Exercise Adherence to Pelvic Floor Muscle Strengthening Is Not a Significant Predictor of Symptom Reduction for Women With Urinary Incontinence
| Autor: | Ho-Hsiung Lin, Jau-Yih Tsauo, Shu-Yun Chih, Hsiu-Chuan Hung |
|---|---|
| Rok vydání: | 2012 |
| Předmět: |
Adult
medicine.medical_specialty Adolescent Urinary Incontinence Stress medicine.medical_treatment Urology Physical Therapy Sports Therapy and Rehabilitation Urinary incontinence Severity of Illness Index Pelvic Floor Muscle Statistics Nonparametric medicine Humans Muscle Strength Prospective Studies Aged Pelvic floor Rehabilitation business.industry Pelvic Floor Exercise adherence Middle Aged Symptom reduction Treatment Outcome medicine.anatomical_structure Physical therapy Patient Compliance Regression Analysis Female medicine.symptom business Body mass index Cohort study |
| Zdroj: | Archives of Physical Medicine and Rehabilitation. 93:1795-1800 |
| ISSN: | 0003-9993 |
| DOI: | 10.1016/j.apmr.2012.03.010 |
| Popis: | Hung H-C, Chih S-Y, Lin H-H, Tsauo J-Y. Exercise adherence to pelvic floor muscle strengthening is not a significant predictor of symptom reduction for women with urinary incontinence. Objective To explore the predictors of treatment effectiveness for women with urinary incontinence (UI) receiving pelvic floor muscle (PFM) strengthening. Design Four-month cohort study. Setting Laboratory. Participants Volunteers (N=68; mean age ± SD, 50.5±6.0y) with UI. Intervention Four-month daily PFM strengthening exercise program at home. Main Outcome Measures Outcome measures included self-reported improvement, Severity Index score, 3-days diary, strength of PFM, and quality of life. The participants' recall of the amount of exercise after the 4-month exercise period was used to assess the exercise adherence. Results Fifty-one (75%) of 68 women reported that their condition improved after 4 months of exercise. There were significant reductions in Severity Index score, number of voidings per day, number of leakages per day, and impact on quality of life ( P P =.001). There were no significant correlations between the change score of the Severity Index and age, body mass index, parity, type of UI, duration of UI, menopausal status, and amount of exercise (all P >.10). Multiple regression analysis revealed that initial severity of symptoms and improvement of PFM strength predicted 51.3% of variance in 4-month exercise effectiveness (change score of the Severity Index). Conclusions The effectiveness of the 4-month PFM strengthening program was influenced by the severity of symptoms and the improvement score of PFM strength instead of exercise adherence. Women who had more significant symptoms of leakage (higher score on the Severity Index at baseline) and who had more improvement of PFM strength showed more improvement of symptoms after PFM strengthening. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|