Patients that are being treated for neurologic dysfunction have a variety of therapy services offered to them. However, many physicians and therapists overlook bowel and bladder concerns for these patients as an untreatable side effect. However there are a variety of behavioural and pelvic floor interventions that can be applied to this patient population. This course will present the common bowel/bladder and sexual side effects that patients can experience with diagnoses of stroke, Multiple Sclerosis, ALS, Spinal cord injury and Parkinson’s Disease. Medical treatments of bowel and bladder dysfunction in the neurogenic population will be delineated. The course will then explore behavioural interventions that therapists and caregivers can apply in order to be able to alleviate some of the quality of life impact that these dysfunctions can have. Therapists will learn pelvic floor techniques both manual and exercise based that can help to improve bowel and bladder functioning in these patients. Finally, sexual dysfunction in this patient population will also be explored. Therapists will learn some of the common fertility concerns in patients with neurologic dysfunction and the treatment options available. Low sexual functioning will also be discussed as well as the pelvic floor physical therapy treatments available. Participants will leave the course with treatment plans and therapeutic techniques to improve quality of life for these patients.
- Participants will learn the side effects that neurologic insults or disease processes have on bowel and bladder dysfunction. Diagnoses will include CVA, Multiple Sclerosis, ALS, spinal cord injury and Parkinson’s disease
- Participants will learn common non invasive behavioural techniques for bowel and bladder dysfunction for patients with neurologic issues.
- Participants will be able to perform pelvic floor physiotherapy techniques in order to improve pelvic floor functioning in patients with neurologic dysfunction
This course is open to physiotherapists, naturopathic doctors, registered nurses and medical doctors. Labs include internal palpation.
Level I (or equivalent to be approved).
Registration begins on the first day 15 minutes prior to the start time.
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Urinary incontinence after stroke: does rehabilitation make a difference? A systematic review of the effectiveness of behavioral therapy. Dumoulin C, Korner-Bitensky N, Tannenbaum C. Top Stroke Rehabil. 2005
Neurogenic colorectal and pelvic floor dysfunction.Krogh K, Christensen P. Best Pract Res Clin Gastroenterol. 2009;
Behavioral therapy to treat urinary incontinence in Parkinson disease. Vaughan CP, Juncos JL, Burgio KL, Goode PS, Wolf RA, Johnson TM 2nd. Neurology. 2011 May 10;76(19):1631-4.
Pelvic floor muscle training in spinal cord injury and its impact on neurogenic detrusor over-activity and incontinence. Vásquez N, Knight SL, Susser J, Gall A, Ellaway PH, Craggs MD. Spinal Cord. 2015 Dec;53(12):887-9.
The effect of pelvic floor muscle training alone or in combination with electrostimulation in the treatment of sexual dysfunction in women with multiple sclerosis. Lúcio AC, D’Ancona CA, Lopes MH, Perissinotto MC, Damasceno BP. Mult Scler. 2014 Nov;20(13):1761-8