Grewar Heather, McLean Linda
School of Rehabilitation Therapy, Louise D Acton Building, 31 George Street, Kingston, ON, Canada K7L 3N6.
Man Ther. 2008 Oct;13(5):375-86. doi: 10.1016/j.math.2008.01.003. Epub 2008 Mar 12.
Stress urinary incontinence (SUI) constitutes a large-scale public health concern. The integrated continence system (ICS) developed by the authors is an evidence-based model that demonstrates how urinary incontinence is maintained through the interaction of three structural systems (intrinsic urethral closure, urethral support and lumbopelvic stability) and three modifiable factors (motor control, musculoskeletal and behavioural). The purpose of the ICS is first, to demonstrate the important role that manual physiotherapists can play in the treatment of SUI and second, to guide clinical practice decisions in order to improve clinical outcomes among women with SUI.
压力性尿失禁（SUI）是一个大规模的公共卫生问题。作者开发的综合控尿系统（ICS）是一个基于证据的模型，它展示了尿失禁是如何通过三个结构系统（内在尿道闭合、尿道支撑和腰骶骨盆稳定性）和三个可调节因素（运动控制、肌肉骨骼和行为）的相互作用而维持的。ICS的目的首先是证明手法物理治疗师在SUI治疗中可以发挥的重要作用，其次是指导临床实践决策，以改善SUI女性的临床结局。
