Revisiting what works and why in pelvic floor muscle exercise prescribing: a biopsychosocial integration of science to help achieve better behavioural and health outcomes.

Workshop 21

Workshop Schedule

09:00

Sarah Dean

09:10

Malgorzata Starzec-Proserpio
E Jean C Hay-Smith

09:20

Helena C Frawley

09:30

Sarah Dean

09:40

Victoria Salmon

09:50

Sarah Dean
Helena C Frawley
Victoria Salmon
Malgorzata Starzec-Proserpio

10:20

Sarah Dean

Aims & Objectives

Intermediate
90 minutes
Health Services Delivery
Clinical
Pelvic Floor Muscle Exercise Exercise science Behavioural Science
Conservative Management

This workshop aims to revisit the science underpinning pelvic floor muscle exercises (PFME) and what may make optimal exercise prescription depending on the target outcomes. Consideration will be given to different pelvic floor dysfunctions (stress, urge and mixed urinary incontinence; mild to moderate pelvic organ prolapse). Material covered will draw from clinical trial evidence; exercise science (physiological principles of muscle training) and from tried and tested behavioural science techniques. In addition, variations in exercise parameters will be discussed for prevention versus treatment versus maintenance regimens, with debate focusing on what else might be done to optimise adherence and outcomes.

Learning Objectives

  • To refresh knowledge and understanding of exercise science principles for muscle strength training, including the current clinical trial evidence underpinning PFME prescriptions.
  • To raise further awareness of behavioural science theory and techniques that can be used to support change of behaviour needed for PFME adherence.
  • To reflect upon and discuss the practice of PFME prescription: assessment and exercise instruction for clinical and non-clinical settings and consider what variations in exercise prescription may be needed for treatment versus prevention or population-based approaches, and for different contexts and service settings.

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