Game therapy a new approach to treat women facing mixed urinary incontinence: A study protocol

Oliveira, Maria Clara Eugênia de; Bezerra, Lívia Oliveira; Ângelo, Priscylla Hellouyse Melo; Silva-Filho, Edson; Ribeiro, Tatiana Souza; Pegado, Rodrigo; Micussi, Maria Thereza Albuquerque Barbosa Cabral

doi:10.1002/nau.24350

Cited by 4 publications

(4 citation statements)

References 37 publications

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“…It has been noted that recent clinical trials are examining the effectiveness of the Nintendo Wii™ (Foxconn, New Taipei, Taiwan) console as a virtual reality application [18]. For example, there is a new randomized controlled trial being conducted using a Nintendo Wii-based game therapy for women diagnosed with mixed urinary incontinence [19]. This new study demonstrates how VR can be used to help diagnose and treat conditions across many medical specialties such as obstetrics and gynecology and not only limited to neurology or rehabilitation.…”

Section: Introductionmentioning

confidence: 99%

Virtual Reality Intervention to Help Improve Motor Function in Patients Undergoing Rehabilitation for Cerebral Palsy, Parkinson’s Disease, or Stroke: A Systematic Review of Randomized Controlled Trials

Amirthalingam¹,

Paidi²,

Alshowaikh³

et al. 2021

Cureus

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There are many successful interventions in medicine, especially in neurology and rehabilitation. The neurosciences represent an area of medicine with tremendous recent research innovations, one of which is virtual reality. This paper aims to discover the powerful relationship between virtual reality and rehabilitation. We assessed the effectiveness of virtual reality-based rehabilitation compared to conventional rehabilitation on motor function recovery of three patient groups: patients with a diagnosis of cerebral palsy, Parkinson's disease, or stroke. We conducted a systematic review using PubMed and included only articles that were randomized controlled trials that were published in the last five years. We used a general search in combination with a more focused Medical Subject Headings (MeSH) search. After thorough assessment and risk of bias evaluation using the Cochrane risk of bias tool, we included thirteen studies in this review. The majority of the clinical trials showed a statistically significant effect for improved motor function. More specifically, improvements in upper extremity motor function, gait, and balance in patients diagnosed with stroke were seen. Similarly, when evaluating patients with Parkinson's disease, improved gait and posture were also seen. When it came to cerebral palsy, however, there were no significant differences between the experimental group and the control. The level of improvement in motor function with a virtual reality intervention was striking, particularly since a few studies demonstrated sustained motor improvement a few months post-trial as well. Virtual reality-based rehabilitation has promising results for adult patients diagnosed with stroke or Parkinson's disease. For pediatric patients, on the other hand, a larger number of clinical trials would still need to be conducted to validate if virtual reality interventions have the capability of providing improved motor function recovery.

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Section: Introductionmentioning

confidence: 99%

Virtual Reality Intervention to Help Improve Motor Function in Patients Undergoing Rehabilitation for Cerebral Palsy, Parkinson’s Disease, or Stroke: A Systematic Review of Randomized Controlled Trials

Amirthalingam¹,

Paidi²,

Alshowaikh³

et al. 2021

Cureus

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“…The basis of first-line UI treatment is PFMT [5]. Furthermore, there is an increased interest in the use of modern technologies in UI sufferers [39]. Due to poor knowledge of female anatomy and problems with proper contraction and relaxation of the pelvic floor muscles, biofeedback appears to be effective in therapy, which provides to the patient real-time feedback regarding its muscular function and contraction.…”

Section: Discussionmentioning

confidence: 99%

Use of Virtual Reality-Based Therapy in Patients with Urinary Incontinence: A Systematic Review with Meta-Analysis

Rutkowska

Salvalaggio

Rutkowski

et al. 2022

IJERPH

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It is estimated that over 400 million people worldwide experience some form of urinary incontinence (UI). Pelvic floor muscle training (PFMT) is commonly used in cases of urine loss. Game therapy (GT) has been suggested as a new conservative modality for UI treatments. GT represents a form of virtual reality (VR) that allows users to interact with elements of a simulated scenario. The purpose of this review was to assess the potential of using VR-based PFMT in the treatment of UI with a particular focus on the impact of this form of therapy on the patients’ muscle function, symptoms of UI and quality of life (QoL). The following electronic databases were searched: PubMed, Embase, Cochrane Library, Scopus and Web of Science. Systematic review methods were based on the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) statement. Electronic medical databases were searched from inception to 28 January 2021. From a total of 38 articles, 26 were analyzed after removing duplicates, then 22 records were excluded according to inclusion criteria and 4 were assessed as full texts. Finally, 2 randomized controlled trials (RCT) with 79 patients were included. For the International Consultation on Incontinence Questionnaire-Short Form (ICIQ-SF), the meta-analysis showed a significant difference in favor of the control condition (MD = 2.22; 95% CI 0.42, 4.01; I2 = 0%). Despite the popularity of the use of VR in rehabilitation, we found a scarcity of literature evaluating the application of VR in the field of UI therapy. Only one study matched all of the criteria established. The effects of VR training improved PFM function and QoL; however, these changes were comparable to those of traditional PFMT. It is not possible to reach final conclusions from one study; thus, further development of VR interventions in the field of UI treatments are needed.

