ANPT – Academy for Neurologic Physical Therapy Podcast Stroke SIG: Pelvic Health across the Continuum of Care for Patients with Neurologic Conditions: Episode 24
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Apr 11, 2024 Join experts Ariana Jones and Gillian McLean as they discuss pelvic health therapy for neurologic patients post-stroke. Learn about pelvic floor anatomy, bladder function, and management of bowel/bladder issues. Discover the importance of collaboration between neurologic and pelvic health physical therapists and strategies for building trust and education with stroke patients.
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Urination Needs Multi-Level CNS Coordination
- Micturition requires coordinated sacral, pontine, and cortical control that allows social timing and voluntary suppression.
- Stroke can disrupt any level, producing urgency, retention, or loss of social control depending on lesion site.
Address Mobility, Hydration And Meds First
- After stroke expect urinary incontinence (44–69%) and constipation from reduced mobility, hydration, meds, and diet.
- Address mobility, fluids, fiber, and medication side effects as first-line interventions to improve bowel and bladder.
Use A Five-Question Pelvic Screen
- Use a five-question pelvic floor screen: urinary incontinence, ability to delay, constipation, fecal incontinence, pelvic/abdominal pain.
- Refer for pelvic PT if any answer is concerning or if delay ability is very short.