scholarly journals A Randomized Clinical Trial on the Effect of Biofeedback on Pain and Quality of Life of Patients with Chronic Coccydynia

2020 ◽  
Vol 11 (6) ◽  
pp. 753-764
Author(s):  
Tannaz Ahadi ◽  
◽  
Gholam Reza Raissi ◽  
Maryam Hosseini ◽  
Simin Sajadi ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Pelvic Floor ◽  
Pelvic Floor Muscle ◽  
Pain Scale ◽  
Time Interval ◽  
Life Questionnaire ◽  
Pelvic Floor Muscle Exercises ◽  
Sf 36

Purpose of the study: Pelvic floor muscles dysfunction is one of the most important etiologies of coccydynia, therefore, manual therapies have been proposed as the first line of treatment. The purpose of this study was to investigate the effect of biofeedback as a new approach in the treatment of coccydynia. Methods: Thirty women were randomized into two groups. Both groups were injected with corticosteroid. One group received pelvic floor muscle exercises plus biofeedback while the other only performed exercises. Patient’s pain was measured using Visual Analogue Scale (VAS) in the first visit and after 1, 2 and 6 months of follow-up as well as Dallas pain and SF-36 quality of life questionnaires before and 2 months after the treatment. Results: Pain had improved significantly after 1, 2 and 6 months in both groups compared to the baseline. However, the amount of change was not different between the groups at any time interval. The results were the same for Dallas pain scale and SF-36 quality of life questionnaire. Conclusion: Adding biofeedback to pelvic floor muscle exercises did not lead to any further improvement in management of chronic coccydynia. Further studies with larger sample sizes may show the effect of biofeedback more clearly.

scholarly journals Improvement in Quality of Life with Pelvic Floor Muscle Training and Biofeedback in Patients with Painful Bladder Syndrome/Interstitial Cystitis

2021 ◽  
Vol 10 (4) ◽  
pp. 862
Author(s):  
Pedro-Santiago Borrego-Jimenez ◽  
Javier Flores-Fraile ◽  
Bárbara-Yolanda Padilla-Fernández ◽  
Sebastián Valverde-Martinez ◽  
Agustín Gómez-Prieto ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Pelvic Floor ◽  
Pelvic Floor Muscle Training ◽  
Pelvic Floor Muscle ◽  
Oral Drug ◽  
Muscle Training ◽  
Sf 36 ◽  
Pre Treatment

Objective: To prove the benefits of pelvic floor muscle training with biofeedback (BFB) as a complementary treatment in women with bladder pain syndrome/interstitial cystitis (BPS/IC). Methods: Prospective, randomized study in 123 women with BPS/IC. Groups: BFB+ (n = 48): women with oral drug treatment (perphenazine and amitriptyline) plus intravesical instillations (sodium hyaluronate) plus pelvic floor muscle training with BFB; BFB−: (n = 75): women with oral drug treatment plus intravesical instillations. Variables: age, body mass index (BMI), time of follow-up, length of disease, time free of disease, diseases and health conditions concomitant, and responses to the SF-36 health-related quality of life questionnaire at the first consultation (SF-36 pre-treatment), and at the end of the study (SF-36 post-treatment). The treatment was considered successful when the SF-36 score reached values equal to or greater than 80 points or when the initial value increased by 30 or more points. Results: Mean age was 51.62 years old (23–82). BMI was higher in BFB−. The mean length of BPS/IC condition was 4.92 years (1–20), shorter in BFB+ than in BFB−. Mean SF-36 score pre-treatment was 45.92 points (40–58), lower in BFB+ than in BFB−. Post-treatment SF-36 score was higher than pre-treatment SF-36 score both in BFB+ and BFB−. SF-36 values were higher in BFB+ compared to BFB− over the follow-up. Conclusions: BFB improves quality of life in women with BPS/IC as adjunct therapy to combined oral and intravesical treatment.

scholarly journals Pelvic floor muscle training for overactive bladder symptoms – A prospective study

2017 ◽  
Vol 63 (12) ◽  
pp. 1032-1038 ◽  
Author(s):  
Fátima Fitz ◽  
Marair Sartori ◽  
Manoel João Girão ◽  
Rodrigo Castro
Keyword(s):  
Quality Of Life ◽  
Overactive Bladder ◽  
Pelvic Floor ◽  
Pelvic Floor Muscle Training ◽  
Pelvic Floor Muscle ◽  
Urinary Symptoms ◽  
Life Questionnaire ◽  
Muscle Training ◽  
Pad Test

