Add-On Effect of Postural Instructions to Abdominopelvic Exercise on Urinary Symptoms and Quality of Life in Climacteric Women with Stress Urinary Incontinence. A Pilot Randomized Controlled Trial

Fuentes-Aparicio, Laura; Balasch-Bernat, Mercè; Bueno, Laura López

doi:10.3390/ijerph18030928

Cited by 5 publications

(3 citation statements)

References 39 publications

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“…According to previous studies, conventional stretching and muscle chain stretching are very effective treatments. [16][17][18] Results of the current study were supported by another research that showed that GPR and SE had similar effects on neck and upper extremity function in patients with neck pain. When evaluating groups, GPR was superior to SE in enhancing pain and quality of life.…”

Section: Discussionsupporting

confidence: 82%

Effect of Global Posture Re-Education Versus Static Stretching on Pain, Range of Motion And Quality of Life in Post-Menopausal Women with Chronic Neck Pain

Anum

Anwar

Tauqeer

et al. 2022

PAFMJ

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Objective: To compare the effects of global posture re-education and static stretching on pain, range of motion and disability in post-menopausal women with chronic neck pain. Study Design: A quasi-experimental study. Place and Duration of Study: Sheikh Zayed hospital Rahim Yar Khan, from Jun to Dec 2020. Methodology: A total of 36 female patients between 45-65 years of age were included in the study. Patients who had received physiotherapy or manual therapy treatment for neck pain in the previous six months or had any tumour infection were excluded. There were two groups, the global posture re-education group (n=18) performed muscle chain stretching, while the static stretching group (n=18) performed conventional static muscle stretching. Visual analogue scale, neck disability index and goniometer were used for outcome measurement. Results: The results showed significant improvement in visual analogue scale score, neck disability index, flexion and extension range at four weeks and three months follow up (p<0.05). There was no significant improvement in NDI score at three months follow up (p-value >0.05). Conclusion: There was a significant difference in pain, function and disability in both groups, but the global posture reeducation group showed a maximum decrease in pain and disability and gain in ROM as compared to the static stretching group.

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Section: Discussionsupporting

confidence: 82%

Effect of Global Posture Re-Education Versus Static Stretching on Pain, Range of Motion And Quality of Life in Post-Menopausal Women with Chronic Neck Pain

Anum

Anwar

Tauqeer

et al. 2022

PAFMJ

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“…To [16,17] . After that, we have further examined the formation of proximal urethral microvessels and vaginal nerve tissue morphology in rats.…”

Section: Resultsmentioning

confidence: 98%

The Improvement of Urethral Function in the Rat Stress Urinary Incontinence Model by Electrical Stimulation Combined With Pelvic Floor Muscle Training To Activate VEGF and ERK 1/2

Liu¹,

Li²,

Sun³

et al. 2021

ijps

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To explore the effect of electrical stimulation combined with pelvic floor muscle training on the improvement of urethral function in rats with stress urinary incontinence and to further study its possible mechanism. 48 rats were randomly divided into blank control group, model group, pelvic floor muscle training treatment group and electrical stimulation combined pelvic floor muscle training treatment group. The rehabilitation treatment group was treated with pelvic floor muscle training and combined electrical stimulation treatment after successful modeling. The sneeze test, urodynamics and pelvic floor muscle strength measurement were used to detect the rat urethra and pelvic floor muscle function. The expressions of vascular endothelial growth factor and extracellular-signal-regulated kinase 1/2 genes in urethral tissue cells were detected by reverse transcription-polymerase chain reaction. The rat sneeze test, urodynamics, pelvic floor muscle strength measurement, microvessel count and urethral histopathology results showed that the rat stress urinary incontinence model was successfully constructed and electrical stimulation combined with pelvic floor muscle training could significantly reduce the incidence of rate urinary incontinence and improve the pelvic floor muscle strength, the number of urethral capillaries and the repair of damaged vaginal nerves. Reverse transcription-polymerase chain reaction analysis showed that after rehabilitation treatment, the expressions of vascular endothelial growth factor and extracellularsignal-regulated kinase 1/2 were up-regulated and the up-regulation was more obvious in the combined electrical stimulation group. Electrical stimulation combined with pelvic floor muscle training could effectively improve the urethral function of rats and the action mechanism may be related to its activation of vascular endothelial growth factor and extracellular regulatory protein kinase extracellular-signalregulated kinase 1/2.

