Women's Health Physiotherapy
Aims: We offer specialised physiotherapy treatments to cater the needs of women at different stages in the areas of obstetric and gynaecology care.
Obstetric Care
Antenatal / Postnatal Exercise
Spinal mobilisation
Core stabilisation exercise
Stretching exercise
Strength training
Aerobic training
Gynaecology Care
Women suffer from pelvic floor problems are common in their lifetime. We provide physiotherapy treatment in various conditions such as urinary incontinence, pelvic organ prolapse, bowel problem and pelvic pain.
Urinary incontinence is a common symptom that can affect women of all ages. Predisposing factors in women include childbearing, obesity, and constipation, it is commonly associated with pelvic organ prolapse in stress incontinence. Nice guideline recommended a supervised pelvic floor muscle training as a first line treatment for urinary incontinence.
Pelvic Floor Rehabilitation
Pelvic Floor Exercise - Kegel Exercise
Electrical Stimulation
Weak pelvic floor muscle is reinforced with electrical stimulation and visual feedback from EMG tracing.
Bladder Training
Bladder training aims to increase the interval between voids and get better control of bladder. It is recommended as a treatment for mixed incontinence or overactive bladder.
A bladder diary is used to record times and amounts of urine passed, leakage episodes, pad usage and other information such as fluid intake, degree of urgency and degree of incontinence.
Lifestyle Modification
Nice guideline on recommendation of lifestyle modification:
Obstetric Care
Antenatal Care Aims of antenatal care:
| Antenatal Exercise Class
Format
Contraindications A history of premature labour, placenta previa, incompetent cervix, pre-eclampsia, high level pregnancy (e.g. twins or triplets), uncontrolled pregnancy-induced hypertension, uncontrolled gestational diabetes and uncontrolled type 1 diabetes. |
Postnatal Care Aims of postnatal care:
| Postnatal Exercise Class (A) For Inpatients Target: Mothers at 1-2 days postpartum with medical clearance Frequency: 1 session Contents:
(B) For Outpatients Target: Mothers beyond 6 weeks postpartum Frequency: 3 sessions Contents:
|
Antenatal / Postnatal Exercise
Spinal mobilisation
Core stabilisation exercise
Stretching exercise
Strength training
Aerobic training
Gynaecology Care
Women suffer from pelvic floor problems are common in their lifetime. We provide physiotherapy treatment in various conditions such as urinary incontinence, pelvic organ prolapse, bowel problem and pelvic pain.
Urinary incontinence is a common symptom that can affect women of all ages. Predisposing factors in women include childbearing, obesity, and constipation, it is commonly associated with pelvic organ prolapse in stress incontinence. Nice guideline recommended a supervised pelvic floor muscle training as a first line treatment for urinary incontinence.
Pelvic Floor Rehabilitation
Pelvic Floor Exercise - Kegel Exercise
- Effective pelvic floor muscle contraction prior to and during effort clamps the urethra and increases the urethral pressure to decrease urinary incontinence
- The bladder neck receives support from a strong pelvic floor muscle , thereby limiting its downward movement during effort
- Awareness of the function and anatomy of pelvic floor muscle
- Strength training
- Endurance training
- Knack coordination training
- Pelvic floor exercise with indicator
Electrical Stimulation
Weak pelvic floor muscle is reinforced with electrical stimulation and visual feedback from EMG tracing.
Bladder Training
Bladder training aims to increase the interval between voids and get better control of bladder. It is recommended as a treatment for mixed incontinence or overactive bladder.
A bladder diary is used to record times and amounts of urine passed, leakage episodes, pad usage and other information such as fluid intake, degree of urgency and degree of incontinence.
Lifestyle Modification
Nice guideline on recommendation of lifestyle modification:
- Caffeine:
Recommend a trial of caffeine reduction to women with overactive bladder - Fluid intake
Modification of high or low fluid intake in women with urinary incontinence or overactive bladder - Weight
Advise women with urinary incontinence or overactive bladder who have a BMI greater than 30 to lose weight
References
- Dumoculin C and Hay-smith J. (2010). Pelvic floor muscle training versus no treatment , or inactive control treatments, for urinary incontinence in women ( Cochrane review ). Cochrane database of systematic reviews, issue 1
- Smith et.al. (2013). Urinary incontinence in women: the management of urinary incontinence in women. ( National collaborating centre for women's and children's health, National Institute for Health and Care Excellence )