Effect of Behavioral Training With or Without Pelvic Floor Electrical Stimulation on Stress Incontinence in Women

Goode, Patricia S.; Burgio, Kathryn L.; Locher, Julie L.; Roth, David L.; Umlauf, Mary Grace; Richter, Holly E.; Varner, R. Edward; Lloyd, L. Keith

doi:10.1001/jama.290.3.345

Cited by 184 publications

(151 citation statements)

References 21 publications

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“…The sample size calculation (45 women) was performed with the Programs for Epidemiologists (PEPI), based on the responses observed in a previous study 13 , with 95% significance and maximum error of 20%.…”

Section: Sample Size and Statistical Analysismentioning

confidence: 99%

Avaliação da qualidade de vida antes e depois de tratamento fisioterapêutico para incontinência urinária

et al. 2013

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| This quasi experimental study analyzed the influence of a physical therapy intervention on the quality of life (QoL) of women with urinary incontinence (UI) and its effectiveness for urinary loss. Took part in this study 55 women (35 to 87 years) with a clinical diagnosis of UI who underwent an anamnesis and had the function of their pelvic floor muscles (PFMF; bidigital test) and their QoL measured (King's Health Questionnaire -KHQ). Up to 15 weekly sessions were carried out with endovaginal electrical stimulation and perineal exercises. Once the participants reported not losing urine or expressed the desire to stop the treatment, it was terminated, regardless of the number of sessions undertaken. After treatment, the bidigital test and the KHQ were repeated and the participants were asked if they considered themselves to be continent, satisfied with the treatment or not improved. Most participants were aged between 51 and 60 years, underwent vaginal delivery with episiotomy and had prolapse. Most had mixed UI, followed by stress UI. The situations when the urinary loss most commonly occurred were coughing and sneezing, which happened mostly in jets. There was a significant improvement in all of the KHQ domains, except the general health perception. After the intervention, 90.9% of the women said that they were continent or satisfied with the treatment. The physical therapy intervention resulted in improved QoL and it was effective for containing the urinary loss.Keywords | urinary incontinence; quality of life; women's health.Quality of life assessment before and after a physical therapy intervention for urinary incontinence

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Section: Sample Size and Statistical Analysismentioning

confidence: 99%

Avaliação da qualidade de vida antes e depois de tratamento fisioterapêutico para incontinência urinária

et al. 2013

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“…Dois estudos que avaliaram o impacto de terapias de modificação de comportamentos sobre a IU nos participantes que completaram o tratamento também não encontraram diferenças significativas na redução da incontinência entre grupos que tiveram supervisão do tratamento a cada duas semanas e grupos que fizeram uso de um manual sem supervisão alguma durante todo o período do estudo 29,30 . Contudo, um desses estudos relatou uma elevação da satisfação com o tratamento entre as participantes que receberam supervisão 29 e o outro apontou que a aderência ao tratamento foi inferior entre os participantes que não receberam supervisão 30 .…”

Section: Discussionunclassified

“…Contudo, um desses estudos relatou uma elevação da satisfação com o tratamento entre as participantes que receberam supervisão 29 e o outro apontou que a aderência ao tratamento foi inferior entre os participantes que não receberam supervisão 30 . O fato de o presente estudo ter sido desenvolvido em UBSs e de ter ocorrido melhora tanto da IU quanto da FMP, independentemente de supervisão permanente, demonstra a viabilidade da incorporação do MOED como estratégia preventiva e curativa para a IU na atenção primária à saúde.…”

Section: Discussionunclassified

Effectiveness of an illustrated home exercise guide on promoting urinary continence during pregnancy: a pragmatic randomized clinical trial

Assis

Bernardes

Barbosa

et al. 2015

Rev. Bras. Ginecol. Obstet.

