Publication:
Successful outcome following a multimodal pelvic rehabilitation program in a woman with neurogenic bladder and bowel dysfunction: a case report

dc.contributor.departmentKUH (Koç University Hospital)
dc.contributor.departmentSchool of Medicine
dc.contributor.kuauthorAlbayrak, Havvanur
dc.contributor.kuauthorAtlı, Ecenur
dc.contributor.kuauthorAydın, Serdar
dc.contributor.kuauthorTaşkıran, Özden Özyemişçi
dc.contributor.schoolcollegeinstituteKUH (KOÇ UNIVERSITY HOSPITAL)
dc.contributor.schoolcollegeinstituteSCHOOL OF MEDICINE
dc.date.accessioned2024-11-09T23:49:33Z
dc.date.issued2022
dc.description.abstractBackground Neurogenic bladder and bowel dysfunctions lead to physical, social, and emotional disability and affects one's quality of life. Initial treatment is conservative including several rehabilitation techniques such as pelvic floor muscle training, biofeedback, electrical stimulation, and posterior tibial nerve stimulation. Objective In this case report, a 45-year-old woman with neurogenic bladder and bowel dysfunction was presented. Case Description Her urinary and fecal incontinence symptoms began twenty years before this episode of care, after an incomplete spinal cord injury secondary to spinal ependymoma and syringomyelia. She discontinued medical treatments due to side effects and ceased intermittent catheterization. A multimodal pelvic rehabilitation program was administered consisting of posterior tibial nerve stimulation, active pelvic floor muscle training accompanied by biofeedback, and electrical stimulation of pelvic floor muscles. Outcomes There were clinically important favorable differences in the scores of King's health questionnaire (reductions in symptom severity from 25 to 18 and in each of the impact of incontinence, physical and social limitations, personal relationships, sleep/energy, and severity measures from 100 to 67), pelvic floor distress inventory (decreased from 257 to 146) and female sexual function index (increased from 15.1 to 25.1) after 12 weeks of a multimodal pelvic rehabilitation program. Manual muscle tests demonstrated improvements in pelvic floor muscle strength and endurance. Conclusion A 12-week multimodal pelvic rehabilitation program reduced urinary and fecal incontinence symptoms, together with improvements in her sexual life and alleviation of neuropathic pain.
dc.description.indexedbyWOS
dc.description.indexedbyScopus
dc.description.indexedbyPubMed
dc.description.openaccessNO
dc.description.publisherscopeInternational
dc.description.sponsoredbyTubitakEuN/A
dc.identifier.doi10.1080/09593985.2022.2144561
dc.identifier.eissn1532-5040
dc.identifier.issn0959-3985
dc.identifier.scopus2-s2.0-85142145495
dc.identifier.urihttps://doi.org/10.1080/09593985.2022.2144561
dc.identifier.urihttps://hdl.handle.net/20.500.14288/14372
dc.identifier.wos882899000001
dc.keywordsUrinary incontinence
dc.keywordsFecal incontinence
dc.keywordsSyringomyelia
dc.keywordsTibial nerve
dc.keywordsPelvic floor
dc.language.isoeng
dc.publisherTaylor & Francis Inc
dc.relation.ispartofPhysiotherapy Theory and Practice
dc.subjectRehabilitation
dc.titleSuccessful outcome following a multimodal pelvic rehabilitation program in a woman with neurogenic bladder and bowel dysfunction: a case report
dc.typeJournal Article
dspace.entity.typePublication
local.contributor.kuauthorAlbayrak, Havvanur
local.contributor.kuauthorTaşkıran, Özden Özyemişçi
local.contributor.kuauthorAtlı, Ecenur
local.contributor.kuauthorAydın, Serdar
local.publication.orgunit1SCHOOL OF MEDICINE
local.publication.orgunit1KUH (KOÇ UNIVERSITY HOSPITAL)
local.publication.orgunit2KUH (Koç University Hospital)
local.publication.orgunit2School of Medicine
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