scholarly journals The Impact of Pelvic Floor Muscles Exercises with and without Synergistic Muscles on Quality of Life of Women with Stage I Stress Urinary Incontinence

2017 ◽  
Author(s):  
Magdalena Ptak ◽  
Agnieszka Brodowska ◽  
Sylwester Ciećwież ◽  
Iwona Rotter
Keyword(s):  
Quality Of Life ◽  
Urinary Incontinence ◽  
Stress Urinary Incontinence ◽  
Pelvic Floor ◽  
Gynecologic Oncology ◽  
Pelvic Floor Muscles ◽  
International Consultation ◽  
Stage 1 ◽  
The Impact

Stress urinary incontinence (SUI) influences the quality of life of women. The research applied ICIQ LUTS qol (The International Consultation Incontinence Questionnaire Lower Urinary Tract Symptoms quality of life) as a tool to measure the quality of life (QOL) of patients with stage 1 SUI in many areas. 140 perimenopausal women who participated in a urodynamic test at Department of Gynecology, Endocrinology and Gynecologic Oncology, Pomeranian Medical University, Police, Poland in the years 2013-2015 were enrolled in the study. Patients were divided into two groups: A and B. Two questionnaires were applied: the author’s original questionnaire and the standardized ICIQ LUTS qol. Gymnastic plans were recommended 4 times per week for the period of 3 months. The plan for group A included the exercises of pelvic floor muscles (PFM) with the simultaneous tension of the transverse abdominal muscle (TrA) and for group B included the exercises of PMF without TrA. The evaluation of the quality of life of patients with stage 1 SUI with the use of ICIQ LUTS qol among patients from groups A and B after therapy showed a significant improvement in most areas. More impact is observed in the physiotherapy of both PFM with TrA.

scholarly journals The effect of intravaginal electrical stimulation on the quality of life and changes in function and anatomy of pelvic floor in women with stress urinary incontinence

2012 ◽  
Vol 26 (1) ◽  
pp. 5-11
Author(s):  
Carneiro Erica ◽  
Araùjo Nazete ◽  
Cader Samaria ◽  
Fonseca Aluizio ◽  
Bittencourt Leila ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Urinary Incontinence ◽  
Electrical Stimulation ◽  
Stress Urinary Incontinence ◽  
Pelvic Floor ◽  
Pelvic Floor Muscles ◽  
Detrusor Muscle ◽  
Intravaginal Electrical Stimulation ◽  
Urine Loss

Abstract Introduction: Urinary incontinence (UI), according to the Committee of the International Continence Society Standards, is defined as any involuntary urine loss associated to exertion conditions. This urine loss can be called Stress Urinary Incontinence (SUI) and when the detrusor muscle becomes inactive Material and methods: The goal of this study was verifying intravaginal electrical stimulation effects on bladder floor mobility, pelvic floor muscles´ width, their contraction ability and the quality of life of 40 women whose age ranged from 35 to 55 and who were diagnosed with Stress Urinary Incontinence disorder. They were split into two groups: Geletro (underwent 16 perineal electrical stimulation sessions) and control group, Gc (no intervention). The variables were respectively evaluated by the following instruments: transvaginal ultrassonography (Toshiba trademark), Phenix electromyographic biofeedback and King´s Health Questionnaire. Results: The results were bladder floor mobility reduction (Δ% = -9,13%, p=0,0930), width increase on pelvic floor muscles (Δ% = 11,64%, p= 0,2924), both not significant, muscle strength increase due to biofeedback (Δ% =60,49%, p= 0,0001) and to AFA* (Δ% = 24,53%, p=0,0001), and significant decrease of all questionnaire scores: DOM 1 (Δ% = -50,00%, p = 0,000), DOM 2 (Δ% = -55,14%, p= 0,005), DOM 3 (Δ% =-74,98 %, p= 0,002), DOM 4 (Δ% = -73,87%, p= 0,002), DOM 5 (Δ% = -68,91%, p= 0,001), DOM 6 (Δ% = -85,90%, p= 0,000), DOM 7 (Δ% = -72,48%, p= 0,014), DOM 8 (Δ% =-71,88 %, p= 0,030), DOM 9Δ% =-73,29 %, p= 0,023) Conclusions: The Geletro group in comparison to the Gc which showed that intravaginal electrical stimulation improved the pelvic floor anatomically and functionally and also the quality of life of Geletro group. Stress Urinary Incontinence improvement could only be subjectively demonstrated.

