title: Treatment of a child with daytime urinary incontinence.
abstract: OBJECTIVE
  This case report describes physical therapy management of a child with daytime urinary incontinence, taking into account the patient's age as well as her emotional and cognitive development.
  
  
  METHODS
  An 8-year-old girl was referred for physical therapy with a diagnosis of pelvic floor muscle hypertonus and dysfunctional voiding. Functional deficits included daytime urinary incontinence (4-8 leaks/d, 7 d/wk) and increased voiding frequency (8-10 times/d). Intervention included age appropriate education, biofeedback, behavioral modification and performance of "roll for control" exercises.
  
  
  RESULTS
  Normal levels of voiding frequency occurred by the third therapy session, and complete recovery of normal function, including daytime continence, occurred by the eleventh therapy session.
  
  
  CONCLUSIONS
  The outcome demonstrates the successful achievement of urinary continence in an 8-year-old child following physical therapy intervention of lower urinary tract rehabilitation.
authors.affiliation: All Children's Hospital, St. Petersburg, (M.R.), Florida 33701, USA. reillym@alkids.org
authors.forename: Margaret
authors.initials: M
authors.lastname: Reilly
authors.forename: Yves
authors.initials: Y
authors.lastname: Homsy
mesh_terms: D000203:Activities of Daily Living; D001676:Biofeedback, Psychology; D002648:Child; D004576:Electromyography; D005260:Female; D006801:Humans; D017773:Pelvic Floor / Q000502:physiology*; D026741:Physical Therapy Modalities; D011788:Quality of Life; D013995:Time; D014549:Urinary Incontinence / Q000523:psychology / Q000534:rehabilitation / Q000628:therapy*; D014563:Urodynamics