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“…After conducting the proposed activities, the pad is removed and weighed again and the difference in the pad weight reflects the amount of urine leak. Urinary loss of <1 g is considered insignificant 20 …”

Section: Methodsmentioning

confidence: 99%

“…Urinary loss of <1 g is considered insignificant. 20 The KHQ 18 consists of 30 questions, divided into 9 domains that address the impact of UI on QOL. The score ranges from 0 to 100, with a higher score indicating lower QOL in that domain.…”

Section: Methodsmentioning

confidence: 99%

A randomized trial comparing vaginal laser therapy and pelvic floor physical therapy for treating women with stress urinary incontinence

Fonseca

Giarreta

Peterson

et al. 2023

Neurourology and Urodynamics

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IntroductionFemale stress urinary incontinence (SUI) is considered a major public health issue. Physical therapy is an important conservative treatment; however, it is primarily limited by poor long‐term compliance. Furthermore, surgical treatment entails significant risks. Therefore, new treatment techniques must be identified.ObjectiveTo compare the use of laser therapy and pelvic floor (PF) physical therapy for treating postmenopausal women with SUI.MethodsThis pilot study enrolled 40 women with a clinical and urodynamic diagnosis of SUI who were randomized into two groups: those who received erbium‐doped yttrium–aluminum–garnet (Er:YAG) laser therapy implemented over three sessions with a 1‐month interval (n = 20) and those who received physical therapy with supervision twice a week for 3 months (n = 20). In total, 16 women completed the treatment in each group. The patients were assessed for PF function using the modified Oxford scale and for pelvic organ prolapse using the Pelvic Organ Prolapse Quantification System. The 1‐h pad test and quality of life questionnaires, King's Health Questionnaire (KHQ), and Incontinence Quality of Life (IQOL) were also administered. Patients were re‐evaluated at 1, 3, 6, and 12 months after treatment.ResultsThe mean patient age was 62.7 ± 9.1 and 57.9 ± 6.1 years, median Oxford score at baseline was 3 (2–4.5) and 4 (3–4), mean IQOL score was 79.8 ± 17 and 74.6 ± 18 for physical therapy group (PTG) and laser group (LG), respectively. For the amount of urine leak in the 1‐h pad test evaluation, we found significance for the interaction of group and time points only for the Laser intragroup. The cure rate, that is, the rate of reaching an insignificant score in the pad test, at 6 and 12 months was 43.75% and 50% in PTG and 62.5% and 56.25% in the LG, respectively (p > 0.05). IQOL scores demonstrated considerable improvement in both groups (p > 0.05). Upon comparing the initial and follow‐up results, the LG showed an improvement at all consultations, whereas the PTG showed improvements at 1, 3, and 6 months but not at 12 months after treatment. KHQ analysis revealed a considerable improvement in the quality of life (QOL) of patients over time, with no substantial difference between the groups. QOL comparison before and after treatment revealed that the vaginal LG improved more consistently in some domains. Only the PTG showed a significant increase in the mean Oxford score from pretreatment to 1 and 3 months after treatment (p < 0.001 and p = 0.002, respectively). However, no statistically significant difference was observed between the groups.ConclusionBoth treatments are safe and have a positive influence on the impact of UI on patients' QOL. The laser caused a greater reduction in the urinary loss, as measured using the weight of pad test, at 6‐month and 12‐month after treatment without difference with PTG at the end of the follow‐up.

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Game therapy a new approach to treat women facing mixed urinary incontinence: A study protocol

Cited by 4 publications

References 37 publications

Virtual Reality Intervention to Help Improve Motor Function in Patients Undergoing Rehabilitation for Cerebral Palsy, Parkinson’s Disease, or Stroke: A Systematic Review of Randomized Controlled Trials

Virtual Reality Intervention to Help Improve Motor Function in Patients Undergoing Rehabilitation for Cerebral Palsy, Parkinson’s Disease, or Stroke: A Systematic Review of Randomized Controlled Trials

Use of Virtual Reality-Based Therapy in Patients with Urinary Incontinence: A Systematic Review with Meta-Analysis

A randomized trial comparing vaginal laser therapy and pelvic floor physical therapy for treating women with stress urinary incontinence

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