title: Conservative management of post-surgical urinary incontinence in an adolescent using applied kinesiology: a case report.
abstract: BACKGROUND
  This case report describes the successful treatment of an adolescent female suffering daily stress and occasional total urinary incontinence with applied kinesiology methods and chiropractic manipulative therapy.
  
  
  METHODS
  A 13-year-old female developed unpredictable urinary incontinence and right hip pain immediately following emergency open appendectomy surgery. The patient was forced to wear an incontinence pad throughout the day and night for 10 months because of unpredictable urinary incontinence. ASSESSMENT AND INTERVENTION: Chiropractic and applied kinesiology (AK) methods - a multi-modal diagnostic technique that utilizes manual muscle tests (MMT) for the detection of musculoskeletal impairments and specific AK techniques for correction of identified issues - were utilized to diagnose and treat this patient for muscle impairments in the lumbar spine and pelvis.
  
  
  RESULTS
  Patient experienced a rapid resolution of her urinary incontinence and hip pain. A six-year follow-up confirmed complete resolution of symptoms.
  
  
  CONCLUSIONS
  In this case, utilization of MMT allowed for the identification of several inhibited muscles. Utilizing the appropriate corrective techniques improved the strength of these muscles and resulted in their being graded as facilitated. Symptoms of urinary incontinence and hip pain resolved with this diagnostic and treatment approach.
  
  
  CONCLUSIONS
  AK methods were useful for the discovery of a number of apparent causative factors underlying this patient's urinary incontinence and hip pain. Treatment for these pelvic-floor muscle and joint abnormalities resulted in rapid, long-lasting resolution of her urinary incontinence and hip pain.
authors.affiliation: Chiropractic Health Center, Pueblo, CO 81004, USA. cranialdc@hotmail.com
authors.forename: Scott C
authors.initials: SC
authors.lastname: Cuthbert
authors.forename: Anthony L
authors.initials: AL
authors.lastname: Rosner
mesh_terms: D000293:Adolescent; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D018953:Kinesiology, Applied / Q000379:methods*; D026882:Manipulation, Chiropractic / Q000379:methods*; D011183:Postoperative Complications / Q000628:therapy*; D016896:Treatment Outcome; D014550:Urinary Incontinence, Stress / Q000209:etiology / Q000628:therapy*; D013520:Urologic Surgical Procedures / Q000009:adverse effects