Devices listed range from the accelerometer, ballistocardiograph, microscopes, lasers, and electrocardiograph to gamma counter, hyperthermia system, microtome, positron emission tomography, uroflowmeter, and many more. Covers almost the entire range of medical instruments and devices which are generally available in hospitals, medical institutes at tertiary, secondary, and peripheral level facilities Presents broad areas of applications of medical instruments/technology, including specialized equipment for various medical specialties, fully illustrated with figures & photographs Contains exhaustive description on state of the art instruments and also includes some generation old legacy instruments which are still in use in some medical facilities. Compendium of Biomedical Instrumentation is a must-have resource for professionals and undergraduate and graduate students in biomedical engineering, as well as for clinical engineers and bio-medical equipment technicians. |
| biofeedback therapy for incontinence: Biofeedback, Fourth Edition Mark S. Schwartz, Frank Andrasik, 2017-03-29 This comprehensive volume is widely regarded as the definitive practitioner resource and text resource in the field of biofeedback and applied psychophysiology. Leading experts cover basic concepts, assessment, instrumentation, clinical procedures, and professional issues. Chapters describe how traditional and cutting-edge methods are applied in treatment of a wide range of disorders, including headaches, temporomandibular disorders, essential hypertension, pelvic floor disorders, attention-deficit/hyperactivity disorder, tinnitus, and others. Applications for optimizing physical performance among artists and athletes are also reviewed. A wealth of information and empirical research is presented in an accessible style, including helpful glossaries. New to This Edition *Incorporates significant technological developments and new research areas. *Expanded focus on specialized applications, such as electroencephalographic (EEG) biofeedback/neurofeedback and heart rate variability biofeedback. *Chapters on surface electromyography, quantitative EEG, and consumer products. *Chapters on cognitive-behavioral therapy and relaxation training. *Chapters on additional clinical problems: anxiety disorders, asthma, work-related pain, traumatic brain injury, autism spectrum disorders, and substance use disorders. |
| biofeedback therapy for incontinence: The Bathroom Key Kathryn Kassai, PT, CES, Kim Perelli, 2011-12-20 Urinary incontinence is an underdiagnosed and underreported condition with major economic and psychosocial effects on society. Women are more likely to experience it due to issues with the pelvic floor brought on by pregnancy and menopause. The Bathroom Key is a treatment plan for women to cure their own incontinence issues. It also allows women to identify with other women through the anecdotal stories that echo their feelings of isolation and embarrassment. Written in easy-to-understand language, the book is a genuine teaching tool, guiding the reader to a better understanding of her body and effective remedies. Whereas in recent years some mention of the Kegel muscles and exercises have become common knowledge, this book is much more than just Kegels. By incorporating key elements of the physical therapy approach in this book, the reader will be encouraged to self-assess, modify behaviors, re-train her bladder, alter dietary habits, and practice a variety of exercises to self-treat and cure her incontinence. In most cases urinary incontinence is completely treatable with physical therapy. Women can regain bladder control, not have to take medications, throw away pads and regain their dignity. The Bathroom Key Is: Written in a friend to friend style that reveals the secrecy around urinary incontinence through real life stories of women dealing with the embarrassing and life-altering symptoms Advocates for PT as something that can radically help the problem Lists a variety of behavioral and practical exercises and allow people to self-treat at home (and also tells them when they need to see a physical therapist) |
