Examining the Role of Non-Surgical Therapy in the Treatment of Geriatric Incontinence (original) (raw)
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Neurourology and Urodynamics, 2011
To test the hypotheses that high intensity pelvic floor muscle training (PFMT) is effective in relief of stress urinary incontinence in community dwelling older women, and that intense PFMT improves stress urinary incontinence more than bladder training (BT) in this population. Methods: A two-center, assessor-blinded randomized controlled trial of 20 weeks duration with two active intervention arms: PFMT and BT. Assessments and interventions were undertaken at two metropolitan tertiary hospitals. Participants were community dwelling women over 65 years of age with urodynamic stress incontinence. Primary outcome measure was urinary leakage during a cough stress test. Secondary outcome measures included symptoms and bother (ICIQ-UI SF), participant global perception of change, leakage episodes (7-day accident diary), degree of "bother" (VAS) and health related quality of life (AQoL). Results: Eighty-three Caucasian women, 71.8 (SD 5.3) years participated in the study. Both groups improved over the intervention period; however, the PFMT group reported significantly lower amounts of leakage on the stress test [PFMT median 0.0 g, 95% CI: 0.2--0.9; BT median 0.3 g, 95% CI: 0.2--1.7, P = 0.006], improved symptoms and bother [PFMT mean 5.9, 95% CI: 4.8--7.1; BT group mean 8.5, 95% CI: 7.1--9.9 and greater perception of change [PFMT 28 (73.6%); BT 12 (36.4%) (P = 0.002)] after 5 months than the BT group. Conclusions: High intensity PFMT is effective in managing stress urinary incontinence and is more effective than BT in healthy older women. Neurourol. Urodynam. 30:317-324, 2011.
Journal of Nephropathology
Introduction: Urinary incontinence is one of the causes of the dependence of the elderly on others and is one of the main reasons for sending the elderly to care centers. Objectives: The aim of this study was to determine the effect of behavioral interventions program on urinary incontinence in the elderly. Patients and Methods: In this quasi-experimental clinical trial (without a control group), 30 elderly men with acute urinary incontinence were selected from elderly care centers in Urmia city using the available sampling method. The intervention included pelvic floor and bladder exercises and lifestyle modification training, individually. The standard ICIQ-SF questionnaire was completed before and after the intervention. The data were analyzed by paired t-test and Wilcoxon tests. Results: The findings showed a statistically significant difference between urinary leakage frequency (P= 0.002), urinary leakage rate (P=0.001) and the effect of urinary leakage on the quality of life (...
Effects of the Training Given to Older Adults on Urinary Incontinence
Ageing International, 2020
This study aims to identify the effects of the pelvic floor strengthening exercises and bladder training given to older adults with urinary incontinence on their incontinence. A randomized controlled trial was conducted between March and June 2017. The target population was 476 people aged 65 and over who were diagnosed with urinary incontinence. The sample was 100 volunteer people who met the research criteria. The data were collected using the Socio-demographic Form and International Consultation on Incontinence Questionnaire Short Form (ICIQ-SF). The experimental group ICIQ-SF post-test mean score was significantly lower than the control group ICIQ-SF post-test mean score. Urinary incontinence is one of the important geriatric problems whose prevalence has been increasing with ageing. Urinary incontinence treatment should include behavioural treatment together with medicine or surgical treatments. This study found that the training given to older adults had preventive effects on urinary incontinence.
