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Physiotherapy in pregnant women with tetraparesis and urogenital dysfunction

Urogenital dysfunction in pregnant women with tetraparesis is present in 20% of pregnant women. In this work a physiotherapeutic approach in women with tetraparesis and urogenital dysfunction is presented. The PERFECT Scale was used for assessment, including the self-assessment questionnaire on the Impact of incontinence on the quality of life, Urinary diary and Numerical scale measuring dyspnoea, and NYHA class assessment. In the intervention the respiratory training and pelvic floor muscles training were implemented. After the physiotherapeutic intervention there was an improvement in the form of breathing, the dyspnoea was reduced, there was an increase of the strength and function of pelvic floor muscles, and reduced symptoms of urogenital dysfunctions, all improving the quality of life of pregnant women. Pregnant women with disabilities need a special attention of their physiotherapist. The role of a physiotherapist is important in assessing the functional status of pregnant women, detection of problems and limitations in performing activities of daily living, as well as specific interventions to improve the quality of life. The results of this work indicate the need for specific physiotherapeutic approach in women with tetraparesis and urogenital dysfunction.

pregnancy ; urogenital dysfunction ; physiotherapy approach

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