Urinary Incontinence

  • Volker ViereckEmail author
  • Marianne Gamper


Stress urinary incontinence (SUI) is defined by an involuntary loss of urine during physical activity or while coughing or sneezing. Impact activities produce a strong, rapid increase in intra-abdominal pressure that transmits to the bladder. To be continent, the bladder closure pressure must be higher than the bladder pressure. Coughing elicits rapid, vigorous and reflexive contractions of the external urethral sphincter and the pelvic floor muscles (PFMs) in continent, but not in incontinent women. Conventional physiotherapy focuses primarily on the voluntary control of the PFMs. Interestingly, a combination of physiotherapy and vibration exercises also trained the fast, reactive and reflexive muscle fibers and the coordination of the PFMs with interacting muscle groups. This functional training increases muscle strength, reflex activity and coordination, cures/improves SUI, and leads to a better mobility and, in summary, to a higher quality of life.


Stress urinary incontinence Pelvic floor muscle Physiotherapy Whole-body vibration Functional training Functional mobility Coordination Reflexive and voluntary muscle contraction 


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© Springer Nature Switzerland AG 2020

Authors and Affiliations

  1. 1.Department of Gynecology and ObstetricsCantonal Hospital FrauenfeldFrauenfeldSwitzerland

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