The Effect of Biofeedback versus Functional Electrical Stimulation in the Treatment of Stress Urinary Incontinence

Background: Urinary Stress Incontinence (SUI) is the most common type of urinary incontinence among the young and middle-aged women, which occurs due to weak pelvic floor muscles and urethral sphincter in addition to many other factors. The objective of the research was to assess the effect of bi...

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Main Authors: Babak Vahdatpour, Ali Tahmasebi, Mahtab Zargham, Mohammadreza Emad, Mahnaz Rezaei
Format: Article
Language:English
Published: Shiraz University of Medical Sciences 2019-06-01
Series:Journal of Rehabilitation Sciences and Research
Subjects:
Online Access:http://jrsr.sums.ac.ir/article_44853_c520331aa4aa362ef8d91b65fd21b670.pdf
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author Babak Vahdatpour
Ali Tahmasebi
Mahtab Zargham
Mohammadreza Emad
Mahnaz Rezaei
author_facet Babak Vahdatpour
Ali Tahmasebi
Mahtab Zargham
Mohammadreza Emad
Mahnaz Rezaei
author_sort Babak Vahdatpour
collection DOAJ
description Background: Urinary Stress Incontinence (SUI) is the most common type of urinary incontinence among the young and middle-aged women, which occurs due to weak pelvic floor muscles and urethral sphincter in addition to many other factors. The objective of the research was to assess the effect of biofeedback versus functional electrical stimulation in the treatment of SUI. Methods: In this study, 30 married women affected by SUI were selected randomly. The participants were divided into two equal groups and treated during 15 weeks with 1 session per week. The changes in SUI severity and their satisfaction were assessed by ICIQ-SF Questionnaire, and the rate of urine leakage was measured by applying Pad Test. Data were recorded and analyzed using SPSS Version 19 software. Specifically, Paired t-test, Independent t-test, and Mann-Whitney test were utilized. Results: The results revealed that the mean quantity of urinary leakage, maximal PFM force, and ICIQ Score did not have significant differences in both groups (P>0.05). However, there was a significant difference between biofeedback and FES group post-treatment regarding the quantity of urinary leakage (P<0.05). Patients in the biofeedback group expressed more satisfaction and improvement than those in the FES group. Conclusion: Both treatment methods were effective in the treatment of SUI. However, biofeedback proved to be superior in reducing the quantity of urinary leakage. Further, because of a higher degree of patients’ subjective satisfaction and improvement with biofeedback, this method of treatment is recommended.
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spelling doaj.art-34825a088e764b4a94c0ac34718415a22022-12-22T00:20:47ZengShiraz University of Medical SciencesJournal of Rehabilitation Sciences and Research2345-61592345-61592019-06-0106026367The Effect of Biofeedback versus Functional Electrical Stimulation in the Treatment of Stress Urinary IncontinenceBabak Vahdatpour0 Ali Tahmasebi1Mahtab Zargham2Mohammadreza Emad3Mahnaz Rezaei4Department of Physical Medicine and Rehabilitation, School of Medicine, Isfahan University of Medical Sciences, Isfahan, IranDepartment of Physical Medicine and Rehabilitation, School of Medicine, Isfahan University of Medical Sciences, Isfahan, IranDepartment of Urology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, IranDepartment of Physical Medicine and Rehabilitation, School of Medicine, Shiraz University of Medical Sciences, Shiraz, IranSchool of Medicine, Islamic Azad University of Najaf-Abad, Isfahan, IranBackground: Urinary Stress Incontinence (SUI) is the most common type of urinary incontinence among the young and middle-aged women, which occurs due to weak pelvic floor muscles and urethral sphincter in addition to many other factors. The objective of the research was to assess the effect of biofeedback versus functional electrical stimulation in the treatment of SUI. Methods: In this study, 30 married women affected by SUI were selected randomly. The participants were divided into two equal groups and treated during 15 weeks with 1 session per week. The changes in SUI severity and their satisfaction were assessed by ICIQ-SF Questionnaire, and the rate of urine leakage was measured by applying Pad Test. Data were recorded and analyzed using SPSS Version 19 software. Specifically, Paired t-test, Independent t-test, and Mann-Whitney test were utilized. Results: The results revealed that the mean quantity of urinary leakage, maximal PFM force, and ICIQ Score did not have significant differences in both groups (P>0.05). However, there was a significant difference between biofeedback and FES group post-treatment regarding the quantity of urinary leakage (P<0.05). Patients in the biofeedback group expressed more satisfaction and improvement than those in the FES group. Conclusion: Both treatment methods were effective in the treatment of SUI. However, biofeedback proved to be superior in reducing the quantity of urinary leakage. Further, because of a higher degree of patients’ subjective satisfaction and improvement with biofeedback, this method of treatment is recommended.http://jrsr.sums.ac.ir/article_44853_c520331aa4aa362ef8d91b65fd21b670.pdfBiofeedbackFunctional electrical stimulationStress urinary incontinence
spellingShingle Babak Vahdatpour
Ali Tahmasebi
Mahtab Zargham
Mohammadreza Emad
Mahnaz Rezaei
The Effect of Biofeedback versus Functional Electrical Stimulation in the Treatment of Stress Urinary Incontinence
Journal of Rehabilitation Sciences and Research
Biofeedback
Functional electrical stimulation
Stress urinary incontinence
title The Effect of Biofeedback versus Functional Electrical Stimulation in the Treatment of Stress Urinary Incontinence
title_full The Effect of Biofeedback versus Functional Electrical Stimulation in the Treatment of Stress Urinary Incontinence
title_fullStr The Effect of Biofeedback versus Functional Electrical Stimulation in the Treatment of Stress Urinary Incontinence
title_full_unstemmed The Effect of Biofeedback versus Functional Electrical Stimulation in the Treatment of Stress Urinary Incontinence
title_short The Effect of Biofeedback versus Functional Electrical Stimulation in the Treatment of Stress Urinary Incontinence
title_sort effect of biofeedback versus functional electrical stimulation in the treatment of stress urinary incontinence
topic Biofeedback
Functional electrical stimulation
Stress urinary incontinence
url http://jrsr.sums.ac.ir/article_44853_c520331aa4aa362ef8d91b65fd21b670.pdf
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