| biofeedback therapy for incontinence: Male Stress Urinary Incontinence Giulio Del Popolo, Donatella Pistolesi, Vincenzo Li Marzi, 2015-06-18 This book aims to offer a comprehensive and up-to-date overview of male stress urinary incontinence that will serve as a useful tool and reference for urologists, andrologists, physiotherapists, general practitioners, and nurses. Detailed information is provided on diagnostic workup, including clinical assessment and the role of urodynamic evaluations and other instrumental examinations, and on the full range of potential treatments, from conservative and pharmacological interventions to surgical options. In addition to careful descriptions of the surgical procedures themselves, clear advice is given on the management of iatrogenic complications of incontinence surgery. Helpful treatment algorithms and recommendations offer further practical support. Relevant background knowledge is provided in expert reviews of topics such as the functional anatomy of the male pelvis and the pathophysiology, epidemiology, and classification of male urinary incontinence. |
| biofeedback therapy for incontinence: Biofeedback Mark S. Schwartz, Frank Andrasik, 2005-06-20 The definitive text in the field, this comprehensive volume provides state-of-the-science coverage of biofeedback research, applications, clinical procedures, and biomedical instrumentation. With contributions from leading experts, the volume offers a unique combination of practical know-how and scholarly expertise. A wealth of information is presented in an accessible, streamlined style, including helpful glossaries throughout. Featured are detailed protocols for helping patients cultivate lower physiological arousal and for addressing an array of specific clinical problems: headaches, temporomandibular disorders, Raynaud's disease, essential hypertension, neuromuscular problems, elimination disorders, and much more. |
| biofeedback therapy for incontinence: Complementary Therapies in Rehabilitation Carol M. Davis, 2009 For over a decade, Dr. Carol Davis opened the minds of health care professionals worldwide to the idea of complementary therapies in rehabilitation. The pages of this renowned text covered evidence for efficacy in therapy, prevention, and wellness unlike any other text; it is the first of its kind published in the United States. As science continues to evolve and change, so does the expertise of Dr. Davis and the experienced therapists who join together in writing the various chapters in the Third Edition of Complementary Therapies in Rehabilitation. This evidence-based text includes an insightful review profiling the latest peer reviewed research of holistic approaches commonly used in rehabilitation. Students and practitioners are now able to evaluate the efficacy of these approaches from the evidence that is reported. New to the Third Edition: - The latest summary of findings in energy medicine and bio-energetics applied to rehabilitation therapies - Updates on randomized control trials - Reviews of evidence of efficiency - Energy techniques as a way of returning healing to health care Professionals will also be excited to have at their hands a new chapter describing the latest discoveries in the science that helps explain how these therapies may work. It appears that the future of health care will be based on this unfolding science of energy, medicine and vibration. Professor Davis reads the most updated reports of the latest quantum science and then translates this information into meaningful ideas that relate to what therapists observe every day with patients in their case. Complementary Therapies in Rehabilitation, Third Edition, is the perfect text for all rehabilitation professionals looking to deepen their understanding of various holistic modalities that are making a difference in rehabilitation, especially with patients who have hit the wall with the standard treatments that based on mechanistic science. This text provides the latest knowledge and description of rehabilitation professionals' experience with these therapies, and reports the latest peer reviewed evidence for efficiency in therapy, prevention, and wellness. |
| biofeedback therapy for incontinence: The Overactive Bladder Karl Kreder, Roger Dmochowski, 2007-07-10 Overactive bladder (OAB) affects millions of men and women daily. Given the symptoms of sleep loss, depression, and a lower quality of life than even those with diabetes mellitus, effective and beneficial treatment is a must for these people. Drs Kreder and Dmochowski, both recognized experts on voiding dysfunction and urodynamics, have a |
