Effect of motor imagery training on urinary incontinence in patients with incomplete spinal cord injury / Mona Aboul Abbas Ahmed Moawed ; Supervised Nahed Ahmed Salem , Ahmed Abdullah Soliman Alfiki , Youssef Mohamed Elbalawy

Thesis (M.Sc.) - Cairo University - Faculty of Physical Therapy - Department of Physical Therapy for Neuromuscular and Neurosurgery

Background: Urinary incontinence in the spastic stage after spinal cord injury is usually due to over active bladder which is defined as urinary urgency, frequency or urge incontinence. Motor imagery training is non invasive and easy applied, induced a greater improvement of over active bladder incontinence. Aim of the study: To investigate the effect of motor imagery training of pelvic floor muscles on urinary incontinence due to over active bladder in patients with incomplete spinal cord injury .Subjects: Thirty patients with overactive bladder after incomplete spinal cord injury above L1 were divided into two equal groups: - Study group (Group A): (11male & 4 female) and Control group (Group B): (10 male & 5 female). Methods: All patients were submitted to complete clinical assessment pre and post treatment using International Consultation on Incontinence Questionnaire Short Form (ICIQ {u2013} SF), was used to measure the symptoms and impact of urinary incontinence (UI) on quality of life (QoL) and TG Myofeedback 420V, was used to assess pelvic floor muscle strength. Study group (Group A) were treated by : Motor Imagery Training (MIT) of pelvic floor muscles followed by Pelvic Floor Muscles Training (PFMT) program and interferential therapy, Control group (Group B): were treated by Pelvic Floor Muscles Training (PFMT) and interferential therapy. Results: The study group (A) post treatment showed significant improvement more than control group (B) in Pelvic floor muscles strength, and there was significant reduction of ICIQ-SF score in favor of group (A) more than group (B)

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