| Autor: |
Fisher, Steve, Stanich, Starr, Hong, Ickpyo, McGaugh, Janna, Jang, Hyun-jeong, Galloway, Rebecca, Utsey, Carolyn |
| Předmět: |
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| Zdroj: |
Journal of Women's Health Physical Therapy; Jan-Mar2019, Vol. 43 Issue 1, p3-9, 7p |
| Abstrakt: |
Supplemental Digital Content is Available in the Text. Background: Urinary incontinence as a target for fall risk reduction has not been extensively studied. Objective: To assess the effectiveness of a focused evidence-based physical therapy intervention for urinary incontinence in older women on reducing fear of falling. Design: A multiple-baseline, quasiexperimental, single-group, pre-/postpilot study spanning 8 weeks, with a 1-month follow-up. Methods: Twenty women 50 years and older with urge or mixed (ie, urge and stress) incontinence and a score of 20 or more on the Falls Efficacy Scale-International (FES-I) were recruited from 2 outpatient pelvic health clinics associated with a university health system in the southwestern United States. Physical therapy consisted primarily of a standardized program of progressive pelvic floor strengthening exercises. Questionnaires and physical performance measures were administered at baseline 1; at the start of physical therapy (baseline 2); midpoint of therapy; and at discharge. The FES-I was administered by phone at a 1-month follow-up. Results: There were statistically significant improvements from baseline for the FES-I (P =.02), the Incontinence Impact Questionnaire-7 (IIQ-7) (P <.01), and a measure of Life Satisfaction (P =.01). Most of the improvement in the primary outcomes (FES-I and IIQ-7) occurred in the first 4 weeks of therapy. Changes in the FES-I and the IIQ-7 followed a similar trajectory. Conclusions: Findings suggest that physical therapy interventions for incontinence in older women may be an important treatment option for also addressing fear of falling. This article has a Video Abstract at http://links.lww.com/JWHPT/A20. [ABSTRACT FROM AUTHOR] |
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