| biofeedback therapy for incontinence: Incontinence, physical activity, and pelvic floor muscle training in female pelvic cancer survivors after radiotherapy Anna Lindgren, 2020-09-28 Background: Cancer treatment continues to improve, contributing to an ever-growing population of cancer survivors. Pelvic cancer survivors (PCS) constitute the second largest group of female cancer survivors after breast cancer. Many female PCS have been treated with radiotherapy as a part of their cancer treatment. Unfortunately, like all effective cancer treatments, pelvic radiotherapy is associated with a risk of subsequent, unwanted side effects. Some side effects remain or persist long after the end of treatment and some are even lifelong. A common and burdensome side effect after pelvic radiotherapy is urinary and/or fecal incontinence. Incontinence is known to negatively affect quality of life (QoL) and physical activity levels. Physical activity contributes to several positive health effects. In cancer survivors, it may reduce the risk of recurrence and even the mortality risk. Cancer survivors in general, and female PCS in particular, tend to be less physically active after cancer treatment than before treatment. When suffering from urinary and even fecal incontinence, pelvic floor muscle training (PFMT) is recommended as a first-line treatment for the general population. In addition to decreased incontinence levels, PFMT may contribute to increased physical activity and better QoL. However, little attention is given to PFMT as a potential treatment for incontinence in the Swedish national care program for pelvic cancer rehabilitation. Furthermore, there is as yet no evidence that PFMT is as effective in female PCS as in female non-cancer survivors. The effectiveness of PFMT cannot be taken for granted because female PCS survivors often have treatmentinduced damage to structures in the pelvic floor that might affect its applicability. However, the problem of incontinence among female PCS remains, along with the fact that they tend to be less physically active than other cancer survivors. Indeed, this is an important research area and a necessary problem for health-care providers to resolve, not least for physiotherapists. Aim: The overall aim of this thesis is to improve the understanding of female PCS’ experiences of incontinence in relation to physical activity, QoL, and rehabilitative efforts, including PFMT. This includes gaining increased knowledge about the relation between incontinence and physical activity in the form of exercise and QoL, and whether PCS experience that physiotherapy contributes in a valuable way to reducing their incontinence. This could enable the development of meaningful physiotherapeutic interventions, that PCS can and are willing to engage in, to achieve a potential reduction in incontinence, as well as increased QoL and activity levels. Methods: The thesis includes four different studies, using three different methods, all conducted with female PCS. Studies I (n=13) and IV (n=11) are qualitative individual interview studies, using semi-structured interview guides. Study II is a cohort-based cross-sectional observational study (n=578) and Study III is a prospective cohort-based observational study (n=260). Results: Female PCS reported an absence of information regarding incontinence as a potential side effect of radiotherapy treatment. They experienced that incontinence prevented them from being as physically active as before treatment, and that incontinence of urine and feces impaired several aspects of QoL, including sexual health. They lacked potential rehabilitative options beyond conventional pelvic cancer rehabilitation. After practicing PFMT for three months, they found it a valuable rehabilitative measure for incontinence. They also experienced the physiotherapeutic support and guidance as valuable in teaching them how to contract the pelvic floor muscles correctly and providing individual guidance regarding dose, frequency, and progression of the training. In Study II, 67% of female PCS exercised at least once a week, while 33% exercised less than once a week. Women who reported leakage of large or all volume of feces (multivariable analysis) were statistically significantly more likely to exercise less than once a week. A similar co-variation was seen among women who reported leakage of moderate to large volumes of urine (univariate analysis). This, however, was not statistically significant in a multivariable analysis. When exercising on a weekly basis, they reported less frequently depressed mood and better QoL, compared to those who exercised less than once a week. Three months after an individually designed intervention program, in line with the conventional pelvic cancer rehabilitation offered within Swedish healthcare today, female PCS reported statistically significantly lower levels of urinary and