The effect of outpatient physical therapy intervention on pelvic floor muscles in women with urinary incontinence

Knorst, Mara Regina; Resende, Thais de Lima; Santos, Thaís Guimarães dos; Goldim, José Roberto

doi:10.1590/s1413-35552012005000117

Cited by 12 publications

(12 citation statements)

References 19 publications

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“…This finding corroborates the results of previous studies 5,13 and may be related to the fact that MS patients may present with both detrusor muscle abnormality (urgency symptoms and vesical hyperactivity) and sphincter disorders (stress-related symptoms) 12,14 . In addition, the studied sample seems to be susceptible to risk factors related to MUI, such as vaginal delivery, more than one pregnancy, and menopause, which may also explain the prevalence of MUI in this sample and corroborates findings from other studies in which MUI was also more prevalent in samples susceptible to these risk factors 15 .…”

Section: Discussionsupporting

confidence: 89%

Depression, lower urinary tract symptoms and quality of life in women with multiple sclerosis: A descriptive and correlational study

Catarino

Finkelsztejn

Aranchipe

et al. 2019

CBR

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Introduction: Among the most ordinary clinical manifestations of Multiple Sclerosis (MS) are depression and the presence of Lower Urinary Tract Symptoms (LUTS). Both can compromise a person's quality of life. The objective of this research was to identify the major urinary symptoms and correlate them with quality of life and with depressive symptoms in women with MS. Methods: This was an observatory, descriptive and correlational study, with nonprobabilistic sampling by convenience. This research included women over 18 years old who displayed LUT symptoms and who had been diagnosed with Relapsing-Remitting MS. Assessment consisted of an anamnesis card, the Kurtzke Expanded Disability Status Scale (EDSS), the Incontinence Impact Questionnaire-7 (IIQ-7-BR), the Urogenital Distress Inventory-6 (UDI-6-BR), the Beck Depression Inventory-2 (BDI-II) and the Multiple Sclerosis Quality of Life Questionnaire-Portuguese version (MSQOL-54). Results: 41 women participated in the study, with average age of 50.1 (± 9.45) and average of 4.11 in the EDSS. The most common urinary symptom was urinary urgency (78%). There was no correlation between the severity of the urinary symptom and quality of life. Moderate and significant negative correlation (r =-0.561 p < 0.001) was found between depression and the physical component of quality of life and strong negative correlation (r =-0.729 p < 0.001) was found between depression and the mental component. Conclusions: The most prevalent urinary symptom was urinary urgency. A strong correlation was found between symptoms of depression and quality of life and there was no correlation between urinary symptoms and quality of life.

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Section: Discussionsupporting

confidence: 89%

Depression, lower urinary tract symptoms and quality of life in women with multiple sclerosis: A descriptive and correlational study

Catarino

Finkelsztejn

Aranchipe

et al. 2019

CBR

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“…The higher prevalence of UUI and mixed UI in the elderly women of this study confirms the findings of other authors 12,13,22,23 . The elderly women reported having lived with urine leakage for a median of three years, which corroborates the findings of other studies on women, particularly elderly, that state that these individuals live with UI for long periods of time before seeking help 20,21,24,25 . Even more concerning is the fact that 25% of them had been living with UI for 7.7 years or longer without seeking help (Table 2).…”

supporting

confidence: 87%

“…As seen in the literature, physical therapy is efficient in reducing urine loss and improving pelvic floor muscle function and QOL. It can be easily carried out in Primary Health Care Units at low costs 5,17,19,24 , either in groups or individually (in the latter case, after approximately 14 treatment sessions 24 ). Taking into consideration the effectiveness of the physical therapy treatment reported in the literature 19,24 , the high prevalence of UI found among the elderly women in this sample, the connection between UI, functional decline 30 and falls in the elderly 32 and the subsequent loss of independence that affects most of the fallers 33 , it is suggested that the elderly users of the public health system should be given access to this therapeutic modality.…”

mentioning

confidence: 99%

Urinary incontinence in elderly women from Porto Alegre: its prevalence and relation to pelvic floor muscle function

