Efectividad del electromiografía-biofeedback en la incontinencia fecal y la calidad de vida

Fernández-Cuadros, Marcos Edgar; Geanini-Yagüez, A.; Nieto-Blasco, J.; Pérez-Moro, Olga Susana; Alonso‐Sardón, Montserrat; Mirón-Canelo, José Antonio

doi:10.1016/j.rh.2015.03.002

Cited by 5 publications

(3 citation statements)

References 20 publications

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“…There subsides the originality and the importance of the study. There is no doubt that manometric BFB is effective on faecal incontinence, as almost 60 studies support it (25). The present study demonstrated that manometric BFB improves manometric values and UI, measured by I-Qol (as already stated by Sari and GarciaBascones) (9,31) and ICIQ-SF (as Lorenzo-Gomez and Glazer and Lane previously reported) (7,32).…”

Section: Discussionsupporting

confidence: 85%

“…Rao supports 3 to 6 sessions, 60 to 90 minutes in duration, while Suarez-Crespo suggests 4 to 6 sessions of 45 to 60 minutes duration (24). Fernandez-Cuadros et al demonstrated that 30 minutes of tonic exercises, 2 times a week for up to 20 sessions is effective for diminishing losses and improving QoL in male and female patients with urinary and faecal incontinence (6,25).…”

Section: Discussionmentioning

confidence: 99%

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Manometric Biofeedback Effectiveness on Urinary Incontinence and Quality of Life: A Non-Randomized Control Trial

Fernández-Cuadros

Diez-Ramos

Albaladejo-Florín

et al. 2017

Middle East J Rehabil Health Stud

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Objectives: This study aimed at examining if a 6-session protocol of tonic-phasic exercises using manometric biofeedback (BFB) is capable of improving quality of life (QoL) and muscular strength in patients with urinary incontinence (UI). Methods: A prospective quasi-experimental before-after study was performed on 31 patients with Urinary Incontinence (UI) referred to the rehabilitation department of Santa Cristina's University hospital, Madrid, Spain. The study was performed from January to December 2016. At initial evaluation, affiliation of data, predisposing factors, and type of UI were recorded. Patients were given lifestyle recommendations and international consultation on incontinence questionnaire short form (ICIQ-SF)/ incontinence quality-of-life measure (I-QOL) questionnaires/scales to be fulfilled at the beginning/end of treatment. Manometric evaluation was recorded at initial/final evaluation by MYOMED ® 932. Manometric-BFB protocol consisted of a 30-minute session of tonic/phasic exercises (15 minutes each), 2 times a week for up to 6 sessions, supervised by a physiotherapist. Results:Mean age was 52 ± 12.1 years. Overall, 96.7% (n = 31) of the participants were females. Maximum and mean strength of pelvic floor contraction was 24 ± 17.72 and 4.9 ± 4.1 mmHg, and increased significantly after treatment to 35 ± 20.85 and 7.45 ± 4.92 mmHg (P < 0.01). The mean ICIQ-SF score was 9.13 ± 5.18 and decreased significantly to 6.13 ± 4.75 (P = 0.003). The mean I-QoL score increased significantly from 70.33 ± 22.12 to 81.25 ± 16.72 (P = 0.0017). The I-QoL Limiting Behaviour (LB)-subscale raised from 68.38 ± 23.33 to 80 ± 16.56 (P = 0.0015); I-QoL Psychosocial Impact (PI)-subscale increased from 77.43 ± 24.51 to 80 ± 17.47 (p = 0.0152); and I-QoL social embarrassment (SE)-subscale incremented from 60.72 ± 22.37 to 74.37 ± 20.86 (P = 0.0007). Conclusions:Manometric-BFB protocol is capable of decreasing UI and to improve QoL and manometric values. This reduced protocol could be applied to other public and private institutions and it could have an economical impact on the health system and on patients' economy.

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Section: Discussionsupporting

confidence: 85%

Section: Discussionmentioning

confidence: 99%

Manometric Biofeedback Effectiveness on Urinary Incontinence and Quality of Life: A Non-Randomized Control Trial

Fernández-Cuadros

Diez-Ramos

Albaladejo-Florín

et al. 2017

Middle East J Rehabil Health Stud

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“…However, we believe that PFMT, BFB, and TTNM can be used in both pathologies (SUI and UUI, even in MUI). Fernández-Cuadros has stated that BFB (instrumented PFMT technique) is effective in the management of UI (stress, urgency, and mixed UI) [1,12,26]. This is due to the fact that (1) PFMT/BFBs activate the perineum detrusor reflex (Mahoney's R3), acting on the UUI, (2) PFMT/BFBs maintain the correct position and mobility of the urethra, acting on SUI, (3) PFMT/BFBs compress the urethra against the pubic symphysis, increasing urethral pressure, giving resistance to voluntary urination, useful in SUI, and (4) PFMT/BFBs protect passive restraints and nerve structures from stretching [4].…”

Section: Discussionmentioning

confidence: 99%

Stress and Urgency Urinary Incontinence: Clinical-Urodynamic Correlation and Rehabilitation Management in Daily Clinical Practice

Fernández-Cuadros

Albaladejo-Florín

Álava-Rabasa

et al. 2022

SN Compr. Clin. Med.

