Comparison of three physiotherapy methods for treatment of stress
urinary incontinence: Impact in quality of life and muscle function
Prudencio
1
C,
1
A,
1
L,
1
A,
1
G,
1
P,
Barbosa
Deróbio A
Anézio
Vesentini
Almeida A
Piculo
1. Universidade Estadual Julio de Mesquita Filho UNESP- SP- BRASIL
1
F,
Marini
1
G
Keywords: Physiotherapy; Urinary Incontinence; treatment
HYPOTHESIS/AIMS OF STUDY
Compare the impact of three different physiotherapy protocols on quality of life and function of the pelvic floor muscle
STUDY DESIGN, MATERIALS AND METHODS
Randomized Controlled Clinical Trial approved by the Ethics Committee (n. 266/2009). 422 participants were selected and
applied the criterion of non-inclusion and exclusion, inclusion amounted to 156.
Simple randomization of 156
participants
Evaluation
1. Term of free and informed consent;
2. Structured interview (Personal,
clinical, obstetrics information and
UI characteristics)
3. Kings Health Questionnarie (KHQ);
4. Evaliuation of pelvic floor by
Perineometry
51 = Exclusive Kinesiotherapy (GKines)
55 = Kinesiotherapy + Vaginal Cones (GKCone)
50 = Kinesiotherapy + Perineometer (GKPer)
Standart Protocol
- 3 months, 20 individual session, 2
times per week for 45 minutes
1. Stretching
2. Isolated rapid and sustained
contractions of the pelvic floor
muscles and
3. Functional
exercises
with
contraction
Revaluation
The same assessment performed at
beginning of treatment
STATISTICAL ANALYSIS
Kolmogorov-Smirnov (normality), Wilcoxon (inittial x final), Kruskal-Wallis (Gkines, GKCone, GKPer), Chi-square Pearson
RESULTS
• Homogeneity between the study groups (active sexual
activity was higher in group GKCone);
• KHQ: significant intragroup improvement both in the initial
and final time, as among groups at the final moment.
Table 1 - Occurrence of SUI before and after
physiotherapeutic intervention on kinesiotherapy group
(GKinesio) (n = 51), kinesiotherapy with vaginal cone
(GKCone) (n = 55) and kinesiotherapy with perineometer
(GKPer) (n = 50).
• Perineometer: there was a significant intra-group
difference in the initial and final time of treatment, but it
was not noticed in the comparison among groups
1Chi-square
•
test: p <0.05: significant result
CONCLUDING MESSAGE
• 3 protocols were effective (quality of life and muscle function)
The choice should be made by careful evaluation of the patient and their clinic history.
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