Physiotherapeutic aspects of urine incontinence

Women suffering from urinary incontinence often lose proper control of their abdominal and pelvic floor muscles. A comprehensive program for differential diagnosis and therapy was therefore devised and tested. Briefing of patients on functional anatomy, application of a pulsating electric current, and exercises in respiration and mobility for the activation of pelvic floor muscles are major therapy elements. Groups of up to 30 start off by exchanging experiences of complaints, followed by exercises coached by an experienced physiotherapist. Beginners and advanced patients are grouped together and separated only for electrotherapy. Some 4-6 weeks are required for treatment (four sessions weekly and 2 hours of attendance daily). Continence was restored by such treatment in 23 of 82 patients (28%), and 38 (46%) improved greatly. Best results were obtained from I. - II. cases. Integration of physiotherapy with multistep therapy for urinary incontinence is described.