Targeted Physical Therapy Interventions for Urinary Incontinence: Enhancing Quality of Life and Preventing Recurrence in Men and Women

Laljibhai Makwana MS, DPT

doi:10.36948/ijfmr.2023.v05i05.23447

Targeted Physical Therapy Interventions for Urinary Incontinence: Enhancing Quality of Life and Preventing Recurrence in Men and Women

Author(s)	Laljibhai Makwana MS, DPT
Country	United States
Abstract	Urinary Incontinence (UI) is a widespread condition seen in men and women with physical, psychological and social consequences. A condition characterized by involuntary loss of urine due to pelvic floor muscle dysfunction, bladder overactivity or a combination of causes. It also affects quality of life and puts affected children at risk for anxiety, depression and social withdrawal. However, physical therapy has gained a reputation as a highly effective noninvasive treatment route for UI. Remarkable success in reducing episodes of UI and improving bladder control has been shown with targeted interventions, including pelvic floor muscle training (PFMT), bladder retraining and electrical stimulation. Kegel exercises such as pelvic floor muscle training strengthen the pelvic floor so it can support the bladder and urethra the way it should. Bladder retraining involves improving voiding habits and reducing urgency and electrical stimulation is used to activate underused pelvic floor muscles and inhibit overactive bladder activity. There is a significant consideration of gender specifics, such as postpartum and post-prostatectomy needs requiring tailored therapy. Using biofeedback and wearable devices, treatment outcomes are being improved by delivering real time feedback and encouraging adherence to therapy. Additionally, virtual platforms and telerehabilitation also enhance accessibility by functioning as guided exercises and educational resources. The evidence supports the considerable benefits of physical therapy for reducing UI recurrence and improving quality of life, and the need for structured and personalized approaches. The mechanisms, interventions, and outcomes of targeted physical therapy for UI are reviewed here, with a special reference to its use to prevent recurrence and restore confidence in activities of daily living. Focusing in part on addressing barriers to care and incorporating innovative technologies will further improve outcomes for all individuals.
Keywords	Urinary Incontinence, pelvic floor muscle training, bladder retraining, physical therapy, electrical stimulation, quality of life, recurrence prevention
Field	Engineering
Published In	Volume 5, Issue 5, September-October 2023
Published On	2023-09-07
DOI	https://doi.org/10.36948/ijfmr.2023.v05i05.23447
Short DOI	https://doi.org/g82h4f

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Targeted Physical Therapy Interventions for Urinary Incontinence: Enhancing Quality of Life and Preventing Recurrence in Men and Women

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