scholarly journals The Effect of Pelvic Floor Muscles Exercise on Quality of Life in Women with Stress Urinary Incontinence and Its Relationship with Vaginal Deliveries: A Randomized Trial

2019 ◽  
Vol 2019 ◽  
pp. 1-7 ◽  
Author(s):  
Magdalena Ptak ◽  
Sylwester Ciećwież ◽  
Agnieszka Brodowska ◽  
Andrzej Starczewski ◽  
Jolanta Nawrocka-Rutkowska ◽  
...  
Keyword(s):  
Urinary Incontinence ◽  
Stress Urinary Incontinence ◽  
Pelvic Floor ◽  
Sleep Problems ◽  
Pelvic Floor Muscles ◽  
Combined Training ◽  
Vaginal Deliveries ◽  
First Choice ◽  
The Impact

Introduction. Urinary incontinence (UI) is a health problem affecting the quality of women’s lives (QOL) at various life stages. Stress urinary incontinence (SUI) can be caused by previous vaginal deliveries and is especially likely to occur in the perimenopausal period. The most commonly recommended first-choice treatment methods involve exercises for the pelvic floor muscles (PFM). The aim of this study was to assess the impact of isolated PFM exercises and combined training of the PFM and the m.transversus abdominis (TrA) muscle on the QoL of patients with SUI with regard to the number of vaginal deliveries.Material and Methods. 137 women with SUI were qualified for analysis (mean age 53,1 ± 5,5). To assess the effectiveness of PFM training QOL questionnaire was used (ICIQ-LUTS qol). PFM training for groups A (PFM+TrA) and B (PFM) was intended for 12 weeks. Statistica v. 12.0 PL, StatSoft, USA, was used for statistical calculations.Results. The analysis demonstrated that conservative treatment based on the A training program (PFM + TrA) yielded statistically significantly better results than the B program (PFM), with the improvement observed in such QoL domains as the performance of household duties, physical activity and travelling, social limitations, emotions, sleep problems and fatigue, the frequency of changing panty liners, fluid intake control, and embarrassment.Conclusion. Both the combined training of the PFM and the synergistic (TrA) muscle and the isolated PFM exercises improve the QoL of women with SUI. Nonetheless, the combined PFM and TrA muscle physiotherapy is more effective. The exercises for the PFM and the synergistic muscle give better results in women who have given birth fewer than three times than isolated PFM exercises.

scholarly journals Urinary Incontinence and Quality of Life in Female Patients with Obesity

2018 ◽  
Vol 40 (09) ◽  
pp. 534-539 ◽  
Author(s):  
Christiana Nygaard ◽  
Lucas Schreiner ◽  
Thiago Morsch ◽  
Rodrigo Saadi ◽  
Marina Figueiredo ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Risk Factors ◽  
Urinary Incontinence ◽  
Vaginal Delivery ◽  
Short Form ◽  
Female Patients ◽  
International Consultation ◽  
Independent Risk Factors ◽  
The Impact

Objective To analyze the prevalence of urinary incontinence (UI) in female patients with an indication for bariatric surgery, to investigate the potential risk factors and the impact on quality of life. Methods A cross-sectional study with female patients with obesity. The evaluation consisted of a structured interview, a specific study form and quality of life questionnaires. The Poisson regression was performed to identify independent risk factors related to UI. Results A total of 221 patients were enrolled; 118 of the study participants (53.4%) reported UI episodes. Mixed UI (MUI), stress UI (SUI) only, and urgency UI (UUI) only were reported by 52.5% (62), 33.9% (40) , and 13.5% (16) of these patients respectively. The prevalence of UI was increased by 47% among the women who had given birth vaginally and by 34% of the women who had entered menopause. Vaginal delivery and menopause were identified as independent risk factors related to UI. The mean International Consultation on Incontinence Questionnaire - Short Form (ICIQ-SF) score was 9.36 ± 4.9. The severity of symptoms was considered moderate in 53.3% (63) of the patients with UI. Conclusion Urinary incontinence impacts quality of life negatively, and the prevalence of UI is high among obese patients. In the present study, vaginal delivery and menopause were independently associated with UI.

