Effect of a Comprehensive Rehabilitation Program for Community Women with Urinary Incontinence: A Retrospect Cohort Study
Urinary incontinence (UI) is a common problem affecting older adult women globally, but studies regarding combined treatments for all types of UI are still lacking. Here we evaluate the efficacy of a comprehensive rehabilitation program for women with UI. A comprehensive rehabilitation program was i...
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| Format: | Article |
| Language: | English |
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MDPI AG
2021-12-01
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| Series: | Healthcare |
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| Online Access: | https://www.mdpi.com/2227-9032/9/12/1686 |
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| author | Sen-Ju Yang Yi-Ting Liu Su-Shun Lo Chih-Chun Tsai Po-Jung Pan |
| author_facet | Sen-Ju Yang Yi-Ting Liu Su-Shun Lo Chih-Chun Tsai Po-Jung Pan |
| author_sort | Sen-Ju Yang |
| collection | DOAJ |
| description | Urinary incontinence (UI) is a common problem affecting older adult women globally, but studies regarding combined treatments for all types of UI are still lacking. Here we evaluate the efficacy of a comprehensive rehabilitation program for women with UI. A comprehensive rehabilitation program was introduced that combines pelvic floor muscle (PFM) exercises, functional electrical stimulation, and timely biofeedback during the training process. Data of patients with stress (SUI), urgency (UUI), or mixed (MUI) urinary incontinence who participated in this program between 2016 and 2019 were reviewed retrospectively. Seventy-three subjects (mean age 59.2 ± 12.7 years) were enrolled. After 12 weeks of rehabilitation, vaginal pressure and control accuracy increased in all groups. PFM maximum recruitment increased significantly at week 12 in SUI and UUI, but not in MUI. At week 6, only the SUI group had achieved significant improvements in vaginal pressure, PFM maximum recruitment and control accuracy. The Short-form Urogenital Distress Inventory (UDI-6) and Incontinence Impact Questionnaire-7 (IIQ-7) scores declined dramatically after the program started, and significant improvements were maintained to week 48. The comprehensive rehabilitation program is effective and decreases urinary leakage episodes and improves quality of life in women with UI, especially SUI. |
| first_indexed | 2024-03-10T04:00:17Z |
| format | Article |
| id | doaj.art-3e86ca91ed67420096b515ccf3800842 |
| institution | Directory Open Access Journal |
| issn | 2227-9032 |
| language | English |
| last_indexed | 2024-03-10T04:00:17Z |
| publishDate | 2021-12-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Healthcare |
| spelling | doaj.art-3e86ca91ed67420096b515ccf38008422023-11-23T08:34:08ZengMDPI AGHealthcare2227-90322021-12-01912168610.3390/healthcare9121686Effect of a Comprehensive Rehabilitation Program for Community Women with Urinary Incontinence: A Retrospect Cohort StudySen-Ju Yang0Yi-Ting Liu1Su-Shun Lo2Chih-Chun Tsai3Po-Jung Pan4Department of Physical Medicine & Rehabilitation, National Yang Ming Chiao Tung University Hospital, Yilan 260002, TaiwanDepartment of Physical Medicine & Rehabilitation, National Yang Ming Chiao Tung University Hospital, Yilan 260002, TaiwanSchool of Medicine, National Yang Ming Chiao Tung University, Taipei 112304, TaiwanDepartment of Mathematics, Tamkang University, New Taipei City 251301, TaiwanDepartment of Physical Medicine & Rehabilitation, National Yang Ming Chiao Tung University Hospital, Yilan 260002, TaiwanUrinary incontinence (UI) is a common problem affecting older adult women globally, but studies regarding combined treatments for all types of UI are still lacking. Here we evaluate the efficacy of a comprehensive rehabilitation program for women with UI. A comprehensive rehabilitation program was introduced that combines pelvic floor muscle (PFM) exercises, functional electrical stimulation, and timely biofeedback during the training process. Data of patients with stress (SUI), urgency (UUI), or mixed (MUI) urinary incontinence who participated in this program between 2016 and 2019 were reviewed retrospectively. Seventy-three subjects (mean age 59.2 ± 12.7 years) were enrolled. After 12 weeks of rehabilitation, vaginal pressure and control accuracy increased in all groups. PFM maximum recruitment increased significantly at week 12 in SUI and UUI, but not in MUI. At week 6, only the SUI group had achieved significant improvements in vaginal pressure, PFM maximum recruitment and control accuracy. The Short-form Urogenital Distress Inventory (UDI-6) and Incontinence Impact Questionnaire-7 (IIQ-7) scores declined dramatically after the program started, and significant improvements were maintained to week 48. The comprehensive rehabilitation program is effective and decreases urinary leakage episodes and improves quality of life in women with UI, especially SUI.https://www.mdpi.com/2227-9032/9/12/1686biofeedbackpelvic floor muscle trainingquality of lifeurinary incontinence |
| spellingShingle | Sen-Ju Yang Yi-Ting Liu Su-Shun Lo Chih-Chun Tsai Po-Jung Pan Effect of a Comprehensive Rehabilitation Program for Community Women with Urinary Incontinence: A Retrospect Cohort Study Healthcare biofeedback pelvic floor muscle training quality of life urinary incontinence |
| title | Effect of a Comprehensive Rehabilitation Program for Community Women with Urinary Incontinence: A Retrospect Cohort Study |
| title_full | Effect of a Comprehensive Rehabilitation Program for Community Women with Urinary Incontinence: A Retrospect Cohort Study |
| title_fullStr | Effect of a Comprehensive Rehabilitation Program for Community Women with Urinary Incontinence: A Retrospect Cohort Study |
| title_full_unstemmed | Effect of a Comprehensive Rehabilitation Program for Community Women with Urinary Incontinence: A Retrospect Cohort Study |
| title_short | Effect of a Comprehensive Rehabilitation Program for Community Women with Urinary Incontinence: A Retrospect Cohort Study |
| title_sort | effect of a comprehensive rehabilitation program for community women with urinary incontinence a retrospect cohort study |
| topic | biofeedback pelvic floor muscle training quality of life urinary incontinence |
| url | https://www.mdpi.com/2227-9032/9/12/1686 |
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