et al. 2014

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| The purpose of this cross-sectional study was to assess the prevalence of self-reported urinary loss in elderly women living in the city of Porto Alegre (Rio Grande do Sul, Brazil), as well as to determine the relation between urinary incontinence (UI) and pelvic floor muscle function (PFMF). It included 270 elderly women (aged from 60 to 92 years) from a population sample, who reported the presence (n=155; 69.1±7.8 years) or absence (n=115; 67.7±7.9 years) of urine loss. Those who reported UI were asked about how long they had been experiencing urinary leakage, the amount of urine lost (drops, jets or complete micturition) and situations in which they lost urine. Out of the total number of individuals, 178 agreed to undergo the assessment of PFMF by means of a perineometry and a bidigital test. The prevalence of elderly women who reported UI (57.4%) was significantly higher, and the most common isolated situation of urine loss was being unable to get to the toilet in time (26.1%), and this occurred mainly in drops (52.3%). The UI lasted for a median of three years. The elderly women with UI had significantly lower PFMF than those without it, regardless of the type of measurement used (perineometry or bidigital test). Therefore, we conclude that, in this sample, UI had a high prevalence and was associated with decreased PFMF. Bearing these findings in mind and taking into account the data available in the literature about the impact of UI on health and quality of life, as well as the low cost of its assessment and treatment, we suggest that the management and care of this dysfunction should be carried out at the Primary Health Care level.Keywords | Pelvic Diaphragm; Physical Therapy Specialty; Aged; Women's Health.RESUMO | O objetivo deste estudo foi avaliar a prevalên-cia do relato de perda urinária em idosas residentes no município de Porto Alegre (RS-Brasil), bem como determinar a relação entre incontinência urinária (IU) e a função muscular do assoalho pélvico (FMAP). Participaram 270 idosas (60 a 92 anos) provenientes de uma amostra populacional, que relataram (n=155; 69,1±7,8 anos) ou não (n=115; 67,7±7,9 anos) perda urinária. As idosas que referiram IU foram questionadas quanto a: duração da perda urinária, quantidade de urina perdida (gotas, jato ou completa) e situações em que perdiam urina. Desse total, 178 aceitaram ser submetidas a uma avaliação da FMAP por meio da perineometria e do teste bidigital. A prevalência de idosas com relato de IU (57,4%) foi significativamente mais elevada, sendo que a situação isolada de perda miccional mais

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“…Worldwide, it is estimated that 25‐45% of women suffer from this condition. UI may lower quality of life as it affects social, emotional, and psychological aspects of life . Treatment for UI should be multidisciplinary and based on two pillars: medical treatment and Physical Therapy (PT) .…”

Section: Introductionmentioning

confidence: 99%

“…UI may lower quality of life as it affects social, emotional, and psychological aspects of life. 2 Treatment for UI should be multidisciplinary and based on two pillars: medical treatment and Physical Therapy (PT). 3 PT is considered the first-line treatment for this condition and should be tried before medication or surgery.…”

Section: Introductionmentioning

confidence: 99%

Factors influencing long‐term adherence to pelvic floor exercises in women with urinary incontinence

Venegas

Carrasco

Casas-Cordero

2017

Neurourology and Urodynamics

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Background and Objectives To ensure the effectiveness of Physical Therapy for urinary incontinence (UI), it is crucial that patients adhere to treatment in both the long and the short term. Treatment adherence may prevent symptom progression and the need for surgery, which is associated with higher costs and potential complications. Adherence is defined as carrying out a recommended behavioral modification or change. The World Health Organization (WHO) has established that adherence is a multifactorial phenomenon determined by the interaction of five dimensions, which include diverse factors that affect long‐term adherence on many levels. Aim To identify the factors that influence long‐term adherence to pelvic floor exercises in women with UI. Methods Observational, descriptive, cross‐sectional study. The sample was recruited from the “Centro Integral de Reeducación de Piso Pélvico” (CIREP), and included 61 women treated for UI at the center in 2014 and 2015. Participants completed a self‐administered, 28‐item questionnaire developed for this study based on the WHO five dimensions. Data analysis was performed using STATA 13.0 software. Results Having performed pelvic floor home exercises after discharge from Physical Therapy was significantly associated with self‐rated treatment adherence (P < 0.001). Patient‐related factors were significantly associated with long‐term adherence to the pelvic floor exercise program (P < 0.001). Conclusion Patient‐related factors, exerted the strongest influence on long‐term adherence to pelvic floor exercises in women with UI; forgetting to do the exercises and boredom with the exercises were the factors most strongly related to low treatment adherence, while motivation and commitment were associated with high adherence in this population.

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The effect of outpatient physical therapy intervention on pelvic floor muscles in women with urinary incontinence

Cited by 12 publications

References 19 publications

Depression, lower urinary tract symptoms and quality of life in women with multiple sclerosis: A descriptive and correlational study

Depression, lower urinary tract symptoms and quality of life in women with multiple sclerosis: A descriptive and correlational study

Urinary incontinence in elderly women from Porto Alegre: its prevalence and relation to pelvic floor muscle function

Factors influencing long‐term adherence to pelvic floor exercises in women with urinary incontinence

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