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Health Promotion > Incontinence > Flashcards

Incontinence Flashcards

1
Q

___% of women decrease activity due to incontinence

A

90%

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2
Q

Urinary incontinence is significantly associated with ____, especially in adults over the age 65

A

falls

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3
Q

Across all genders, prevalence of urinary incontinence doubles the risk of experiencing _____.

A

LBP

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4
Q

What percent of elite athletes report of UI?

A

females: 45.1%
males: 14.7%

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5
Q

What are the functions of the pelvic floor?

A

sphincteric
supportive
sexual
stability
sump pump
postural control
breathing

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6
Q

What is the primary stabilizer of the SIJ?

A

Pelvic floor

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7
Q

What is the antagonist of the pelvic floor muscles?

A

intra-abdominal pressure

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8
Q

What muscle group are the pelvic floor muscles included in?

A

spinal stabilizers

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9
Q

Pelvic floor muscles work in conjunction with the ___ in a piston function

A

diaphragm

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10
Q

What muscle often compensates for weak gluteus medius?

A

obturator internus

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11
Q

As the diaphragm rises, the pelvic floor (rises/falls).

A

rises

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12
Q

When does the stretch reflex occur in the bladder?

A

When the bladder reaches 50% capacity and the detrusor muscle has a slight contraction

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13
Q

What inhibits the detrusor muscle and causes urgency to urinate?

A

pelvic floor muscle contraction

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14
Q

Contractions of the detrusor muscle can occur for up to ___ hour(s) after initial contraction

A

1 hour

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15
Q

A person should have __-__ voids/day

A

5-8 voids (every 3-4 hours)

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16
Q

Those over 65 y/o should have ___ void(s) after bedtime during the night

A

1 void

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17
Q

Those under 65 should have ___ void(s) after bedtime during the night

A

0 voids

18
Q

What is the normal bladder capacity?

A

400-600 mL

19
Q

(true/false) you should perform pelvic floor contractions routinely while urinating.

A

false (you should not)

20
Q

definition: intravesical pressure exceeds maximal urethral pressure due to an increase in Intra-abdominal pressure in absence of detrusor contraction

A

stress urinary incontinence

21
Q

When does stress urinary incontinence occur?

A

During physical exertion (involuntary loss) and/or with cough/sneeze/laughing

22
Q

definition: urinary pressure exceeds maximal urethral pressure due to detrusor muscle contraction

A

urge urinary incontinence

23
Q

When does urge urinary incontinence occur?

A

When you don’t want it to…. involuntary loss occurs with strong desire to urinate with a few seconds/minute warning

24
Q

Pressure inside the bladder (intravesical pressure) is (>/<) maximal urethral pressure

A

>

25
Q

definition: UI that is a combination of stress urinary incontinence and urge urinary incontinence

A

mixed UI

26
Q

definition: UI as a result of maximal bladder distention that requires medical management

A

overflow UI

27
Q

What type of UI is pelvic floor strengthening not indicated?

A

overflow UI due to a neurologic cause

28
Q

definition: UI due to mobility, dexterity, and cognitive impairment

A

functional UI

29
Q

definition: UI following surgery or medication change(s)

A

latrogenic UI

30
Q

The internal urethral sphincter is always on due to _____.

A

autonomic control

31
Q

definition: removal of the prostate

A

prostectomy

32
Q

(true/false) Pelvic floor muscle strength has been shown to be correlated with FAILED induction of labor

A

true

33
Q

Female athletes experiencing UI have (smaller/larger) pelvic floor muscles and (lesser/greater) pelvic floor muscle strength

A

larger, greater

34
Q

What are signs of decreased tone?

A
  • most urinary and fecal incontinence
  • pelvic organ prolapse
  • SIJ pain
  • weak pelvic floor contraction
  • patients who need a spinal stab
35
Q

What are signs of increased tone?

A
  • difficulty starting to urinate and/or fully empty the bladder
  • difficulty passing bowel movements
  • pain/challenge with sexual functions
  • orthopedic pain conditions
  • poor ability to lengthen pelvic floor muscles
36
Q

What are the red flags of urinary incontinence?

A
  • urine loss without sensory awareness
  • frequent UTI/kidney infections
  • abdominal/pelvic pain
  • sudden change in symptoms w/o an identified cause
  • bloody urine
37
Q

(True/false) change in hip extensor muscle strength is an independent predictor of continence status.

A

true

38
Q

(true/false) decreased pad usage, pelvic pain, increased PFM strength was present in patients who primarily received relaxation training.

A

true

39
Q

(true/false) There was a significant difference found in PFM training with vs. without surface EMG feedback

A

false (there was not)

40
Q

Bladder training is best if used with ______ to determine bladder patterns.

A

voiding log

41
Q

What are bladder irritants?

A
  • citrus
  • caffeine
  • carbonation
  • cocktails
  • chocolate

Health Promotion (7 decks)

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