scholarly journals Effect of Pelvic-Floor Muscle Exercise Position on Continence and Quality-of-Life Outcomes in Women With Stress Urinary Incontinence

2006 ◽  
Vol 86 (7) ◽  
pp. 974-986 ◽  
Author(s):  
Diane F Borello-France ◽  
Halina M Zyczynski ◽  
Patricia A Downey ◽  
Christine R Rause ◽  
Joseph A Wister
Keyword(s):  
Quality Of Life ◽  
Urinary Incontinence ◽  
Stress Urinary Incontinence ◽  
Pelvic Floor ◽  
Treatment Outcomes ◽  
Pelvic Floor Muscle ◽  
Life Outcomes ◽  
Pelvic Floor Muscle Exercise ◽  
Pfm Strength

AbstractBackground and Purpose. Pelvic-floor muscle (PFM) exercises are effective in reducing stress urinary incontinence (SUI), but few studies have investigated the effect of specific exercise variables on treatment outcomes. This study explored the effect of exercise position on treatment outcomes in women with SUI. Subjects and Methods. Forty-four women were randomly assigned to exercise in the supine position only or in both supine and upright positions. Bladder diary, pad test, urodynamic test, quality-of-life (Incontinence Impact Questionnaire [IIQ]), and PFM strength outcomes were obtained at baseline and after treatment. Results. Exercise position did not affect outcomes. After data from both groups were collapsed, statistically significant improvements with treatment were observed in bladder diary, IIQ, PFM strength, and urodynamic test results. Discussion and Conclusion. Exercise position did not differentially affect treatment outcomes. However, women in this study achieved a mean 67.9% reduction in the frequency of SUI episodes and improvements in other study outcomes. [Borello-France DF, Zyczynski HM, Downey PA, et al. Effect of pelvic-floor muscle exercise position on continence and quality-of-life outcomes in women with stress urinary incontinence. Phys Ther. 2006;86:974–986.]

scholarly journals Rehabilitation treatment in patients with urinary incontinence

2020 ◽  
Vol 12 (3) ◽  
pp. 1-10
Author(s):  
Cvetanka Gjerakaroska-Savevska ◽  
Erieta Nikolikj-Dimitrova ◽  
Valentina Koevska ◽  
Biljana Mitrevska ◽  
Marija Gocevska ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Urinary Incontinence ◽  
Stress Urinary Incontinence ◽  
Pelvic Floor ◽  
Behavioral Therapy ◽  
Pelvic Floor Muscle ◽  
Urinary Continence ◽  
Rehabilitation Treatment ◽  
The Individual

Urinary incontinence is the inability to control urination with spectrum of disturbances from periodical urinary leaks to complete inability to retain urine. It occurs more often in elderly and in women. Urinary incontinence has a great impact on general health and may reduce the quality of life. There are several types: stress urinary incontinence, urgent urinary incontinence, neurogenic urinary incontinence, overflow urinary incontinence. Stress urinary incontinence is the most frequent one and is due to pelvic floor muscle weakness. For assessment and treatment of these patients the individual approach is warranted. The treatment of these patients includes medications, behavioral therapy, biofeedback, pelvic floor muscle training, electrical stimulation, magnetic stimulation and surgery. Non-surgical treatment might be effective to prevent surgery. Rehabilitation treatment with pelvic floor exercises and physical modalities for patients with urinary incontinence is important for recovery of the urinary continence and improvement of quality of life in these patients.

scholarly journals Effect of Surface Electrical Stimulation in a Seated Position on Pelvic Floor Muscle Functions, Urinary Leakage, and Quality of Life in Women With Stress Urinary Incontinence