fecal incontinence. However, no statistically significant changes in frequency of exercise were seen. Conclusion: Incontinence was a barrier to physical activity and exercise, and it reduced QoL and impaired sexual health in female PCS. When experiencing incontinence, and in particular fecal incontinence, female PCS were less likely to exercise on a weekly basis. Female PCS who exercise at least once a week experienced better QoL and less frequently depressed mood than PCS who were not exercising every week. Female PCS did not exercise more often after conventional pelvic cancer rehabilitation, not even after incontinence levels were reduced. Female PCS had a positive attitude towards PFMT. After at least three months’ experience of practicing PFMT, they found it a valuable rehabilitative effort for incontinence. They also found physiotherapeutic support and guidance to be of great importance. Female PCS expressed a need for better information routines regarding side effects, such as incontinence, after cancer treatment. They also expressed a need for better information routines, including accessibility of additional rehabilitative efforts, beyond the conventional pelvic cancer rehabilitation offered today, when suffering from incontinence of urine and/or feces. Bakgrund: Behandlingen av cancersjukdomar förbättras ständigt vilket bidrar till en växande population av cancerövrelevare. Bäckencanceröverlevare utgör den näst vanligaste gruppen kvinnliga canceröverlevare efter bröstcanceröverlevare. Många av kvinnorna behandlas med strålterapi som är associerad med en risk för oönskade sidoeffekter. Vissa sidoeffekter kvarstår eller uppstår långt efter behandlingen och andra medför ett livslångt rehabiliteringsbehov. En vanlig, belastande sen sidoeffekt av strålterapi mot bäckenet är urin- och eller avföringsinkontinens. Inkontinens påverkar ofta såväl livskvalitet som fysisk aktivitetsnivå negativt. Fysisk aktivitet kan bidra till ett flertal positiva hälsoeffekter som att minska risken för återfall i sjukdomen. Det kan sannolikt också bidra till ökad överlevnad. Canceröverlevare i allmänhet, och kvinnliga bäckencanceröverlevare i synnerhet, har ofta en lägre fysisk aktivitetsnivå efter cancerbehandlingen jämfört med innan. Vid urin- och även vid avföringsinkontinens rekommenderas bäckenbottenmuskelträning (BMT) som ett förstahandsval av behandling till kvinnor i allmänhet. Bäckenbottenmuskelträning kan, förutom att bidra till att minska inkontinens, även bidra till ökad fysisk aktivitetsnivå och förbättrad livskvalitet. Bäckenbottenmuskelträning har emellertid fått obetydligt utrymme som potentiell behandlingsmetod för inkontinens i det svenska nationella vårdprogrammet för bäckencancerrehabilitering. Än så länge saknas evidens för att BMT är lika effektivt hos kvinnliga bäckencanceröverlevare som hos kvinnor som inte genomgått cancerbehandling. Att BMT skulle vara lika effektivt hos dessa kvinnor är inte självklart då de ofta har behandlingsinducerade skador i strukturer i bäckenbotten som kan påverka träningens resultat. Problemet att kvinnliga bäckencanceröverlevare ofta besväras av inkontinens och ofta är mindre fysiskt aktiva än andra canceröverlevare kvarstår. Det är således ett viktigt område för vidare forskning och ett problem som behöver lösas av hälso- och sjukvårdspersonal, inte minst av fysioterapeuter. Syfte: Det övergripande syftet med avhandlingen är att förbättra förståelsen för kvinnliga bäckencanceröverlevares upplevelser av inkontinens i relation till fysisk aktivitet, livskvalitet och rehabiliteringsinsatser, inklusive BMT. Detta inkluderar förbättrad kunskap om relationen mellan motion och livskvalitet och huruvida bäckencanceröverlevare upplever att fysioterapi kan bidra på ett värdefullt sätt till att reducera inkontinensbesvär. Detta för att möjliggöra utformande av meningsfulla fysioterapeutiska interventioner, som bäckencanceröverlevare kan och är villiga att delta i, för att uppnå en potentiell minskning av inkontinens såväl som ökad livskvalitet och ökad fysisk aktivitetsnivå. Metod: Avhandlingen innehåller fyra studier, med tre olika metoder, där alla studiedeltagare utgörs av kvinnliga bäckencanceröverlevare. Studie I (n=13) och IV (n=11) är kvalitativa studier där individuella intervjuer genomfördes med semistrukturerade intervjuguider. Studie II är en kohortbaserad tvärsnittsstudie (n=578) och Studie III är en prospektiv, kohortbaserad observationsstudie (n=260). Resultat: Kvinnorna uttryckte avsaknad av information om inkontinens som en potentiell bieffekt av strålterapi. De