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).

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 Management of Stress Urinary Incontinence With Surface Electromyography–Assisted Biofeedback in Women of Reproductive Age

2007 ◽  
Vol 87 (2) ◽  
pp. 136-142 ◽  
Author(s):  
Mariana T Rett ◽  
Jose A Simoes ◽  
Viviane Herrmann ◽  
Cristina LB Pinto ◽  
Andrea A Marques ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Urinary Incontinence ◽  
Stress Urinary Incontinence ◽  
Muscle Strength ◽  
Pelvic Floor ◽  
Pelvic Floor Muscle ◽  
Premenopausal Women ◽  
Reproductive Age ◽  
Pelvic Floor Muscle Strength

Background and Purpose Although surgery has been widely accepted as the treatment of choice for stress urinary incontinence (SUI), there has recently been an increased interest in the conservative management of this condition. The aims of this study were to test the ability of a biofeedback-assisted pelvic-floor muscle exercise (PFME) program to affect symptoms of SUI in premenopausal women and to evaluate a training program that might lead to successful outcomes in a relatively limited number of sessions. Subjects Twenty-six women with SUI were treated with PFME with surface electromyography (sEMG)–assisted biofeedback. All participants were of reproductive age and were treated individually for 12 sessions. Methods Results were evaluated with a 7-day voiding diary, a 1-hour pad test, pelvic-floor muscle strength measurements, sEMG amplitudes, a leakage index, and a quality-of-life questionnaire. These variables were compared before and after the intervention. Results The frequency of urine loss, the occurrence of nocturia, and the number of pads required decreased significantly after the intervention. Objective cure was found in 61.5% of women. There was a significant improvement in the quality of life, in pelvic-floor muscle strength, and in the sEMG amplitudes of all contractions throughout the intervention. Discussion and Conclusion A relatively short-term intervention of PFME with sEMG-assisted biofeedback appeared to be helpful in relieving symptoms of SUI in premenopausal women and represents a reasonable conservative management option.

scholarly journals Impact of supervised physiotherapeutic pelvic floor exercises for treating female stress urinary incontinence

2007 ◽  
Vol 125 (5) ◽  
pp. 265-269 ◽  
Author(s):  
Míriam Raquel Diniz Zanetti ◽  
Rodrigo de Aquino Castro ◽  
Adriana Lyvio Rotta ◽  
Patrícia Diniz dos Santos ◽  
Marair Sartori ◽  
...  
Keyword(s):  
Urinary Incontinence ◽  
Stress Urinary Incontinence ◽  
Pelvic Floor ◽  
Pelvic Floor Muscle ◽  
Subjective Evaluation ◽  
Female Stress Urinary Incontinence ◽  
Control Group ◽  
Pelvic Floor Muscle Exercises ◽  
Pad Test

CONTEXT AND OBJECTIVE: Urinary incontinence is a public health problem that affects more than 200 million people worldwide. Stress incontinence is the most prevalent type. Pelvic floor muscle exercises have been used for treating it, although there is no consensus regarding their application. The aim of this study was to compare the results from treating female stress urinary incontinence with pelvic floor muscle exercises with or without physiotherapist supervision. DESIGN AND SETTING: This was a randomized, prospective, controlled trial in the Urogynecology and Vaginal Surgery Sector, Universidade Federal de São Paulo. METHODS: Forty-four women were randomized to be treated for stress urinary incontinence with pelvic floor exercises for three consecutive months, into two groups: one with and the other without physiotherapist supervision. They were evaluated before and after treatment using a quality-of-life questionnaire, pad test, micturition diary and subjective evaluation. Descriptive analysis was used to evaluate the population. The homogeneity of the two groups was evaluated using the Kruskal-Wallis and Chi-squared tests. The success of the two groups after treatment was evaluated using the Wilcoxon test. RESULTS: The supervised group showed statistically greater improvement in the pad test, micturition diary and quality of life than did the control group. In the subjective evaluation, only 23.8% of the control group patients were satised with their treatment. In the supervised group, 66.8% of patients did not want any other treatment. CONCLUSION: Supervised pelvic floor muscle exercises presented better results in objective and subjective evaluations than did unsupervised exercises.

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.

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