Outpatient biofeedback in addition to home pelvic floor muscle training for stress urinary incontinence: a randomized controlled trial

Outpatient biofeedback in addition to home pelvic floor muscle training for stress urinary incontinence: a randomized controlled trial

Author Fitz, Fatima Fani Autor UNIFESP Google Scholar
Stupp, Liliana Autor UNIFESP Google Scholar
da Costa, Thais Fonseca Autor UNIFESP Google Scholar
Tezelli Bortolini, Maria Augusta Autor UNIFESP Google Scholar
Batista Castello Girao, Manoel Joao Autor UNIFESP Google Scholar
Castro, Rodrigo Aquino Autor UNIFESP Google Scholar
Abstract AIMSTo test if biofeedback (BF) added to pelvic floor muscle training (PFMT) increases the frequency of home exercises performed by women with stress urinary incontinence (SUI). METHODS72 incontinent women were randomized to BF (outpatient BF+home PFMT) or PFMT (outpatient PFMT+home PFMT) groups. Assessments: baseline, after 3 months of supervised treatment, at 9-month follow-up (after six additional months of home PFMT only). Primary outcome: frequency of monthly exercises sets performed (exercise diary) after 3-month treatment. Secondary outcomes: adherence, urinary symptoms, severity and cure of SUI (pad test<2g leakage), muscle function, quality of life, and subject cure (satisfaction report with no desire for different treatment) at the two time-points. Statistical analyses: ANOVA and Student's t-test with 5% cut-off for significance. RESULTSIt was observed similar frequency of monthly home exercises sets performed by BF (67.9 out of 82) and PFMT (68.2 out of 82) groups at 3 months. Secondarily, equal satisfaction, but superior objective cure of SUI for BF group after 3-month treatment (P=0.018; OR: 3.15 [95% CI: 1.20-8.25]). At 9-month follow-up, the adherence to home exercises was similar (around 50%) and significantly dropped in both groups compared to the 3-month results (around 85%). No difference was detected in the objective and subjective cure of SUI between the groups after 9 months. Both therapies similarly improved the muscle function and quality of life during the study (P<0.005). CONCLUSIONSAdjunct BF did not increase the frequency of home exercises performed by SUI patients.
Keywords exercise
patient compliance
pelvic floor
physical therapy modalities
stress
urinary incontinence
xmlui.dri2xhtml.METS-1.0.item-coverage Hoboken
Language English
Sponsor National Council for Scientific and Technological Development (CNPq) Research Foundation
Grant number CNPq: 140190/2013-9
Date 2017
Published in Neurourology And Urodynamics. Hoboken, v. 36, n. 8, p. 2034-2043, 2017.
ISSN 0733-2467 (Sherpa/Romeo, impact factor)
Publisher Wiley
Extent 2034-2043
Origin http://dx.doi.org/10.1002/nau.23226
Access rights Closed access
Type Article
Web of Science ID WOS:000414364400011
URI https://repositorio.unifesp.br/handle/11600/58311

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