Urinary Incontinence Post Stroke
Understanding the Neurogenic Bladder
A stroke can dramatically impact an individual in many ways. 15% of stroke survivors after a year have incontinence, statistically supported by the Stroke Association. Urinary incontinence is a major quality of life issue, affecting the ability to control the flow of urine without experiencing leakage while participating in social activities.
After initial stroke recovery, one may experience a neurogenic bladder. A neurogenic bladder is described as the loss of voluntary urinary control due to a central or peripheral nervous system disorder; resulting in an over-active or under-active bladder.
Neurogenic Bladder symptoms
Urinary Incontinence with the feelings of constant wetness or incomplete emptying
Urgency without the ability to void urine
Slow stream or flow of urine
Requiring manual compression above bladder to void
Increased pressure above pelvis or discomfort without the ability to void urine
Understanding the neuromuscular implications after a stroke can heavily influence the symptoms through pelvic floor rehabilitation. Addressing the motor and sensory components through skilled interventions and treatments can lead to improved life satisfaction, decrease episodes of leaking, and decrease use of self-cathertization.
Neurogenic bladder treatment approaches would consist of:
Facilitation or Inhibition techniques that assist with bladder control
Myofascial release and connective tissue treatments
Identifying voiding patterns by keeping a “bladder diary”
Receiving pelvic floor physical therapy after a stroke can assist in minimizing incontinent symptoms, and re-establishing one’s self into the community without fear of leaking or bladder discomfort. Let our expert Doctors of Physical Therapy at Sarton support your rehabilitation journey back into wellness
Please contact Sarton Physical Therapy with any questions or to have your patients schedule an appointment.