Pelvic Floor Rehabilitation in the Management of Urinary Stress Incontinence

Bourcier, A.

doi:10.1016/b978-1-4160-2339-5.50077-x

Cited by 3 publications

(7 citation statements)

References 62 publications

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“…Considering the histological composition of the PFM, composed of approximately 70% type I fibers (slow fibers - responsible for pelvic organ support) and 30% type II fibers (fast fibers - responsible for urethral closure during activities which trigger an increase in intra-abdominal pressure) 26 , both equally important for the maintenance of continence mechanisms 27 , it is believed that the proposed parameters in this study allow a better understanding of muscle function in its totality. So, while clinically evaluating a patient, it is important not only to assess a maximal voluntary contraction but also the ability to maintain a sustained one.…”

Section: Discussionmentioning

confidence: 99%

Intra and inter-rater reliability study of pelvic floor muscle dynamometric measurements

Martinho

Marques

Silva

et al. 2015

Braz. J. Phys. Ther.

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OBJECTIVE: The aim of this study was to evaluate the intra and inter-rater reliability of pelvic floor muscle (PFM) dynamometric measurements for maximum and average strengths, as well as endurance. METHOD: A convenience sample of 18 nulliparous women, without any urogynecological complaints, aged between 19 and 31 (mean age of 25.4±3.9) participated in this study. They were evaluated using a pelvic floor dynamometer based on load cell technology. The dynamometric evaluations were repeated in three successive sessions: two on the same day with a rest period of 30 minutes between them, and the third on the following day. All participants were evaluated twice in each session; first by examiner 1 followed by examiner 2. The vaginal dynamometry data were analyzed using three parameters: maximum strength, average strength, and endurance. The Intraclass Correlation Coefficient (ICC) was applied to estimate the PFM dynamometric measurement reliability, considering a good level as being above 0.75. RESULTS: The intra and inter-raters' analyses showed good reliability for maximum strength (ICCintra-rater1=0.96, ICCintra-rater2=0.95, and ICCinter-rater=0.96), average strength (ICCintra-rater1=0.96, ICCintra-rater2=0.94, and ICCinter-rater=0.97), and endurance (ICCintra-rater1=0.88, ICCintra-rater2=0.86, and ICCinter-rater=0.92) dynamometric measurements. CONCLUSIONS: The PFM dynamometric measurements showed good intra- and inter-rater reliability for maximum strength, average strength and endurance, which demonstrates that this is a reliable device that can be used in clinical practice.

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Section: Discussionmentioning

confidence: 99%

Intra and inter-rater reliability study of pelvic floor muscle dynamometric measurements

Martinho

Marques

Silva

et al. 2015

Braz. J. Phys. Ther.

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“…But a very common reason for urge UI is inflammation that may be related to infections or presence of foreign bodies. (50) Similarly, 7 (17.07%) of the 41 participants having SUI, had OAB. Increased intraabdominal pressure, in any form, leads to involuntary leakage in SUI.…”

Section: Discussionmentioning

confidence: 96%

“…The increased intravesical pressure overcomes the urethral resistance leading to a sensation of urgency; this is caused due to uninhibited detrusor contractions. (50) Suprapontine lesions can lead to detrusor hyperreflexia, a condition with uninhibited detrusor contractions. Hyperreflexia can also be caused by sacral plexus lesion, that may occur with or without dyssynergia.…”

Section: Discussionmentioning

confidence: 99%

Prevalence of Overactive Bladder Syndrome Among Adult Females Having Stress Urinary Incontinence and Urge Urinary Incontinence Using Overactive Bladder Syndrome Questionnaire

Khadke¹,

Dhupkar²

2023

Int J Health Sci Res

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Objectives: To identify the proportion of OABs using OABs-q in adult females classified as SUI or UUI based on the results of the questionnaire for female urinary incontinence diagnosis (QUID). Material and Methods: 243 females of age group 18-55 years were screened for incontinence, of which 102 were included in the study. Questionnaire for Urinary Incontinence Diagnosis and Overactive Bladder questionnaires were administered and the type of incontinence of the women was identified. Proportion of OAB was identified in SUI, UUI and MUI. Results: 102 out of 240 had incontinence, of which 41 women had SUI, 30 had UUI and 31 had MUI. Proportion of OAB was 17%, 60% and 87% respectively in SUI, UUI and MUI. Conclusion: Overactive bladder syndrome has a higher proportion amongst women showing mixed urinary incontinence. Key words: Stress urinary incontinence, Urge urinary incontinence, Mixed urinary incontinence, Overactive Bladder syndrome, QUID, OAB-q.

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“…In contrast, our system (HMT) used a variant mode designed to overcome muscular fatigue and discomfort. In the variant mode, electrostimulation is the summation of energy of variant vectors from the double-channel system 12. Energy per pulse is modified by changing the supplied voltage and electric charge.…”

Section: Discussionmentioning

confidence: 99%

“…Low frequencies (10-20 Hz) are used to treat urge incontinence and high frequencies (35-50 Hz) are used to treat stress incontinence 6. Little is known, however, about the effectiveness of EST using anal plugs in anorectal functional disorders, especially in patients with fecal incontinence 7,8,12…”

Section: Discussionmentioning

confidence: 99%

Electrical Stimulation Therapy in Chronic Functional Constipation: Five Years' Experience in Patients Refractory to Biofeedback Therapy and With Rectal Hyposensitivity

Jung

Yang

Yoon

et al. 2013

J Neurogastroenterol Motil

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Background/AimsBiofeedback therapy (BFT) can be unsuccessful in constipated patients, even those with pelvic floor dysfunction. Electrical stimulation therapy (EST) has been introduced as a novel therapeutic modality in patients with chronic constipation, especially those who have rectal hyposensitivity. We evaluated the efficacy of EST based on five years' clinical experience.MethodsFrom January 2002 to February 2007, 159 patients underwent EST. After exclusion of 12 drop-outs, 147 (M:F = 61:86, 49 ± 17 years) finished all treatment sessions. Among them, 88 (M:F = 29:59, 49 ± 17 years) were refractory to BFT without rectal hyposensitivity (RH), and 59 (M:F = 32:27, 54 ± 17 years) were those with RH.ResultsThe overall response to EST was 59.2% (87/147) by per-protocol analysis. In the EST-responsive group, overall satisfaction improved significantly (from 7.3 ± 3.0 to 4.3 ± 2.5, P < 0.05). Subgroup analysis showed that the response rate was 64.8% (57/88) in patients refractory to BFT without RH, and 50.8% (30/59) in those with RH.ConclusionsEST may have additional therapeutic efficacy in patients who are refractory to BFT. EST may also be effective in patients with RH, including restoration of rectal sensation. Therefore, EST could be considered as an alternative choice in patients refractory to BFT and with or without RH.

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Pelvic Floor Rehabilitation in the Management of Urinary Stress Incontinence

Cited by 3 publications

References 62 publications

Intra and inter-rater reliability study of pelvic floor muscle dynamometric measurements

Intra and inter-rater reliability study of pelvic floor muscle dynamometric measurements

Prevalence of Overactive Bladder Syndrome Among Adult Females Having Stress Urinary Incontinence and Urge Urinary Incontinence Using Overactive Bladder Syndrome Questionnaire

Electrical Stimulation Therapy in Chronic Functional Constipation: Five Years' Experience in Patients Refractory to Biofeedback Therapy and With Rectal Hyposensitivity

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