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ResumoOBJETIVO: Avaliar a efetividade de um manual de orientação de exercícios domiciliares (MOED) para o assoalho pélvico (AP) na promoção da continência urinária em gestantes primigestas. MÉTODOS: Ensaio clínico com 87 participantes, avaliadas 6 vezes durante a gestação e divididas aleatoriamente em 3 grupos: Grupo supervisionado (Gsup), que praticou exercícios com supervisão; Grupo observado (Gobs), que praticou exercícios sem supervisão, e Grupo referência (Gref), que não praticou exercícios. Incontinência urinária (IU) (desfecho primário) e força muscular perineal (FMP) (desfecho secundário) foram avaliadas por intermédio de diário de perdas urinárias e perineometria, respectivamente. Foram utilizados o teste de Kruskal-Wallis, seguido do teste post hoc de Dunn, para variáveis contínuas, e o teste do χ 2 e testes Z, com correções de Bonferroni, para proporções, com nível de significância de 5%. RESULTADOS: O Gsup e o Gobs apresentaram 6,9% de gestantes incontinentes, enquanto o Gref apresentou 96,6% de incontinentes. Quanto à FMP, o Gsup e o Gobs apresentaram valores médios de contração de 10 e 8,9 cmH 2 O, respectivamente, enquanto o Gref apresentou valor de 4,7 cmH 2 O. Ambos os resultados significantes. CONCLUSÃO: A utilização de um MOED é eficaz na promoção da continência urinária e no aumento da FMP em gestantes primigestas, independentemente de supervisão permanente. Registro no clinicaltrials.gov -NCT00740428Abstract PURPOSE: To evaluate the effectiveness of an illustrated home exercise guide targeting the pelvic floor muscles in promoting urinary continence during pregnancy. METHODS: A randomized clinical trial was performed with 87 participants, evaluated six times during pregnancy and divided into three groups: Gsup, supervised; Gobs, not supervised, and Gref, women who did not perform the home exercises program. A miction diary and perineometry were used to evaluate urinary incontinence (primary outcome) and pelvic floor muscle strength (secondary outcome), respectively. The Kruskal-Wallis test with post hoc Dunn's and chi-square and Z tests with Bonferroni correction were used for continuous variables and proportions, respectively, with the level of significance set at 5%. RESULTS: At the end of the study, 6.9% of pregnant women in the Gsup and Gobs had urinary incontinence, while 96.6% of Gref women were incontinent. Regarding pelvic floor muscle function, Gsup and Gobs had mean contractions of 10 and 8.9 cmH 2 O, respectively, while Gref had a value of 4.7 cmH 2 O. Both results were significant. CONCLUSION: An illustrated home exercise guide targeting the pelvic floor muscles is effective in promoting urinary continence during pregnancy, even without permanent supervision. clinicaltrials.gov Registry -NCT00740428

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“…According to Table 1, there was higher prevalence of SUI in both groups. The factors related to dysfunctions in the pelvic floor are obesity, chronic bronchitis, vaginal births, multiparity, age, and changes in collagen (44). One can notice the high prevalence of pregnancy and vaginal births among the volunteers (Table 2), which can be one of the causes for the SUI, as according to Haphpeykar et al (45) pregnancy and natural births are predisposing factors for the occurrence of SUI.…”

Section: Parameters Assessedmentioning

confidence: 93%

Physical therapy treatment in incontinent women provided by a Public Health Service

et al. 2011

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INTRODUCTION: Urinary incontinence affects more than 50 million people worldwide, it has a great impact on quality of life by affecting social, domestic, occupational and sex life, regardless of age. Objective: The objective of this study was to analyze the effectiveness of physical therapy treatment in women attending the Urogynecology service of Hospital and Maternity Leonor Mendes de Barros. METHOD: We retrospectively assessed 65 records of patients with diagnosis of urinary incontinence treated between November 2005 and November 2006. In order to have their data analyzed, patients were divided into two groups; group MF, which underwent medical treatment and physiotherapy, and group M, which had only medical treatment. In order to compare both groups' quantitative data, the analysis was performed in Statistica® software using Mann Whitney's non-parametric test. The analysis of association between the quantitative variables was performed through the Chi-Square test at 5% (p > 0.05) significance level. RESULTS: We observed that 60.6% of patients who underwent physical therapy treatment and medical treatment had the urinary incontinence symptoms decreased or completely cured, while 80% of women belonging to the medical treatmen only-group underwent surgery. CONCLUSION: Thus, we conclude that physical therapy is essential in treatment protocols of urinary incontinence outpatient clinics and to prevent surgery.

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Effect of Behavioral Training With or Without Pelvic Floor Electrical Stimulation on Stress Incontinence in Women

Cited by 184 publications

References 21 publications

Avaliação da qualidade de vida antes e depois de tratamento fisioterapêutico para incontinência urinária

Avaliação da qualidade de vida antes e depois de tratamento fisioterapêutico para incontinência urinária

Effectiveness of an illustrated home exercise guide on promoting urinary continence during pregnancy: a pragmatic randomized clinical trial

Physical therapy treatment in incontinent women provided by a Public Health Service

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