Ateneo - UPO

Rehabilitation of pelvic floor dysfunctions in adults and children: assessment, physiotherapy techniques, instrumental and behavioral therapy.

- A. Bortolami. Riabilitazione del pavimento pelvico. ed. Masson
- D. Giraudo G. Lamberti. Incontinenza urinaria femminile; edi-ermes
- D. Giraudo G. Lamberti; Incontinenza urinaria maschile; edi-ermes
- Blandine Calais-Germain ; Il perineo femminile. Elementi di anatomia e applicazioni pratiche; ed. Epsilon
- Bernadette de Gasquet;Addominali. Fermiamo il massacro!; edi-ermes
- Bernadette de Gasquet;Perineo. Fermiamo il massacro!; edi-ermes
- AAVV - Evidence-Based Physical Therapy for the Pelvic Floor. Bridging Science and Clinical Practice. 2nd ed. Churchill Livingstone. 2015
- Abrams et al. Incontinence. 6th edition. ICS ICUD. 2017

At the end of the course, students must be able to identify treatment objectives, define a rehabilitation plan and choose the most suitable tools.

Basics of anatomy, physiology and pathology

Lectures, PowerPoint presentations, group-based exercises, use of an anatomical model

classroom and gym lessons

Final written test with multiple choice questions

Pelviperineal Dysfunctions Rehabilitation:
Pelviperineal dysfunctions in adults may be of a urogynecological nature (female and male UI, overactive bladder, urinary retention, pelvic floor statics alterations), coloproctological nature (constipation, fecal incontinence), neurological nature (multiple sclerosis, Parkinson's disease, cauda lesion), or of painful type.
The most common dysfunctions in childhood are enuresis, giggle incontinence, fecal incontinence and soiling, and obstinate constipation. They can be functional in nature or result from rare congenital diseases.
- Assessment: history taking, assessment scales, patient observation and palpation, specific tests, diaries. Illustration of the AIPDA factsheet.
- Definition of objectives and selection of tools based on international guidelines
- Main rehabilitation tools and techniques and their evidence of effectiveness (behavioral therapy and lifestyle modifications, therapeutic exercise, instrumental therapies, vaginal and anal dilators, vaginal balls and cones, continence devices)

The student will acquire:
- awareness of the pelvic floor and its functional relationships (particularly pressure-related) with the diaphragm, abdomen, and pelvis
- knowledge of the main pelvic-perineal dysfunctions and the principles of rehabilitation treatment