Incontinence - Updates in Physical Therapy Practice

PT, PTA – this podcast may help you meet your continuing education requirements. Access Relias Academy to review course certificate information.   

Do you think of incontinence treatment as part of a specialty practice? Do you avoid asking about or addressing incontinence? In this episode, pelvic health experts Laura Keyser, DPT, MPH and Jessica L. McKinney, PT, DScPT, MS shed light on how generalist therapists can screen and initiate treatment for incontinence and then refer to a pelvic health specialist when necessary.

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(01:49) Key Takeaways From Today’s Discussion 
(02:45) What Are Pelvic Floor Disorders?
(04:53) Three Primary Subtypes of UI 
(08:40) Risk Factors for UI 
(11:19) Screening 
(16:39) Stepwise Approach to Care 
(21:49) Pelvic Floor Muscle Exercise: What Not to Do 
(23:32) The Therapist’s Role: Practical Application 
(34:29) Clinical Examples 
(40:03) Teaching Pelvic Floor Muscle Exercises 
(48:38) The Role of Digital Health 
(51:20) Does Evidence Support Using Vaginal Weights? 
(53:26) Does Advanced Age Matter? Addressing Self-Ageism 
(55:05) Research Regarding Intravaginal Estrogen 
(57:00) Conclusion 

The content for this course was created by Laura Keyser, DPT, MPH.

The content for this course was created by Jessica L. McKinney, PT, DScPT, MS.

The content for this course was created by Wendy Phillips, PT, BSPT.

Here is how Relias can help you earn continuing education credits: 

Access your Relias Library offered by your employer to see course certificate information and exam;  
or  
Access the continuing education library for clinicians at Relias Academy. Review the course certificate information, and if eligible, you can purchase the course to access the course exam and receive your certificate. 

Learn more about Relias at www.relias.com.   

_{Legal Disclaimer: The content of Stretch: Relias Rehab Therapy Education is provided only for educational and training purposes for healthcare professionals. The educational material provided in this podcast should not be used as medical advice to treat any medical condition in either yourself or others.} 

Resources 

See additional Relias courses on incontinence assessment and treatment.

3IQ – Incontinence Questionnaire: https://www.racgp.org.au/getattachment/1bd242ff-e656-4fa3-8b36-b51f7cc57706/Appendix-13A.pdf.aspx

Female UI Evidence-Based Treatment Pathway: An Infographic for Shared Decision Making: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8972010/

Implementing Physical Rehabilitation Services into Comprehensive Fistula and Maternity Care: A Training Guide for Health Workers: https://www.themamas.world/training-guide

Well Woman Care: https://womenshealthalliance.com/well-woman-care-exam/