ANPT – Academy for Neurologic Physical Therapy Podcast Stroke SIG: Pelvic Health across the Continuum of Care for Patients with Neurologic Conditions: Episode 24
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Apr 11, 2024 Join experts Ariana Jones and Gillian McLean as they discuss pelvic health therapy for neurologic patients post-stroke. Learn about pelvic floor anatomy, bladder function, and management of bowel/bladder issues. Discover the importance of collaboration between neurologic and pelvic health physical therapists and strategies for building trust and education with stroke patients.
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Pelvic Floor Is A Core Functional Unit
- The pelvic floor is a core muscle group that supports organs, continence, stability, and sexual function.
- Treating it affects daily activities like walking, toileting, and intimacy, so it deserves attention in neuro care.
Explain Normal Bladder Volumes And Timing
- The bladder normally fills to ~600 mL and gives a first urge around 200–250 mL, allowing delay until socially appropriate times.
- Teach patients that normal voiding is every 2–4 hours and nighttime voids vary with age to set realistic expectations.
Urination Needs Multi-Level CNS Coordination
- Micturition requires coordinated sacral, pontine, and cortical control that allows social timing and voluntary suppression.
- Stroke can disrupt any level, producing urgency, retention, or loss of social control depending on lesion site.