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This subject covers anatomy, functional anatomy and neurophysiology of the pelvis and its contents, with particular emphasis on the pelvic floor muscles and fascia, micturition and the urinary tract. Types of incontinence and diagnostic procedures are discussed and physiotherapy assessment and management of different types of incontinence are studied theoretically and practically. Pathology of connective tissue and its relationship to prolapse, and surgical procedures in gynaecology are studied theoretically. The use of electrotherapy for diagnosis and treatment is included. An introduction to evidence based practice and computer database searching are provided.
Intended learning outcomes
On completion of the subject, students will be expected to:
- Apply knowledge of the anatomy, general and exercise physiology, and neurophysiology to describe the normal function of pelvic organs and the pelvic floor, and dysfunctions in urinary continence and pelvic organ support.
- Discuss and integrate knowledge of biological, psychological, social & other sciences in clinical decision making for urinary incontinence and pelvic organ prolapse.
- Optimise the physical environment for client comfort, privacy, engagement, and risk management in both individual and group interactions.
- Explain and justify the selection of, and appropriate referral for, diagnostic procedures for urinary incontinence and pelvic organ prolapse.
- Perform safe, targeted and effective clinical assessments of clients who present with urinary incontinence and pelvic organ prolapse symptom, ensuring accurate documentation.
- Design and implement an evidence informed clinical program, including pelvic floor rehabilitation and adjunctive therapy.
- Explain how the principles of behaviour change and bladder training can be used in the treatment pelvic floor dysfunction.
- Discuss the cost-effectiveness and affordability of investigations and interventions from the perspective of client wellbeing, and healthcare system sustainability.
- Explain the role of a physiotherapist in continence and pelvic health clinical teams, with a specific focus on collaboration and negotiation with the client and health professionals.
On completion of the subject, students are expected to be able to demonstrate:
- well developed problem solving skills
- improved capacities in seeking, evaluating and retrieving information
- an appreciation of a team approach to learning
- a basic understanding of critical evaluation of research literature
Last updated: 20 November 2023