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2017 | OriginalPaper | Buchkapitel

31. Physikalische Therapie und Rehabilitation bei Harn- und Stuhlinkontinenz

verfasst von : Prim. Dr. Eva Maria Uher, Prof. Dr. Richard Crevenna, MBA, MSc

Erschienen in: Kompendium Physikalische Medizin und Rehabilitation

Verlag: Springer Berlin Heidelberg

Zusammenfassung

Die physikalische Therapie als konservative, nicht invasive Therapieform und ohne Nebenwirkung stellt den ersten Therapieansatz bei Harn- und Stuhlinkontinenz in den nationalen und internationalen Empfehlungen dar. Die Evidenzlage ist gut für Beckenbodentraining, sowie für Miktions- und Toilettentrainingsinterventionen wie auch elektrotherapeutische Maßnahmen. Biofeedback ermöglicht eine gezielte Wahrnehmungsschulung und kann auch zur Unterstützung der Eigenkompetenz und Verhaltensmodifikation gut eingesetzt werden. Wie bei vielen Methoden der physikalischen Medizin ist die Wirkung multimodal, sodass die Studienlage noch sehr uneinheitlich hinsichtlich der Effektivität dieses Therapiemittels ist. Neue, interessante Therapieoptionen bieten die funktionelle Elektrostimulation in ihrer Form als mini invasive Neuromodulation.
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Metadaten
Titel
Physikalische Therapie und Rehabilitation bei Harn- und Stuhlinkontinenz
verfasst von
Prim. Dr. Eva Maria Uher
Prof. Dr. Richard Crevenna, MBA, MSc
Copyright-Jahr
2017
Verlag
Springer Berlin Heidelberg
DOI
https://doi.org/10.1007/978-3-662-49035-8_31