Optimal Duration for Supervised Pelvic Floor Muscle Training in Stress Urinary Incontinence Women: A Prospective Study
Objectives: We evaluated the optimal duration of pelvic floor muscle training (PFMT) in stress urinary incontinence (SUI) patients. Methods: This cross-sectional study was conducted at Cipto Mangunkusumo Hospital from November 2018 to June 2019. We recruited 55 subjects diagnosed with SUI based on t...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Negah Institute for Scientific Communication
2023-03-01
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| Series: | Iranian Rehabilitation Journal |
| Subjects: | |
| Online Access: | http://irj.uswr.ac.ir/article-1-1646-en.pdf |
| _version_ | 1827802903288479744 |
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| author | Surahman Hakim Ira Mistivani David Tambunan Budi Iman Santoso Sushkan Djusad Tyas Priyatini Fernandi Moegni Alfa Putri Meutia Andrew Pratama Kurniawan |
| author_facet | Surahman Hakim Ira Mistivani David Tambunan Budi Iman Santoso Sushkan Djusad Tyas Priyatini Fernandi Moegni Alfa Putri Meutia Andrew Pratama Kurniawan |
| author_sort | Surahman Hakim |
| collection | DOAJ |
| description | Objectives: We evaluated the optimal duration of pelvic floor muscle training (PFMT) in stress urinary incontinence (SUI) patients.
Methods: This cross-sectional study was conducted at Cipto Mangunkusumo Hospital from November 2018 to June 2019. We recruited 55 subjects diagnosed with SUI based on the questionnaire for urinary incontinence diagnosis (QUID) score >4 and more than 2 grams of 1-hour pad test. Considering the inclusion and exclusion criteria, we taught and supervised them for PFMT and evaluated them every four weeks to observe the urogenital distress inventory-6 (UDI-6), incontinence impact questionnaire-7 (IIQ-7), 1-hour pad test, and perineometer score. We used the Wilcoxon test to evaluate the improvement at a significance level of P<0.05.
Results: Our subjects were mostly obese (65%), 30-55 years old (60%), and had >2 children (90%). There were improvements in UDI-6 and IIQ-7 for every four weeks up to 12 weeks of PFMT (P<0.05, 95% CI). Pelvic floor muscle strength only improved significantly (P=0.001 and P=0.006, respectively) after eight weeks of PFMT. Also, the 1-hour pad test score decreased significantly after four weeks of training (P<0.001).
Discussion: SUI distress and symptoms decrease after four weeks of Kegel exercises and continue to improve until 12 weeks of therapy. However, the 1-hour pad test reaches clinical and statistical significance during the first month of exercise with no further improvement clinically. Pelvic floor muscle strength increased significantly after eight weeks of training. |
| first_indexed | 2024-03-11T20:46:42Z |
| format | Article |
| id | doaj.art-b731c627442b4983865599851eeda279 |
| institution | Directory Open Access Journal |
| issn | 1735-3602 1735-3610 |
| language | English |
| last_indexed | 2024-03-11T20:46:42Z |
| publishDate | 2023-03-01 |
| publisher | Negah Institute for Scientific Communication |
| record_format | Article |
| series | Iranian Rehabilitation Journal |
| spelling | doaj.art-b731c627442b4983865599851eeda2792023-10-01T07:47:52ZengNegah Institute for Scientific CommunicationIranian Rehabilitation Journal1735-36021735-36102023-03-01211107116Optimal Duration for Supervised Pelvic Floor Muscle Training in Stress Urinary Incontinence Women: A Prospective StudySurahman Hakim0Ira Mistivani1David Tambunan2Budi Iman Santoso3Sushkan Djusad4Tyas Priyatini5Fernandi Moegni6Alfa Putri Meutia7Andrew Pratama Kurniawan8 Department of Obstetrics and Gynecology Clinic, Faculty of Medicine, Cipto Mangunkusumo Hospital, University of Indonesia, Jakarta, Indonesia. Department Physical Medicine and Rehabilitation, Faculty of Medicine, Cipto Mangunkusumo Hospital, University of Indonesia, Jakarta, Indonesia. Department of Obstetrics and Gynecology Clinic, Faculty of Medicine, Cipto Mangunkusumo Hospital, University of