Incontinence

Question 1

___% of women decrease activity due to incontinence

Answer 1

90%

Question 2

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

Answer 2

falls

Question 3

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

Answer 3

LBP

Question 4

What percent of elite athletes report of UI?

Answer 4

females: 45.1%
males: 14.7%

Question 5

What are the functions of the pelvic floor?

Answer 5

sphincteric
supportive
sexual
stability
sump pump
postural control
breathing

Question 6

What is the primary stabilizer of the SIJ?

Answer 6

Pelvic floor

Question 7

What is the antagonist of the pelvic floor muscles?

Answer 7

intra-abdominal pressure

Question 8

What muscle group are the pelvic floor muscles included in?

Answer 8

spinal stabilizers

Question 9

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

Answer 9

diaphragm

Question 10

What muscle often compensates for weak gluteus medius?

Answer 10

obturator internus

Question 11

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

Answer 11

rises

Question 12

When does the stretch reflex occur in the bladder?

Answer 12

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

Question 13

What inhibits the detrusor muscle and causes urgency to urinate?

Answer 13

pelvic floor muscle contraction

Question 14

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

Answer 14

1 hour

Question 15

A person should have __-__ voids/day

Answer 15

5-8 voids (every 3-4 hours)

Question 16

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

Answer 16

1 void

Question 17

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

Answer 17

0 voids

Question 18

What is the normal bladder capacity?

Answer 18

400-600 mL

Question 19

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

Answer 19

false (you should not)

Question 20

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

Answer 20

stress urinary incontinence

Question 21

When does stress urinary incontinence occur?

Answer 21

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

Question 22

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

Answer 22

urge urinary incontinence

Question 23

When does urge urinary incontinence occur?

Answer 23

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

Question 24

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

Answer 24

>

Question 25

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

Answer 25

mixed UI

Question 26

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

Answer 26

overflow UI

Question 27

What type of UI is pelvic floor strengthening not indicated?

Answer 27

overflow UI due to a neurologic cause

Question 28

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

Answer 28

functional UI

Question 29

definition: UI following surgery or medication change(s)

Answer 29

latrogenic UI

Question 30

The internal urethral sphincter is always on due to _____.

Answer 30

autonomic control

Question 31

definition: removal of the prostate

Answer 31

prostectomy

Question 32

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

Answer 32

true

Question 33

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

Answer 33

larger, greater

Question 34

What are signs of decreased tone?

Answer 34

- most urinary and fecal incontinence - pelvic organ prolapse - SIJ pain - weak pelvic floor contraction - patients who need a spinal stab

Question 35

What are signs of increased tone?

Answer 35

- 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

Question 36

What are the red flags of urinary incontinence?

Answer 36

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

Question 37

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

Answer 37

true

Question 38

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

Answer 38

true

Question 39

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

Answer 39

false (there was not)

Question 40

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

Answer 40

voiding log

Question 41

What are bladder irritants?

Answer 41

- citrus - caffeine - carbonation - cocktails - chocolate