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  Česky / Czech version Rehab. fyz. Lék., 12, 2005, No. 3, p. 122-128.
 
„The Ostrava Concept" of Physiotherapy for the Treatment of Urinary Incontinence 
Krhut J.1, Holaňová R.2, Muroňová I.2 

1 Urologické oddělení FNsP Ostrava - Porubá, přednosta MUDr. K. Mainer, Ph.D. 2Klinika léčebné rehabilitace FNsP Ostrava - Porubá, přednosta MUDr. I. Chmelová
 


Summary:

       Urinary incontinence is one of the most frequent problems affecting mainiy women. There may be millions patients suffering from it world wide. Interest in this problém has been increasing among specialists as well as the generál public in the course of the last two decades. The most frequent types of incontinence seen in generál practice are stress incontinence and overactive bladder, inciuding urgency of micturition and urge incontinence. Physiotherapy played a neglieable role in the treatment of incontinence in the past, and was indicated only for stress incontinence. In this páper a new concept of both diagnosis and therapy is presented, inciuding physiotherapy and the authors' personál concept in which physiotherapy plays a key role in treating both stress incontinence and bladder hyperactivity. Owing to standaidised diagnostic and therapeutic procedures the effectivity of our method can be tested according to the principles of evidence based medicine.

        Key words: stress incontinence, overactive bladder, physiotherapy, pelvic floor muscles, vading diary, behavioral therapy
       

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