Treatment of a child with daytime urinary incontinence.
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.
Reilly
Margaret
M
All Children's Hospital, St. Petersburg, (M.R.), Florida 33701, USA. reillym@alkids.org
Homsy
Yves
Y
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