Ying-Ju Liu1,2, Wen-Yih Wu1, Sheng-Mou Hsiao1,3,4, Stella Wan-Hua Ting1, Hsiao-Pei Hsu5, Chiu-Mieh Huang6,7. 1. Department of Obstetrics and Gynecology, Far Eastern Memorial Hospital, New Taipei, Taiwan. 2. Cardinal Tien Junior College of Healthcare and Management, New Taipei, Taiwan. 3. College of Medicine, National Taiwan University, Taipei, Taiwan. 4. Graduate school of Biotechnology and Bioengineering, Yuan Ze University, Taoyuan, Taiwan. 5. School of Nursing, National Yang-Ming University, Taipei, Taiwan. 6. Institute of Clinical Nursing, National Yang-Ming University, Taipei, Taiwan. 7. Department of Nursing, National Yang-Ming University Hospital, Yilan, Taiwan.
Abstract
AIMS: The aim of the study is to compare the efficacy of an 8-week pelvic floor muscle training program with surface electromyography feedback, performed in different body positions (supine, sitting, and standing), in women with stress urinary incontinence. DESIGN: This is a prospective observational study performed January 2014 to May 2016. METHODS: The training program was performed by 110 women with stress urinary incontinence, each completing 4 individual training sessions. The main outcome was the electromyography activity of the pelvic floor muscles and of the synergistic abdominal muscles. Outcome measures were evaluated at 4 time points, namely at baseline and at 2, 4, and 8 weeks of training. RESULTS: A notable effect of training was identified at week 2, which was sustained through to week 8. Training yielded a significant improvement in increased sustained voluntary contraction of the pelvic floor muscles in all 3 positions. The efficacy of training was influenced by the duration of training, age, body mass index, and history of vaginal delivery. CONCLUSION: Training of the pelvic floor muscles, with positive reinforcement by surface electromyography feedback of the pelvic floor muscles and of the synergistic abdominal muscles, was effective for the treatment of stress urinary incontinence in women and should be considered as a feasible option by healthcare providers.
AIMS: The aim of the study is to compare the efficacy of an 8-week pelvic floor muscle training program with surface electromyography feedback, performed in different body positions (supine, sitting, and standing), in women with stress urinary incontinence. DESIGN: This is a prospective observational study performed January 2014 to May 2016. METHODS: The training program was performed by 110 women with stress urinary incontinence, each completing 4 individual training sessions. The main outcome was the electromyography activity of the pelvic floor muscles and of the synergistic abdominal muscles. Outcome measures were evaluated at 4 time points, namely at baseline and at 2, 4, and 8 weeks of training. RESULTS: A notable effect of training was identified at week 2, which was sustained through to week 8. Training yielded a significant improvement in increased sustained voluntary contraction of the pelvic floor muscles in all 3 positions. The efficacy of training was influenced by the duration of training, age, body mass index, and history of vaginal delivery. CONCLUSION: Training of the pelvic floor muscles, with positive reinforcement by surface electromyography feedback of the pelvic floor muscles and of the synergistic abdominal muscles, was effective for the treatment of stress urinary incontinence in women and should be considered as a feasible option by healthcare providers.
Authors: Magdalena Piernicka; Monika Błudnicka; Jakub Kortas; Barbara Duda-Biernacka; Anna Szumilewicz Journal: Medicine (Baltimore) Date: 2021-08-20 Impact factor: 1.817
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