4: Intervention Flashcards
What two lifestyle changes can improve urinary incontinence symptoms?
- 5% weight loss if overweight
- Caffeine reduction
What three interventions are recommended for incontinence?
- Lifestyle changes
- Pelvic floor muscle training
- Behavioral or bladder training
What incontinence category will likely not benefit from behavioral training?
SUI
What are modifiable lifestyle factors for incontinence?
Waist circumference, physical conditioning, smoking, constipation
What are dietary factors that can help with incontinence?
Fluid intake, healthy diet
What specific diet additions can decrease the risk of OAB?
Vitamin D, potassium, protein
In what two ways should you train the pelvic floor?
Both endurance and power
How often should you power train the pelvic floor?
4-6 days per week
How often should you do endurance training for the pelvic floor?
2-3 days/week
What are the recommended parameters for endurance training?
1-2 sets of 15-20 reps at <50% of 1RM
What are the recommended parameters for power training?
1-3 sets of 8-12 reps of 20-50% 1RM with 2-3 minutes rest between sets
What are the recommended parameters for strength training?
8-12 reps for 1-3 sets.
Novice: 40-50% 1RM
Intermediate: 60-70%
Experienced: >80%
What is the progression for patient position for PFM training?
Supine, sitting, standing, squatting
Describe a bladder training protocol
Start just above baseline frequency and increase time by 15-30 minutes per week
When is PFMT most effective for men?
Post-op