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“…Many authors recommend PFM training to increase PFM strength and endurance during the rehabilitation of pelvic floor (PF) function [10,11]. However, research has indicated that the PF does not function as an independent entity [12], and recent literature supports the use of a global approach in motor control exercise programs [13]. In addition to the PFM, PF function is also supported by the pelvis [14] and other synergistic muscles, such as the diaphragm and transversus abdominis muscles [15][16][17].…”

Section: Introductionmentioning

confidence: 99%

Rumba Dance Combined with Breathing Training as an Exercise Intervention in the Management of Stress Urinary Incontinence in Postmenopausal Women: A Randomized Controlled Trial

Tang

Guo

Wang

et al. 2022

IJERPH

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Purpose: Stress urinary incontinence (SUI) refers to involuntary leakage from the urethra, synchronous with exertion/effort, sneezing or coughing, which has a negative effect on quality of life. Studies have shown that mild-to-moderate physical activities reduce the risk of SUI by multiple mechanisms. The objective of this study was to determine whether the Rumba dance combined with breathing training (RDBT) can reduce the severity of incontinence and improve the quality of life of patients with SUI. Methods: A randomized clinical trial was conducted with women who were sedentary, were postmenopausal, reported mild-to-moderate SUI on a 1-h pad test, were not already engaged in Rumba dance and did not receive estrogen replacement therapy. The patients were randomly assigned to the RDBT group (n = 13) or the control group (n = 11). The intervention included 90 min of RDBT three times per week for 16 weeks, and the vaginal resting pressure (VRP), pelvic floor muscle (PFM) strength and endurance, 1-h pad test, International Consultation on Incontinence Questionnaire—Urinary Incontinence Short Form (ICIQ—UI SF), and the Incontinence Quality of Life Questionnaire (I—QOL) were measured or completed at baseline and 16 weeks. None of the participants reported adverse events. Results: The mean ( ± SD) age of the participants was 55.75 ± 5.58 years. After 16 weeks, in the RDBT group, the urine leakage on the 1-h pad test was significantly decreased −2.91 ± 0.49 from the baseline (p = 0.000). The VRP increased from 76.00 ± 16.23 cmH2O to 95.09 ± 18.90 cmH2O (p = 0.000), the PFM endurance of class I (−3.15 ± 1.99% vs. −0.46 ± 0.97%, p = 0.000) and class II (−0.69 ± 0.95% vs. −0.23 ± 0.44%, p = 0.065) increased, and the grades of PFM strength of class I and class II were significantly enhanced (p < 0.01). Finally, the severity of self-reported incontinence (ICIQ—UI SF) significantly decreased from 6.12 ± 2.15 to 3.81 ± 1.68 (p = 0.000), and quality of life (I—QOL) improved from 75.73 ± 11.93 to 83.48 ± 7.88 (p = 0.005). Conclusion: A 16-week RDBT program can increase PFM strength and endurance to reduce the severity of incontinence symptoms and improve the quality of life in patients with SUI, demonstrating the feasibility of recruiting and retaining postmenopausal women with SUI into a RDBT therapeutic program.

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Add-On Effect of Postural Instructions to Abdominopelvic Exercise on Urinary Symptoms and Quality of Life in Climacteric Women with Stress Urinary Incontinence. A Pilot Randomized Controlled Trial

Cited by 5 publications

References 39 publications

Effect of Global Posture Re-Education Versus Static Stretching on Pain, Range of Motion And Quality of Life in Post-Menopausal Women with Chronic Neck Pain

Effect of Global Posture Re-Education Versus Static Stretching on Pain, Range of Motion And Quality of Life in Post-Menopausal Women with Chronic Neck Pain

The Improvement of Urethral Function in the Rat Stress Urinary Incontinence Model by Electrical Stimulation Combined With Pelvic Floor Muscle Training To Activate VEGF and ERK 1/2

Rumba Dance Combined with Breathing Training as an Exercise Intervention in the Management of Stress Urinary Incontinence in Postmenopausal Women: A Randomized Controlled Trial

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