The Role of Behavioral Training to Treat Urinary Incontinence in Geriatric Women
Parker-Autry C1, Neiberg R2, Leng I2, Kritchevsky S3
1. Wake Forest School of Medicine, 2. Biostatistical Sciences, Wake Forest School of Medicine, 3. Gerontology and Geriatric Medicine, Wake Forest School of Medicine
KEYWORDS: Conservative Treatment, Female, Gerontology
Growing evidence supports that physical functional limitations can be a cause and consequence of urinary incontinence (UI) in aging adults.[1, 2] We have previously shown among older women without baseline UI, that with aging and onset of UI symptoms, there was greater risk of concomitant development of physical function impairments (PFI).[3] Urinary incontinence and physical function impairment (PFI) are inter-related geriatric conditions that result, in part, from skeletal muscle dysfunction with aging. Given the crux of non-surgical treatment of UI combines pelvic floor muscle (PFM) training with behavioral management strategies. We hypothesized that the concomitant presence of UI and physical function impairment may impair the efficacy of pelvic floor muscle training.
