Identification and Management of Urinary Incontinence by Physiotherapists Who Offer a Pulmonary Rehabilitation Programme in a Tertiary Hospital in Australia: A National Survey

Purpose: Urinary incontinence (UI) is prevalent among people with chronic respiratory diseases. The experience of UI increases social isolation and may compromise participation in pulmonary rehabilitation programmes (PRPs). Therefore, among physiotherapists who deliver PRPs, we sought to describe (1) whether they enquire about UI in those referred to these programmes and (2) the way in which they approach this condition in those who disclose it. Method: This cross-sectional, observational study recruited physiotherapists employed by tertiary hospitals in Australia who were experienced in delivering PRPs. Participants completed an online survey that sought information regarding the way they approach UI in people referred to a PRP. Results: Of the 39 participants who were emailed the survey, data were available on 35 (89%). Enquiring about UI was undertaken “Always” or “Frequently” by 80% of participants. However most (69%) felt they lacked the skills to manage UI, and few (23%) could identify appropriate online resources to provide to people experiencing UI. The most common management strategy was to refer people who reported UI to a colleague with expertise in this area. Conclusion: Although physiotherapists who offer PRPs appear to ask about UI, they have limited strategies to manage this condition.