Effects of physical therapy in older women with urinary incontinence: a systematic review
Brazilian Journal of Physical Therapy, 2012
Background: Urinary incontinence (UI) is one of the most common public health problems among older women. Despite conservative treatment being recommended as the first treatment option, the effects of physical therapy in older women with UI is unclear. Objective: This study aimed to systematically review the evidence about the effects of physical therapy on urinary symptoms in older women with UI. Method: The literature search for studies evaluating conservative treatment for incontinent in elderly women was conducted on Pubmed/Medline, Lilacs, Scielo, ISI Web of Knowledge and PEDro. We selected clinical trials published in English and Portuguese after the year 2000. The methodological quality of the studies was assessed using the PEDro scale. The results were analyzed using a critical review method. Results: Six studies were reviewed in full revealing that pelvic floor muscle training was the treatment option in most studies. Five of the six selected studies were classified as having high methodological quality. There was significant improvement in urinary symptoms after treatment in five of the six selected studies. Conclusions: It was concluded that physical therapy treatment seems to be effective to decrease urinary incontinence symptoms in older women. However, the small number of studies and the use of concurrent interventions limit the conclusions on this issue.
Healthcare
Women frequently suffer from urinary incontinence due to atrophic changes in the urogenital tract. Recommended conservative treatment includes evaluation of pelvic-floor strength and the functional use of pelvic-floor-muscle (PFM) training. Following the PRISMA 2020 guidelines, a search was conducted in the electronic databases PubMed, Web of Science, and Scopus for articles with at least one group performing PFM exercises in post-menopausal women with urinary incontinence. Eight articles were included, and each study had at least one group of PFM exercise-based intervention alone or combined. The volume or duration, frequency, and number of sessions were heterogeneous. All the studies reported significant differences in favor of PFM exercise in strength, quality of life, and/or severity of urinary incontinence. PFM exercise is a highly recommended intervention to treat urinary incontinence in postmenopausal women. However, more research is needed to establish specific factors such ...
Revista Brasileira De Fisioterapia, 2019
Background: Although the efficacy of pelvic floor muscle training (PFMT) and bladder training are well established, there is a paucity of patient centered models using these interventions to treat women with UI at primary level of health assistance in Brazil. Objective: To investigate the effectiveness of a physical therapy intervention to treat women with UI in primary health centers. Methods: Pragmatic non-randomized controlled trial in which women with UI from the community participated in a supervised physical therapy program consisting of bladder training plus 12 weeks of PFMT, performed either at home or in the health center. Outcome measures were amount and frequency of urine loss measured by the 24-h pad-test and the 24-h voiding diary; secondary outcome was the impact of UI on quality of life measured by the ICIQ-SF. Outcomes were measured at baseline, at the 6th and 12th weeks of the intervention and 1 month after discharge. Results: Interventions reduced the amount (pad-test, p = 0.004; d = 0.13, 95% CI = −0.23 to 0.49) and frequency of urine loss (voiding diary, p = 0.003; d = 0.51, 95%CI = 0.14 to 0.87), and the impact of UI on quality of life (ICIQ-SF, p < 0.001; d = 1.26, 95%CI = 0.87 to 1.66) over time, with positive effects from the 6th week up to 1 month for both intervention setting (home and health center), and no differences between them.
Pelvic Floor Muscle Training for Urinary Incontinence
Female Pelvic Medicine & Reconstructive Surgery, 2013
Introduction and hypothesis The purpose of this study was to evaluate the effectiveness of pelvic floor muscle training in pre-and postmenopausal women using a quality-of-life questionnaire.
Pelvic Floor Muscle Training Versus No Treatment for Urinary Incontinence in Women
2015
Pelvic floor muscle training is the most commonly used physical therapy treatment for women with urinary incontinence (UI). According to the World Health Organization bladder problems affect more than 200milion people worldwide. Urinary incontinence is a disorder that affects women far more frequently than men; 85% of people suffering from urinary incontinence are women. According to existing studies and literature few women go to consult a therapist who specializes in urinary incontinence in our country. Talking about UI, it is a taboo for most women, especially for women living in small cities or rural area. The purpose of the study was to determine the effects of pelvic floor muscle training for women with urinary incontinence in comparison to no treatment. This is a randomized control trial and to gather information was used a questionnaire( ICIQ-SF), and personal contact with patients. The patients were randomly allocated into two groups, the control group and the experimental ...