Stress Urinary Incontinence Beyond the Pelvic Floor

Physical therapists and physical therapist assistants who see women with pelvic floor symptoms, hip pain, or sacral pain, and who want a plain-language account of how one clinical team layered pelvic floor, musculoskeletal, and blood flow restriction interventions in a case of stress urinary incontinence.

Physical therapists and physical therapist assistants in outpatient orthopaedic, sports, and pelvic health settings. Physical therapist assistants work under the direction of the supervising physical therapist, who performs the examination and sets the plan of care.

Intended audience

Physical Therapy

Level

Introductory

Delivery format

Online, asynchronous, self-paced course: interactive reading with audio or video, and a scored post-test.

Based on

This course reports on a single published case report and does not add findings from any other source.

Gentile J, Enriquez C, Sentowski T, Lee JJ. A Multimodal Rehabilitation Approach to Stress Urinary Incontinence: A Case Report. JOSPT Cases. Advance publication.

The case describes one patient treated over 26 physical therapy sessions of 60 minutes each across 6 months. Every number reported in this course comes from that case report. Because a case report follows one person, it can describe what happened in that course of care but cannot establish that a treatment caused the change or that other patients would respond the same way.

A note on scope

The authors state that no institutional ethics review board was consulted, as the work involved standard patient care, and that the patient granted permission for her case to be reported. The case was not part of a public trial, and no financial support was received.

After completing this course, you will be able to:

1. Describe the patient, the presenting symptoms, and the history reported in this case of stress urinary incontinence.
2. Name the body regions outside the pelvic floor that the clinicians examined and treated, and explain the rationale the authors gave for including them.
3. State what the authors reported at discharge and what limits they placed on their conclusions, including their comments on blood flow restriction.

1. Start Here: How This Course Works
2. Podcast: One Case, Many Regions (about nine minutes)
3. A 54-Year-Old Hiker with Leaking, Hip Pain, and Sacral Pain
4. How the Pelvic Floor, Hip, and Thorax Were Examined
5. The Three-Stage Plan of Care and the Blood Flow Restriction Protocol
6. What Changed by Discharge
7. Limits of a Single Case and What the Authors Concluded
8. Key Takeaways
9. Post-Test and Course Evaluation

Quinn Millington, PT, DPT, ECS is the instructor of record: the licensed clinician who reviewed this course and signed off on it. The name and credentials print on the certificate.

Disclosures. This course was developed by The ConEd Solution, which has a financial interest in its sale. No outside funding or sponsorship was received. The instructor of record has no affiliation with the authors of the source publication or their institutions.

This course awards 0.5 contact hours (30 min). How you earn them:

1. Complete the course. Every lesson, in order.
2. Pass the post-test. Score 80% or higher. Retakes are allowed.
3. Complete the evaluation. A short form rating each learning objective and the course.
4. Download your certificate. It is issued on completion and stays available in My Account.

The episode time is its measured length. Reading, post-test and evaluation times are estimates.

This course is designed to satisfy the quality requirements state boards set for continuing education. Requirements vary by state, and confirming that a course fits your renewal is up to you. Each state’s own acceptance statement is in the credit panel on this page.

1. What this course is based on
2. This course reports on a single published case report and does not add findings from any other source.
3. Gentile J, Enriquez C, Sentowski T, Lee JJ. A Multimodal Rehabilitation Approach to Stress Urinary Incontinence: A Case Report. JOSPT Cases. Advance publication.
4. The case describes one patient treated over 26 physical therapy sessions of 60 minutes each across 6 months. Every number reported in this course comes from that case report. Because a case report follows one person, it can describe what happened in that course of care but cannot establish that a treatment caused the change or that other patients would respond the same way.
5. A note on scope
6. The authors state that no institutional ethics review board was consulted, as the work involved standard patient care, and that the patient granted permission for her case to be reported. The case was not part of a public trial, and no financial support was received.