2020 ◽  
Author(s):  
Ui-jae Hwang ◽  
Min-seok Lee ◽  
Sung-hoon Jung ◽  
Young-shin Kim ◽  
Oh-yun Kwon
Keyword(s):  
Quality Of Life ◽  
Urinary Incontinence ◽  
Electrical Stimulation ◽  
Stress Urinary Incontinence ◽  
Pelvic Floor ◽  
Pelvic Floor Muscle ◽  
Control Group ◽  
Urinary Leakage ◽  
Effect Of Surface

Abstract BackgroundThe aim of this study was to demonstrate the effect of surface electrical stimulation in a seated position (SESSP), as pelvic floor muscle (PFM) training, on PFM functions (time to reach maximal pressure [TRMP], muscle strength, power and endurance), urinary leakage and quality of life in patients with stress urinary incontinence (SUI). MethodsWomen with SUI were randomized into an SESSP group (n = 18) or control group (n = 18). Quality of life were assessed by the Incontinence Quality of Life Questionnaire (I-QOL). Ultra-short pad test results and PFM functions were measured by perineometer. Changes in the outcomes were assessed before and 8 weeks after SESSP training. ResultsThirty-three participants were included in the analysis. There were significant differences in I-QOL (avoidance and limiting behaviors, psychosocial impacts, social embarrassment and total score) in between (SESSP vs. control group) and within (pre vs. post) group analyses. Significant increases in PFM strength, power, and endurance, and significant decreases in the TRMP and pad weight, were observed between (SESSP vs. control group) and within (pre vs. post) groups. ConclusionSESSP in a seated position can be recommended to improve QOL, urinary leakage, and PFM functions in SUI patients.Trial registrationCurrent Controlled Trials KCT0003357 (the date of registration: 2018.11.16) and retrospectively registered

Effect of Kegel Exercises on Pelvic Floor Muscle Disorders in Prenatal and Postnatal Women - A Literature Review

2020 ◽  
Vol 16 ◽  
Author(s):  
Eric Lawer Torgbenu ◽  
Christopher O. Aimakhu ◽  
Emmanuel Komla Senanu Morhe
Keyword(s):  
Quality Of Life ◽  
Urinary Incontinence ◽  
Pelvic Floor ◽  
Pelvic Floor Disorders ◽  
Pelvic Floor Muscle ◽  
Pelvic Floor Muscles ◽  
Muscle Disorders ◽  
Kegel Exercises ◽  
Postnatal Women

Background: Pelvic floor disorders affect many women globally. Objective: To provide a critical appraisal of the literature on the effects of pelvic floor disorders on the quality of life and functioning of pregnant and postnatal women. Methods: Available literature was reviewed and summarized to discuss the definitions, pelvic floor anatomy, dysfunctions, and the mechanism of the condition, and more specifically, on the strengthening exercises for the pelvic floor muscles. Results: Pelvic floor disorder is an important public health concern because of the high prevalence, deleterious effects on pregnancy, and its outcomes as well as impacts on the health care system. They include genuine urinary incontinence, bladder and bowel incontinence, pelvic pain, weakness of the pelvic muscles, weakness of the muscles of the core stability, as well as the prolapse of pelvic organs. Pregnancy and subsequent vaginal delivery are associated causes of pelvic floor muscle disorders. Approximately 60% and 50% of community settlers and residents of nursing homes respectively are affected by urinary incontinence and the numbers increase with hysterectomy. Multiple birth, obesity, chronic coughs, overweight babies, and heavy lifting are associated risk factors. Treatment of pelvic floor muscle disorders should involve an increased physical activity prescription among women diagnosed with weaker pelvic floor muscles, engaging the multidisciplinary team, increasing the quality of life and functioning of women during and after pregnancy. Training aimed at strengthening the pelvic floor muscles is beneficial and prevention of dysfunctions. Conclusion: Structured and well organised pelvic floor muscle training regimen also known as Kegel exercises are important in preventing disorders of the pelvic floor during pregnancy and after delivery.

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