Chapters include coverage of the management and treatment of bladder and bowel dysfunctions in men and women, pelvic organ prolapse; issues concerning the elderly, neurologically impaired patients and those with pelvic pain. Allied updated chapters are presented on research methodology, the importance of fluids and infection control. Other new chapters are concerned with quality of life, the treatment of bladder and bowel dysfunction in children, the history of pelvic floor muscle exercise and manual therapy. In addition, the use of real-time ultrasound to evaluate pelvic floor muscle contractility, exercise balls to promote coordination of trunk stabilisers and the pelvic floor muscles, and the role of the Occupational Therapist in the continence service are discussed. Finally, a new section on ethical issues regarding the management of incontinence completes this well-illustrated text.
This book will be of interest to physiotherapists and nurses working in the continence field, and to all health professionals who wish to gain a better insight into the conservative management of pelvic floor muscle disorders. It will enable the reader to question their present practice and will help in encouraging further research.
Table of contents
I. Urinary incontinence in adults, and children with bladder and bowel disorders: Prevalence.- Anatomy.- Epidemiology.- Physiotherapy for children.- Ageing lower urinary tract.- Neurologically impaired patients.- Patient assessment.- Quality of life.- Investigations.- Urinalysis.-
II. Treatment of urinary incontinence: Historical perspective.- Pelvic floor muscle exercise.- Manual therapy.- Pelvic floor stability and trunk muscle co-activation.- Biofeedback.- Ultrasound.- Exercise balls.- Electrical stimulation.- Bladder training.- Voiding.- Fluids.- Pregnancy.- Childbirth and anal incontinence.- Menopause.- Women and exercise.- Male patient.- Occupational therapist.- Catheter care.- Surgery.-
III. Colorectal disorders: Drugs.- Anatomy.- Fecal incontinence.- Constipation.- Abdominal massage.- Laxatives.-
IV. Pelvic pain: Prevalence, definitions and etiology.- Assessment and treatment.-
V. Pelvic organ prolapse: Background.- Evaluation.- Treatment and prevention.-
VI. Professional issues: Ethical principles.- Research trials .- Infection control issues.- UK government guidelines.