Indonesia, Jakarta, Indonesia. Department of Obstetrics and Gynecology Clinic, Faculty of Medicine, Cipto Mangunkusumo Hospital, University of Indonesia, Jakarta, Indonesia. Department of Obstetrics and Gynecology Clinic, Faculty of Medicine, Cipto Mangunkusumo Hospital, University of Indonesia, Jakarta, Indonesia. Department of Obstetrics and Gynecology Clinic, Faculty of Medicine, Cipto Mangunkusumo Hospital, University of Indonesia, Jakarta, Indonesia. Department of Obstetrics and Gynecology Clinic, Faculty of Medicine, Cipto Mangunkusumo Hospital, University of Indonesia, Jakarta, Indonesia. Department of Obstetrics and Gynecology Clinic, Faculty of Medicine, Cipto Mangunkusumo Hospital, University of Indonesia, Jakarta, Indonesia. Department of Obstetrics and Gynecology Clinic, Faculty of Medicine, Cipto Mangunkusumo Hospital, University of Indonesia, Jakarta, Indonesia. Objectives: We evaluated the optimal duration of pelvic floor muscle training (PFMT) in stress urinary incontinence (SUI) patients. Methods: This cross-sectional study was conducted at Cipto Mangunkusumo Hospital from November 2018 to June 2019. We recruited 55 subjects diagnosed with SUI based on the questionnaire for urinary incontinence diagnosis (QUID) score >4 and more than 2 grams of 1-hour pad test. Considering the inclusion and exclusion criteria, we taught and supervised them for PFMT and evaluated them every four weeks to observe the urogenital distress inventory-6 (UDI-6), incontinence impact questionnaire-7 (IIQ-7), 1-hour pad test, and perineometer score. We used the Wilcoxon test to evaluate the improvement at a significance level of P<0.05. Results: Our subjects were mostly obese (65%), 30-55 years old (60%), and had >2 children (90%). There were improvements in UDI-6 and IIQ-7 for every four weeks up to 12 weeks of PFMT (P<0.05, 95% CI). Pelvic floor muscle strength only improved significantly (P=0.001 and P=0.006, respectively) after eight weeks of PFMT. Also, the 1-hour pad test score decreased significantly after four weeks of training (P<0.001). Discussion: SUI distress and symptoms decrease after four weeks of Kegel exercises and continue to improve until 12 weeks of therapy. However, the 1-hour pad test reaches clinical and statistical significance during the first month of exercise with no further improvement clinically. Pelvic floor muscle strength increased significantly after eight weeks of training.http://irj.uswr.ac.ir/article-1-1646-en.pdfpelvic floorbiofeedbackconservative treatmenturinary incontinencestress urinary incontinence |
| spellingShingle | Surahman Hakim Ira Mistivani David Tambunan Budi Iman Santoso Sushkan Djusad Tyas Priyatini Fernandi Moegni Alfa Putri Meutia Andrew Pratama Kurniawan Optimal Duration for Supervised Pelvic Floor Muscle Training in Stress Urinary Incontinence Women: A Prospective Study Iranian Rehabilitation Journal pelvic floor biofeedback conservative treatment urinary incontinence stress urinary incontinence |
| title | Optimal Duration for Supervised Pelvic Floor Muscle Training in Stress Urinary Incontinence Women: A Prospective Study |
| title_full | Optimal Duration for Supervised Pelvic Floor Muscle Training in Stress Urinary Incontinence Women: A Prospective Study |
| title_fullStr | Optimal Duration for Supervised Pelvic Floor Muscle Training in Stress Urinary Incontinence Women: A Prospective Study |
| title_full_unstemmed | Optimal Duration for Supervised Pelvic Floor Muscle Training in Stress Urinary Incontinence Women: A Prospective Study |
| title_short | Optimal Duration for Supervised Pelvic Floor Muscle Training in Stress Urinary Incontinence Women: A Prospective Study |
| title_sort | optimal duration for supervised pelvic floor muscle training in stress urinary incontinence women a prospective study |
| topic | pelvic floor biofeedback conservative treatment urinary incontinence stress urinary incontinence |
| url | http://irj.uswr.ac.ir/article-1-1646-en.pdf |
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