upplevde att inkontinens hindrade dem från att vara fysiskt aktiva i samma utsträckning som innan behandlingen och att urin och avföringsinkontinens försämrade flera aspekter av deras livskvalitet, inklusive sexuell hälsa. Det uttryckte avsaknad av rehabiliteringsalternativ utöver det som erbjuds inom konventionell bäckencancerrehabilitering i svensk hälso- och sjukvård. Efter att ha tränat BMT under tre månader upplevde de BMT som en meningsfull rehabiliteringsåtgärd för urin- och avföringsinkontinens. De upplevde även att stöd och guidning från en fysioterapeut var värdefullt för att lära sig att kontrahera bäckenbottenmuskulaturen korrekt och för att få individuell guidning avseende dos, frekvens och progression av träningen. I Studie II, rapporterade 67% av 568 kvinnor att de motionerade minst en gång i veckan medan 33% rapporterade att de motionerade mindre än en gång i veckan. Kvinnor som rapporterade stor mängd avföringsläckage, (p=0.01, multivariabel analys) var statistiskt signifikant mer benägna att motionera mindre än en gång i veckan. En liknande samvariation sågs hos kvinnor som rapporterade stor mängd av urinläckage (p=0.04, univariat analys). Samvariationen var inte statistiskt signifikant i en multivariabel analys (p=0.105). Kvinnliga bäckencanceröverlevare som motionerade minst en gång i veckan rapporterade mer sällan nedstämdhet (p=0.044) och bättre livskvalitet (p <0.001) jämfört med de som motionerade mindre än en gång i veckan. Tre månader efter individuell sedvanlig bäckencancerrehabilitering rapporterade kvinnorna statistiskt signifikant lägre nivåer av urin och avföringsinkontinens (p=0.046 and p <0.001). Däremot, rapporterade inte kvinnorna någon statistiskt signifikant förändring i hur ofta de motionerade (p=0.763). Konklusion: Inkontinens utgjorde ett hinder för att utöva fysisk aktivitet och för att motionera bland kvinnliga bäckencanceröverlevare. Inkontinens försämrade dessutom livskvalitet och sexuell hälsa. De som upplevde inkontinens, i synnerhet avföringsinkontinens, var mindre benägna att motionera veckovis. Kvinnliga bäckencanceröverlevare som motionerade varje vecka upplevde bättre livskvalitet och mer sällan nedstämdhet än de kvinnor som inte motionerade veckovis. Kvinnliga bäckencanceröverlevare motionerade inte oftare efter konventionell bäckencancerrehabilitering även om inkontinensbesvären minskade. Kvinnliga bäckencanceröverlevare hade en positiv attityd till BMT. Efter tre månaders erfarenhet av BMT, upplevde de att det var en meningsfull rehabiliteringsåtgärd för inkontinens. De ansåg även att stöd och guidning från en fysioterapeut var av stor vikt. Kvinnliga bäckencanceröverlevare efterfrågade bättre informationsrutiner avseende potentiella sidoeffekter efter cancerbehandling, så som urin- och avföringsinkontinens. De efterfrågade även bättre informationsrutiner och tillgänglighet vad gäller rehabilitering av inkontinens utöver det som erbjuds inom sedvanlig bäckencancerrehabilitering idag. |
| biofeedback therapy for incontinence: Urogynecology and Reconstructive Pelvic Surgery E-Book Mark D. Walters, Mickey M. Karram, 2006-10-10 Edited and authored by some of the most respected figures in the field, this newly revised book is your comprehensive guide to all areas of urogynecology, including urinary and fecal incontinence, urodynamic testing, management of genuine stress incontinence, pelvic organ prolapse, overactive bladder, and much more. Uniquely organized to reflect a physician's decision-making process, this practical, clinically oriented text moves from basic concepts through to clinical and urodynamic evaluation, management, and treatment. Inside, you'll find evidence-based assessments of appropriate therapies, along with algorithmic approaches to common complaints, and clear surgical illustrations. Exclusive to the third edition is a section addressing painful and irritative voiding disorders, including overactive bladder, as well as 20 new case presentations that offer opinions from the leading experts in urogynecology and urology. Features step-by-step instructions for urodynamic testing. Addresses all urogynecologic disorders, including genuine stress incontinence · pelvic organ prolapse · defecation disorders · painful and irritative voiding disorders · and specific conditions such as urinary tract infection. Presents vital information on urethral injections, covering the newest treatment options available. Examines the use of autologous materials and mesh in reconstructive pelvic surgery. Uses over 300 crisp illustrations to illuminate every detail. Contains a new section on painful and irritative voiding disorders, including a discussion of overactive bladder and the latest treatment options available. Discusses urodynamics and the most up-to-date testing available for urethral sphincteric function. Features 20 all new case presentations with expert commentary. |