Summary Introduction: Pelvic floor muscle training (PFMT) involves the contraction of the puborectal, anal sphincter and external urethral muscles, inhibiting the detrusor contraction, what justify its use in the treatment of overactive bladder (OAB) symptoms. Objective: To verify the effects of isolated PFMT on the symptoms of OAB. Method: Prospective clinical trial with 27 women with mixed urinary incontinence (MUI), with predominance of OAB symptoms and loss ≥ 2 g in the pad test. It was evaluated: pelvic floor muscles (PFMs) function (digital palpation and manometry); urinary symptoms (nocturia, frequency and urinary loss); degree of discomfort of OAB symptoms; and quality of life (Incontinence Quality-of-Life Questionnaire [I-QoL]). The PFMT program consisted of 24 outpatient sessions (2x/week + home PFMT). The Mann-Whitney and Wilcoxon tests (with a significance level of 5%) were used to analyse the data. Results: There was a significant improvement of the urinary symptoms to the pad test (5.8±9.7, p<0.001), urinary loss (0.7±1.1, p=0.005) and nocturia (0.8±0.9, p=0.011). Reduction in the degree of discomfort of urinary symptoms was observed according to OAB-V8 questionnaire (10.0±7.7, p=0.001). There were also significant results in PFMs function: Oxford (3.6±0.9, p=0.001), endurance (5.2±1.8, p<0.001), fast (8.9±1.5, p<0.001) and manometry (26.6±15.8, p=0.003). In addition, quality of life had a significant improvement in the three domains evaluated by I-QoL. Conclusion: The PFMT without any additional guidelines improves the symptomatology, the function of PFMs and the quality of life of women with OAB symptoms.

scholarly journals The Effect of Pelvic Floor Muscle Strengthening Exercise on Urinary Incontinence and Quality of Life in Patients after Prostatectomy: a Randomized Clinical Trial

2020 ◽  
Vol 9 (1) ◽  
pp. 33-38
Author(s):  
Seyedeh Fatemeh Jalalinia ◽  
Majid Raei ◽  
Vahid Naseri-Salahshour ◽  
Shokoh Varaei
Keyword(s):  
Quality Of Life ◽  
Clinical Trial ◽  
Urinary Incontinence ◽  
Pelvic Floor ◽  
Randomized Clinical Trial ◽  
Pelvic Floor Muscle ◽  
Statistical Tests ◽  
Pelvic Floor Muscle Exercises ◽  
Significant Difference

Introduction: Urinary incontinence is a common problem after Prostatectomy that affects patients’ life. Nurses can assist patients in improving urinary problems. This study aimed to assess the effects of pelvic floor muscle exercises on urinary incontinence and the quality of life in patients after Prostatectomy. Methods: This randomized clinical trial was performed on 60 patients with suprapubic prostatectomy and urinary incontinence who had referred to urology department of Vali-e-Asr Hospital in Tehran. The subjects were selected and randomly divided into control and intervention groups. The control and intervention groups received standard care and pelvic floor muscles exercises after surgery, respectively. The data were gathered in the course of seven days; one, two and three months after surgery, using three questionnaires and a check list for the evaluation of urinary incontinence and assessing Quality of Life. The data were then analyzed, using SPSS ver.13, and statistical tests such as t-test, ANOVA and Chi- square. Results: The quality of life and urinary incontinence score before intervention were not significant between two groups. The findings showed that there was a statistically significant difference between two groups in the average scores of urinary incontinence and the quality of life after intervention. Conclusion: Pelvic muscles exercises reduced urinary incontinence and enhanced quality of life. It’s recommended as a non-pharmacologic, non-invasive way to control urinary incontinence. Patients with adequate cognitive and mental abilities can easily be trained on pelvic floor muscle exercises.

Impact of physiotherapeutic methods on urinary incontinence in the elderly

2020 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Monika Frontczak ◽  
Natalia Ciemna ◽  
Kornelia Kędziora-Kornatowska
Keyword(s):  
Quality Of Life ◽  
Urinary Incontinence ◽  
Physical Therapy ◽  
Pelvic Floor ◽  
Pelvic Floor Muscle ◽  
The Elderly ◽  
Content Type ◽  
Pelvic Floor Muscle Exercises ◽  
The Impact

