OBJECTIVES: To review the role of biofeedback in the management of community-dwelling individuals with urge @entity322 (UUI), and to present a practical approach to @entity1 evaluation and treatment selection. METHODS: In view of a lack of objective published information, perspectives on the use of biofeedback in UUI are derived from extrapolation of studies in @entity1 with @entity3142 as well as from the author's personal experience. RESULTS: Through the use of careful baseline evaluations, appropriate exercise and biofeedback treatment for UUI can be selected for specific @entity1 . Office-based biofeedback is preferred for @entity1 who have no or minimal ability to isolate and contract the levator muscles at baseline. Such individuals cannot be expected to exercise effectively without instruction but can be converted to home-based treatment once responses have been achieved. @entity1 with weak contractions but appropriate muscle isolation are appropriate candidates for Kegel exercises; biofeedback has not been conclusively demonstrated to be superior to exercise therapy alone in this group. Vaginal cones or simple home biofeedback units may be useful adjuncts in these cases. @entity1 who have good muscle isolation and strong pelvic contractions at baseline generally have more severe @entity1494 and require aggressive treatment aimed at the detrusor. Instruction in "quick flicks" may assist in inhibiting urgency, and motivated @entity1 may be offered vaginal cones. CONCLUSIONS: Pelvic floor @entity121 is an important but often-overlooked component of UUI. The algorithm presented here can assist in tailoring exercise and biofeedback therapy to the individual @entity1 . However, more research is needed to help stratify @entity1 according to the degree of @entity409 and status of pelvic floor muscles before intervention.

Biofeedback for community-dwelling individuals with XXXX .

@entity1 :: ('9606', 'Species') :: ['Patients', 'patients', 'patient'] @entity322 :: ('MESH:D014549', 'Disease') :: ['urinary incontinence'] @entity1494 :: ('MESH:D001745', 'Disease') :: ['bladder dysfunction'] @entity409 :: ('MESH:D008107', 'Disease') :: ['detrusor dysfunction'] @entity121 :: ('MESH:D009135', 'Disease') :: ['muscle dysfunction'] @entity3142 :: ('MESH:D014550', 'Disease') :: ['stress incontinence']
@entity322 :: (MESH:D014549,Disease) :: ['urinary incontinence']