| biofeedback therapy for incontinence: Fecal Incontinence: New Insights for the Healthcare Professional: 2011 Edition , 2012-01-09 Fecal Incontinence: New Insights for the Healthcare Professional: 2011 Edition is a ScholarlyPaper™ that delivers timely, authoritative, and intensively focused information about Fecal Incontinence in a compact format. The editors have built Fecal Incontinence: New Insights for the Healthcare Professional: 2011 Edition on the vast information databases of ScholarlyNews.™ You can expect the information about Fecal Incontinence in this eBook to be deeper than what you can access anywhere else, as well as consistently reliable, authoritative, informed, and relevant. The content of Fecal Incontinence: New Insights for the Healthcare Professional: 2011 Edition has been produced by the world’s leading scientists, engineers, analysts, research institutions, and companies. All of the content is from peer-reviewed sources, and all of it is written, assembled, and edited by the editors at ScholarlyEditions™ and available exclusively from us. You now have a source you can cite with authority, confidence, and credibility. More information is available at http://www.ScholarlyEditions.com/. |
| biofeedback therapy for incontinence: Clinical and Basic Neurogastroenterology and Motility Satish S.C. Rao, Yeong Yeh Lee, Uday C. Ghoshal, 2019-12-01 Clinical and Basic Neurogastroenterology and Motility is a state-of-the-art, lucidly written, generously illustrated, landmark publication that comprehensively addresses the underlying mechanisms and management of common adult and pediatric motility disorders. These problems affect 50% of the population and include conditions such as dysphagia, achalasia, gastroesophageal reflux disease, gastroparesis, irritable bowel syndrome (IBS), gas and bloating, SIBO, constipation and fecal incontinence. The book brings together international experts and clinician scientists, epitomizing their years of wisdom into a concise yet practical text that is delivered in two distinct sections, basic and clinical. It fulfills a large unmet need, and bridges a long-awaited knowledge gap among trainees, clinicians, scientists, nurses and technicians, earnestly engaged in this field. - First of its kind text that covers both basic and clinical aspects, bridging the knowledge gap, and providing a bench to bedside approach for management of common disorders - Discusses the latest concepts and basic principles of neurogastroenterology and motility, and how the gut and brain interact in the genesis of functional gastrointestinal and motility disorders - Provides an illustrated and practical text on hot topics written by leading adult and pediatric gastroenterology experts across the globe - Includes an accompanying more detailed web version of the text with free access to future podcasts |
| biofeedback therapy for incontinence: Evidence-based Gastroenterology E. Jan Irvine, Richard H. Hunt, 2001 Evidence-Based Gastroenterology provides a synthesis of evidence-based literature from the field of gastroenterology. Written by an international panel of world-renowned experts, it highlights the most important clinical issues currently facing gastroenterologists. The authors illustrate how they systematically assembled and critically assessed the evidence pertaining to a specific disease. They show how to apply that evidence to problem-solving in daily clinical practice. Supporting evidence is graded using a three-point scale and then further divided into five subcategories. This grading method enables the reader to rapidly identify the optimal approach for specific patient management. What sets Evidence-Based Gastroenterology apart from others in the field is that it allows the reader to see how evidence has been gathered and appraised and how it may be applied in the clinical setting. Evidence-Based Gastroenterology is an extremely valuable resource for those concerned with the pathogenesis, diagnosis, and treatment of a variety of disorders. It identifies important advances and serves as a guide for future research in gastroenterology. |