Purpose Urinary incontinence is one of the most important health problems for people over 65 years of age. It is defined as involuntary and uncontrolled loss of urine. This paper aims to present a contemporary view on the effects of physiotherapeutic procedures in combating urinary incontinence. Physiotherapeutic procedures were compared: pelvic floor muscle exercises, physical therapy and biofeedback (BF) to demonstrate their effectiveness in managing urinary incontinence in the elderly. Design/methodology/approach The databases Pubmed and GoogleScholar have been searched for articles on the impact of interventions – physiotherapeutic procedures on the effectiveness of the treatment of urinary incontinence in the elderly. Findings Pelvic floor muscle exercises are effective in the treatment of urinary incontinence, strengthen muscle strength and improve patients' quality of life. A long-lasting, systematic and individual training program with a physiotherapist is the most effective. BF helps to intensify the therapeutic effect of exercise but also allows you to achieve good results as an independent treatment method. Positive effects are also noticeable in physical therapy, electrostimulation and magnetotherapy are very effective. Physiotherapeutic procedures have a positive effect in the treatment of urinary incontinence in the elderly. However, further research is needed to clarify the most effective methods. Originality/value This paper offers many ways to deal with urinary incontinence in the elderly using physiotherapeutic procedures, thus helping to improve the quality of life of those affected by urinary incontinence.

scholarly journals Health-Related Quality of Life in Spanish Women with Eating Disorders

Nutrients ◽  
2021 ◽  
Vol 13 (2) ◽  
pp. 403
Author(s):  
Isabel Panea-Pizarro ◽  
José M. Moran ◽  
Jesús Lavado-García ◽  
Luis Beato-Fernández ◽  
Ana Teresa Domínguez-Martin ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Eating Disorders ◽  
Life Questionnaire ◽  
Health Related Quality ◽  
Sf 36 ◽  
Related Quality ◽  
Health Related ◽  
Spanish Women

People with eating disorders show impaired health-related quality of life (HRQoL). We aimed to investigate the relative role of physical and mental factors and stage of change as possible predictors of HRQoL in a group of Spanish women (n = 124) with eating disorders. For this purpose, initial and follow-up data were obtained after 6 months from patients attending an outpatient treatment unit for eating disorders. The determinants of the physical and mental domains of the Medical Outcomes Survey Short-form Health Survey (SF-36) questionnaire were investigated in the total sample and separately based on the eating disorder diagnosis by multiple linear regression. Lower scores in the physical component of the SF-36 questionnaire were associated with the presence of a higher body mass index (BMI) at follow-up as well as a higher score in the “action” component of the Attitudes towards Change in Eating Disorders Questionnaire (ACTA). Conversely, a higher index in the EuroQoL-5D overall quality of life questionnaire (EQ-5D) and the presence of obsessive compulsive disorder were associated with a higher score in the physical dimension. The instrument used demonstrated the ability to assess changes associated with the physical component of these patients over the period studied, and the analysis provided more information and specific data on different aspects of HRQoL, thus allowing a more detailed analysis of the information.

Effectiveness of Structured teaching programme on knowledge regarding Pelvic floor muscle exercises in prevention of Urinary incontinence among premenopausal women admitted in selected hospital Bangalore

2021 ◽  
pp. 307-310
Author(s):  
Christina Jose ◽  
Christina Rachel C. ◽  
Della Mathew ◽  
Deva Prasanna ◽  
Dolma Lhakyi ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Urinary Incontinence ◽  
Pelvic Floor ◽  
Pelvic Floor Muscle ◽  
Premenopausal Women ◽  
Teaching Programme ◽  
Pelvic Floor Muscle Exercises ◽  
Starting Point ◽  
Post Test

Introduction: Urinary incontinence, loss of bladder control, is a common and often embarrassing problem which may have a profound impact on quality of life. Women in their premenopausal period may find pelvic muscles are simply weaker than they were before. These muscles may not have enough strength to hold the sphincters close and may cause unwanted leakage of urine. Pelvic floor exercises often also called kegel exercises after their originator, Dr. Arnold Kegel are widely promoted as the starting point for building pelvic floor strength. As urinary incontinence is not a life threating condition, quality of life takes precedence over other issues when deciding the therapy. Pelvic floor muscle education is a well acceptable therapy for urinary incontinence. Assessing patient’s knowledge regarding pelvic floor muscle exercises in an effort to improve their quality of life may be a reasonable starting point. Materials and Methods: It is quantitative quasi experimental research conducted among 40 premenopausal women who were admitted in St. Martha’s Hospital Bangalore. Self-structured questionnaire was used to assess the knowledge on pelvic floor muscle exercises. The pretest was administered to control and experiment groups, followed by which post-test was done for the control group. Whereas the experiment group were given a Video Assisted Teaching Programme on Pelvic Floor Muscle Exercises and then administered a post-test. Result and Conclusion: The mean of pretest was 13.02 with standard deviation of 4.02 whereas the post-test mean score was 19.22 with the standard deviation of 3.62. The present study concluded there is an improvement in the knowledge level after the administration of Video Assisted teaching programme on pelvic floor muscle exercises and the study also revealed there is no association between the knowledge scores and the selected demographic variables (age, educational status and place of residence) and clinical variables (parity, type of delivery and urinary incontinence).

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