Physiotherapeutic assessment and management of overactive bladder syndrome: a case report

Figures & data

Table 1. Pain assessment of pelvic floor muscles during palpation.

Examined structure	Pain on NRS
	Left side	Right side
Musculus transversus perinei superficialis	0	0
Musculus pubovaginalis	0	0
Musculus puboanalis	6	7
Musculus pubococcygeus	6	8
Musculus obturator internus	0	0
Musculus iliococcygeus	6	9
Musculus coccygeus	0	0
Canalis pudendalis seu Alcocki	0	0

Table 2. Course of urogynecological physiotherapeutic treatment.

Number of sessions	Therapies used
1	MT LPHC, MT MP
2	MT LPHC, MT MP, MT BL, MT LL
3	MT LPHC, MT MP, MT BL, MT LL
4	MT LPHC, MT MP, MT BL, MT LL
5	MT LPHC, MT PV
6	MT LPHC, MT MP, MT BL, MT LL
7	MT LPHC, MT PV
8	MT PV
9	MT PV
10	MT PV

MT LPHC – manual therapy of lumbopelvic hip complex, MT MP – manual

therapy of musculus piriformis, MT BL – manual therapy of back line, MT LL

– manual therapy of lateral line, MT PV – manual therapy per vaginum

Table 3. Exercises for patient with detailed descriptions.

Exercise	Description	Number of repetitions
1	Take the front lying position. Bend one lower limb at the knee joint, place it on the side of the lower leg, pull it under the abdomen, and straighten the other one along the extension of the torso. Bend your torso forward, lie on your thigh, and stretch your arms forward. Hold the position for 10–15 seconds. Perform the exercises on both lower limbs so that you feel the stretching on the bent lower limb	Twice a day in two series of 10 repetitions for each lower limb
2	Take a standing position. Bend forward with your feet shoulder-width apart. Keep your back straight. Keep your head at the extension of your torso, look down. Do not slouch. Stop your body when you feel stretching and hold it for 3–4 seconds	Twice a day in three series of 10 repetitions
3	Take a sitting position. Straighten the lower limbs in the knee joints and put the feet in the active position. Keep your upper body in a neutral position, try to keep your head high without tilting it too far forward. Then, slowly bend toward the right lower limb until you feel a stretch at the back of the leg. At this point, hold the lower limb with your hands and stay in the 10 seconds position. After this time, relax and do the opposite limb exercise.	Twice a day in a two series of 10 repetitions for each lower limb