The records of 254 patients with hemiplegia resulting from cerebral vascular accidents have been studied for evidence of an association between urinary incontinence and ability to regain ambulatory status. The patient who has had a stroke must be watched for evidence of urinary dysfunction, especially since incontinence may be evidence of retention. Its persistence is not always due to impairment of cortical control; it may be the result of coincident urologic disease. The data from this study showed that persistent urinary incontinence was associated sociated with delay or failure of the recovery process with respect to ambulation, but the causal relation was complicated. The functions of ambulation and urination are both impaired by the loss of cortical control, but incontinence also causes difficulties in transportation and in rehabilitative procedures. The control of incontinence by the various measures suggested here is an important step in the rehabilitative process.
Lorenze EJ, Simon HB, Linden JL. UROLOGIC PROBLEMS IN REHABILITATION OF HEMIPLEGIC PATIENTS. JAMA. 1959;169(10):1042–1046. doi:10.1001/jama.1959.03000270024006
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