The effect of group or individualised pelvic floor exercises with or without ultrasonography guidance for urinary incontinence in elderly women - A pilot study
| Autor: | Dorthe Villadsen, Helle Smidt Reinau, Karen Weinreich Christensen, Signe Refsgaard Bech, Anette Toft, Tina Herrig Raasted, Helle Haslund Laursen, Lene Hedegaard Corfitzen, Steffan Wittrup Christensen |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Complementary and Manual Therapy
medicine.medical_specialty Urinary system Urinary Incontinence Stress Physical Therapy Sports Therapy and Rehabilitation Urinary incontinence Pelvic floor Pilot Projects Pelvic Floor Muscle medicine Humans Exercise Aged Ultrasonography Incontinence business.industry Genitourinary system Rehabilitation Patient education Pelvic Floor Exercise Therapy body regions Distress medicine.anatomical_structure Treatment Outcome Urinary Incontinence Complementary and alternative medicine Physical therapy Female medicine.symptom business |
| Zdroj: | Bech, S R, Villadsen, D, Laursen, H H, Toft, A, Reinau, H S, Raasted, T H, Christensen, K W, Corfitzen, L H & Christensen, S W M 2021, ' The effect of group or individualised pelvic floor exercises with or without ultrasonography guidance for urinary incontinence in elderly women-A pilot study ', Journal of Bodywork and Movement Therapies, vol. 28, pp. 34-41 . https://doi.org/10.1016/j.jbmt.2021.07.032 |
| ISSN: | 1532-9283 |
| Popis: | Pelvic floor exercises combined with patient education has shown to be a promising intervention for women suffering from urinary incontinence. This pilot study investigated the effect of patient education combined with group or individualised pelvic floor exercises, or individualised pelvic floor exercises with ultrasonography guidance.Thirty-three elderly women with urinary incontinency completed a block-randomised, assessor-blinded study combining patient education with 12-weeks of pelvic floor exercises either group-based or individual with or without ultrasonography guidance. Urinary incontinence symptoms were assessed using the Incontinence Impact Questionnaire-7 (IQ-7) and Urogenital Distress Inventory-6 (UDI-6). Furthermore, daily fluid intake and number of bathroom visits were recorded. Pelvic floor muscle strength was assessed using a manual squeeze test (Oxford Scale, 6-point).An increase in pelvic floor strength was observed after 12 weeks for both the individual (P = 0.038) and the individual ultrasonography-guided (P = 0.01) exercise groups. However, only the latter group maintained an increased strength at the 24-week follow-up (P = 0.008). Across all groups, the intervention led to a decrease in bathroom visits (P = 0.002) that was maintained at the 24-week follow-up (P 0.001). The interventions led to a decrease in UDI-6 both after the 12-week intervention (P = 0.009) and at the 24-week follow-up (P = 0.032).These findings indicate that pelvic floor exercises together with patient education can reduce urogenital distress and bathroom visits without change in fluid intake. Furthermore, when pelvic floor exercises were conducted individually, pelvic floor strength increased, but pelvic floor strength was maintained over time only for individualised pelvic floor exercises with ultrasonography guidance. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect