K - BLADDER FUNCTION
For individuals with motor incomplete SCI AIS C/D and some preservation of pelvic floor function, clinicians should consider pelvic floor muscle training. Refer patients for this training after specialist pelvic floor assessment. Consider combining pelvic floor muscle training with biofeedback and/or electrical stimulation of the pelvic floor. (Adapted from NICE 2012, p.211; Level B)
The following conditions must be met before initiating a behavioural management program (e.g., timed voiding, bladder retraining or habit retraining) for those with neurogenic lower urinary tract dysfunction:
- prior assessment by a healthcare professional trained in the assessment of individuals with neurogenic lower urinary tract dysfunction and
- in conjunction with education about lower urinary tract function for the individual and/or their family members and caregivers.
Clinicians should consider choosing a behavioural management program, taking into account that prompted voiding and habit retraining are particularly suitable for individuals with cognitive impairment. (NICE 2012, p.85; Level C)