| biofeedback therapy for incontinence: Urinary & Fecal Incontinence Dorothy B. Doughty, 2005-12-15 Completely updated to reflect current practice, the 3rd edition of this comprehensive resource provides a multi-disciplinary, in-depth review of the physiology of continence, the pathologic mechanisms producing incontinence, and current treatment options for the various types of incontinence. Assessment, behavioral therapies, and multidisciplinary care are emphasized as key elements in the treatment and management of incontinence. In addition to the life-span content discussed throughout the book, an entire chapter is devoted to bowel and bladder management in children. Authored and contributed by leaders in the Wound, Ostomy and Continence Nurses Society (WOCN). Provides an in-depth review of the physiology of continence, the pathologic mechanisms producing incontinence, and current treatment options to facilitate optimal assessment and care. Features detailed assessment guidelines to help clinicians accurately identify causative and contributing factors, and implement of a comprehensive management plan. Discusses urinary incontinence and fecal incontinence in separate sections to address the special considerations for each in an organized, focused, easy-to-use format. Features individual, complete chapters for each of the following types of incontinence: stress, functional, reflex (neurogenic bladder), and overactive bladder (urge incontinence). Devotes separate chapters to Pathology & Management of Postprostatectomy Incontinence and Bowel and Bladder Management in Children to ensure comprehensive coverage of these topics. Offers life-span content to help clinicians provide appropriate care for patients in every stage of life. Includes self-assessment questions with answers and rationales for review and self-testing. Integrates multidisciplinary care throughout to highlight its importance in successful treatment. Features a new chapter on Pathology & Management of Postprostatectomy Incontinence that provides detailed information on this increasingly important aspect of incontinence. Includes content on the impact of spinal cord injury on bladder and bowel function. |
| biofeedback therapy for incontinence: Evidence-Based Physical Therapy for the Pelvic Floor - E-Book Kari Bø, Bary Berghmans, Siv Mørkved, Marijke Van Kampen, 2023-11-24 Written by leading experts in this field, Evidence-Based Physical Therapy for the Pelvic Floor provides physiotherapists and other professionals with knowledge and confidence to bring the latest evidence-based approaches and treatment strategies for addressing pelvic floor dysfunction to their practice. Fully updated and with a wealth of new information, this edition includes sections on devices and apps, gynaecological cancer, sexual dysfunction, fistula, clinical use of EMG, anal incontinence and pain, as well as a discussion of sexualized violence by Nobel Peace Prize winner Denis Mugwege and his team. - New and fully updated contents; new authors and new chapters provide contemporary evidence - Innovative practice guidelines supported by a sound evidence base - Colour illustrations of pelvic floor anatomy and related neuroanatomy/neurophysiology - MRIs and ultrasounds showing normal and dysfunctional pelvic floor - Key summaries for easy navigation - Full colour throughout |
| biofeedback therapy for incontinence: Fecal Incontinence Carlo Ratto, Giovanni B. Doglietto, 2007-06-08 Fecal incontinence is a common and embarrassing condition with a devastating impact on patients’ lives. Since it may result from a variety of pathophysiological situations, an accurate diagnostic work-up is crucial. A range of therapies is available, but choosing the correct option is pivotal to successful management. This book reviews the latest advances in the epidemiologic, socio-economic, psychological, diagnostic, and therapeutic aspects of fecal incontinence, helping to establish effective treatment guidelines. |
| biofeedback therapy for incontinence: Biofeedback Mark Schwartz, 2018-10-24 The six chapters in this volume form a timely introduction to biofeedback research. The six authors describe how objective electrophysiological data provides useful data for assessment and therapy for physical therapists, psychologists and other healthcare professionals and their clients. The first chapter, Biofeedback and neurofeedback in the treatment of migraine, is written by Ph.D. student Zivoder Ivana. The second chapter by Prof. Dumitrascu looks at pelvic floor rehabilitation and is titled Factors predicting failure in anorectal biofeedback. The third chapter by Dr Liao Da-Vin is titled Collaborative, social-networked