The aim of this module is to know the basic aspects of the evaluation and treatment of the main affections of the pelvic floor.
The lessons are carried out in the first semester of the third year, the teaching is made of frontal lessons with slides projection.
Disciplinary module: REHABILITATION UROGYNAECOLOGICAL AND URINARY INCONTINENCE
Outline of anatomy and physiology of the pelvic floor and lower tract, physiology and innervation of urination
Definition of continence and incontinence. Classification, aetiology and quality of life
Physical examination urogynaecological (trophism, scars, prolapses, relaxed vaginal outlet (genital Hiatus), distance ano-vulva, NFC or perineal body.
Physiatrical assessment of the perineum:
neurological and postural examination, PC test, voiding diary, pad test, cough stress test, QTtip test
Outline of Urodynamics, perineal electromyography diagnostic imaging
Rehabilitative programming in uro-gynaecology
Pelvic perineal physiotherapy: basic aspects, awareness, sequencing, perivaginal and endovaginal techniques, individual and group muscle training and automation in the ADL
Perineal auto training (home muscle training)
Pelvic perineal physiotherapy– non conventional techniques
Vaginal cones
Urinary incontinence, Sports and abdominal muscles, GAI
Bladder training
Behavioural therapy
Relaxation techniques
Lumbar-pelvic and pelvic-floor statics
SEF: indications and contraindications; PTNS
BFB: types, indications and contraindications
Pharmacological therapy in urinary incontinence: summary
Basic aspects of male incontinence urinary
FAECAL INCONTINENCE: Outline of anatomy and physiology of defecation, classification, clinical and diagnostic aspects.
Fecal incontinence rehabilitation ( muscle training, BFB, SEF)
CONSTIPATION: classification, clinical and diagnostic aspects; evaluation, rehabilitation and lifestyle changes
Suggested texts: : RIABILITAZIONE URO-GINECOLOGICA Paolo Di Benedetto
RIABILITAZIONE DEL PAVIMENTO PELVICO Arianna Bortolami
Ricevimento: laura.faraguti@asl5.liguria.it
Ricevimento: defilippimirella@libero.it
MIRELLA DEFILIPPI (President)
FRANCESCA ASCHERI
LAURA FARAGUTI
BRUNA GRECCHI
NORMA LANDUCCI
CLARA LEONCINI
VALENTINA MARINI
CARLA MORIANO
PIERFRANCESCA TASSISTRO
MARIA GIUSEPPINA VIDILI
AURORA PRATESI (President and Coordinator of Integrated Course)
First semester of the third year.