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Abstract(a) To correlate the clinical with the urodynamic diagnosis in a series of patients with UUI (urgency urinary incontinence) and SUI (stress urinary incontinence); (b) establish age, clinical and urodynamic differences; and (c) demonstrate the effectiveness of individualized rehabilitation treatment based on the clinical-urodynamic diagnosis in patients with SUI and UUI in the daily clinical practice of a third-level rehabilitation service. Retrospective study of 60 patients with SUI and UUI. Urodynamic study: (a) free flowmetry; (b) filling cystomanometry; (c) pressure-flow study. Outcome variables: daytime (DUF) and nighttime (NUF) urinary frequency, strength of the pelvic floor muscles (PFM) measured by manometry (maximum and mean pressure), and use of absorbents/day. Rehabilitation treatment: (a) pelvic floor muscle training (PFMT); (b) biofeedback (BFB), transcutaneous neuromodulation of the posterior tibial nerve (TTNM). Age, clinical, and urodynamic differences have been observed between patients with UUI versus SUI. UUI is more frequent in older patients (UUI 67.3 ± 10.19 years vs SUI 58.6 ± 8.54 years), p = 0.0028. Patients with UUI, when compared with patients with SUI, present more episodes of DUF (7.7 ± 5.1 vs 5.5 ± 3.99) and NUF (2.51 ± 1.67 vs 1.46 ± 1.42). Patients with SUI use more absorbents/day than patients with UUI (2.7 ± 1.53 vs 1.37 ± 1.5), p = 0.0243. The urodynamic study (UDS) confirmed the clinical diagnosis in UUI in 64.7%, while in SUI, it was only confirmed in 35.1%. In the urodynamic analysis (free flowmetry), patients with UUI have smaller bladders than patients with SUI (voiding volume in UUI 275.8 ± 178.95 vs 411.03 ± 203.62 in SUI), p = 0.083. The maximum flow (Qmax) is higher in patients with SUI compared to UUI (19.6 ± 7.07 vs 16.06 ± 8.54), p = 0.0836. In filling cystomanometry, the bladders of patients with UUI are smaller than those with SUI (bladder capacity UUI 266.3 ± 52.76 vs 308.6 ± 49.72 ml in SUI), p = 0.023. In SUI, the BFB/PFMT significantly improved DUF, NUF, PFM pressure, and absorbent use. In UUI, the BFB plus TTNM improved DUF, NUF, and the maximum and mean PFM pressure with statistical difference, while the use of absorbents decreased with a tendency to significance. There are age, clinical, manometric, and urodynamic differences in patients with UUI when compared with patients with SUI. UUI occurs in older patients; they present a greater number of daytime and nocturnal urinary frequency episodes and use fewer absorbents than patients with SUI. Patients with UUI evacuate a smaller urine volume have a lower peak flow (in flowmetry) and a lower bladder capacity (in cystomanometry) than patients with SUI. The rehabilitation treatment proposed in daily clinical practice (PFMT/BFB with or without TTNM improves SUI and UUI). In this study, the UDS has shown a greater clinical-urodynamic correlation in UUI than in SUI.

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Symptomatic Tarlov cysts: A case series and effectiveness of multimodal rehabilitation plus pharmacological treatment

Fernández-Cuadros,

Martín-Martín,

Pérez-Moro

et al. 2024

Neurology Perspectives

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Efectividad del electromiografía-biofeedback en la incontinencia fecal y la calidad de vida

Cited by 5 publications

References 20 publications

Manometric Biofeedback Effectiveness on Urinary Incontinence and Quality of Life: A Non-Randomized Control Trial

Manometric Biofeedback Effectiveness on Urinary Incontinence and Quality of Life: A Non-Randomized Control Trial

Stress and Urgency Urinary Incontinence: Clinical-Urodynamic Correlation and Rehabilitation Management in Daily Clinical Practice

Symptomatic Tarlov cysts: A case series and effectiveness of multimodal rehabilitation plus pharmacological treatment

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