posture training with posturing monitoring and biofeedback. It is a useful and timely description of the role of biofeedback to support rehabilitation therapy at home and describe how objective information of physiotherapy treatments could increase the quality of service and the consistency of treatment outcomes. The fourth chapter by Prof. Silva Hugo is titled Bridging the clinic-home divide in muscular rehabilitation. It also covers the role of biofeedback to support rehabilitation therapy at home. The fifth chapter is written by Ph.D. student Grin-Yatsenko Vera and is titled Effect of infra-low frequency neurofeedback on infra-slow-EEG-fluctuations. The sixth and final chapter in the volume, Control systems of bionic limbs of the new generation and control systems with EMG signals of VR and games, toys by M.A. Ivaniuk Natallia goes beyond the person and shows how biofeedback can be integrated in the behavior of a bionic hand. |
| biofeedback therapy for incontinence: Pelvic Pain Explained Stephanie A. Prendergast, Elizabeth H. Akincilar, 2017-11-28 Pelvic pain is more ubiquitous than most people think and yet many suffer in silence because they don't know there is help or they are too embarrassed to seek it. This book looks at the variety of problems that can lead to pelvic pain, and how to address the issues when they arise. |
Biofeedback: What It Is, Purpose, Procedure, Risks & Benefits
Oct 27, 2023 · Biofeedback is an alternative medicine approach that teaches you to change the way your body functions. It may improve your physical and/or mental health. Learn how taking …
Biofeedback - Mayo Clinic
Mar 26, 2025 · Biofeedback is a type of mind-body technique you use to control some of your body's functions, such as your heart rate, breathing patterns and muscle responses. During …
Biofeedback - Wikipedia
Biofeedback device for treating posttraumatic stress disorder. Biofeedback is the technique of gaining greater awareness of many physiological functions of one's own body by using …
Biofeedback - Harvard Health
Jun 24, 2023 · Biofeedback tries to teach you to control automatic body functions such as heart rate, muscle tension, breathing, perspiration, skin temperature, blood pressure, and even brain …
Biofeedback: Definition, Types, Techniques, Efficacy - Verywell Mind
May 9, 2023 · Biofeedback is a mind-body technique that involves using visual or auditory feedback to teach people to recognize the physical signs and symptoms of stress and anxiety, …
Biofeedback Therapy: Uses and Benefits - WebMD
Sep 21, 2024 · One technique can help you gain more control over these normally involuntary functions. It's called biofeedback, and the therapy is used to help prevent or treat conditions, …
Biofeedback Therapy: Types, Uses, and Benefits - Verywell Health
Jul 2, 2024 · Biofeedback therapy is a method that you can use to gain control over involuntary processes in your body. It is often used for pain control or relaxation, but you can use …
Biofeedback: Types, Purpose, and Risks - Healthline
Sep 26, 2024 · Biofeedback is a noninvasive therapy technique that aims to help you change certain health factors by learning to be mindful of how your body responds to stressors and …
Advancing Patient Care With Biofeedback - StatPearls - NCBI …
Jan 18, 2025 · Biofeedback is a technique that enhances sensory feedback, enabling individuals to consciously modify bodily functions typically considered involuntary. This technique is …
Biofeedback Therapy: What It Is, How It Works & Where to Find It
Apr 25, 2025 · Biofeedback therapy is a technique that helps you control your body’s functions by sending you messages through unique technologies. After receiving messages, you can …
Biofeedback: What It Is, Purpose, Procedure, Risks & Benefits
Oct 27, 2023 · Biofeedback is an alternative medicine approach that teaches you to change the way your body functions. It may …
Biofeedback - Mayo Clinic
Mar 26, 2025 · Biofeedback is a type of mind-body technique you use to control some of your body's functions, such as your heart …
Biofeedback - Wikipedia
Biofeedback device for treating posttraumatic stress disorder. Biofeedback is the technique of gaining greater awareness of many …
Biofeedback - Harvard Health
Jun 24, 2023 · Biofeedback tries to teach you to control automatic body functions such as heart rate, muscle tension, breathing, …
Biofeedback: Definition, Types, Techniques, Efficacy - Verywell Mi…
May 9, 2023 · Biofeedback is a mind-body technique that involves using visual or auditory feedback to teach people to …
