| Physiotherapy for stress urinary incontinence: a national survey. | |
| | |
MedLine Citation:
|
PMID: 1888358 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
OBJECTIVE: To study the physiotherapeutic treatment of urinary stress incontinence in England. DESIGN: Postal questionnaire survey. SETTING: All 192 English district health authorities. SUBJECTS: One physiotherapist from each district who was primarily concerned with urinary incontinence. A consensus view was requested. MAIN OUTCOME MEASURES: Responses to questionnaire and analysis of a visual analogue scale to indicate effectiveness. RESULTS: There was a 98% response rate. Treatment was often by senior physiotherapists (108 senior I grade or above) who, in 117 districts, claimed to have made a specialty of treating the condition. Gynaecologists and obstetricians were far more likely to refer patients than any other agency (147 respondents said that they were the commonest source of referral). One hundred and fifty four respondents stated that physiotherapy was usually used as the first line of treatment. Pelvic floor exercises and interferential treatment were most commonly used (by 178 and 144 respondents respectively) and thought to be the most effective, especially in combination, though various techniques were used in applying them. Positive motivation (108), recent onset of symptoms (55), and youth (40) were viewed optimistically, and obesity (60), previous surgery (59), prolapse (42), and a chronic cough (36) were considered to be bad prognostic features. The number of patients treated varied greatly (range 10-360) between districts and was poorly correlated with catchment size (correlation coefficient 0.3). CONCLUSIONS: As physiotherapists are treating considerable numbers of patients with stress incontinence research is urgently needed to produce efficacy data to enable rationalisation of resources to cater for the whole population. |
| | |
Authors:
|
J Mantle; E Versi |
Related Documents
:
|
63298 - Urinary excretion of total protein, albumin and beta2-microglobulin during exercise in ... 21357578 - Knee arthroscopy and exercise versus exercise only for chronic patellofemoral pain synd... 21387078 - What provokes experienced copd clinical practitioners in the uk to initiate or change m... 2918948 - Studies of a glomerular permeability factor in patients with minimal-change nephrotic s... 1757308 - Dynamic response of the peripheral chemoreflex loop to changes in end-tidal o2. 20820128 - Energy cost and cardiovascular response to upper and lower limb rhythmic exercise with ... |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: BMJ (Clinical research ed.) Volume: 302 ISSN: 0959-8138 ISO Abbreviation: BMJ Publication Date: 1991 Mar |
Date Detail:
|
Created Date: 1991-06-05 Completed Date: 1991-06-05 Revised Date: 2010-03-24 |
Medline Journal Info:
|
Nlm Unique ID: 8900488 Medline TA: BMJ Country: ENGLAND |
Other Details:
|
Languages: eng Pagination: 753-5 Citation Subset: AIM; IM |
Affiliation:
|
Physiotherapy Division, Polytechnic of East London. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Exercise Therapy Female Humans Personnel Staffing and Scheduling Physical Therapy Modalities / methods*, statistics & numerical data Prognosis Questionnaires Referral and Consultation Urinary Incontinence, Stress / rehabilitation* |
| Comments/Corrections | |
Comment In:
|
BMJ. 1991 May 18;302(6786):1208
[PMID:
2043829
]
|
Erratum In:
|
BMJ 1991 Aug 24;303(6800):440 |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: The way forward.
Next Document: Cancer of the breast: a study of 1520 consecutive patients operated on between 1960 and 1980.