Effectiveness of pelvic floor muscle training with and without electromyographic biofeedback for urinary incontinence in women: multicentre randomised controlled trial.
Effectiveness of pelvic floor muscle training with and without electromyographic biofeedback for urinary incontinence in women: multicentre randomised controlled trial.
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盆底肌肉训练联合或不联合肌电生物反馈治疗女性尿失禁的有效性：多中心随机对照试验。
DOI：
10.1136/bmj.m3719
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发表时间：
2020-10-14
期刊：
影响因子：
--
通讯作者：
McClurg D
中科院分区：
文献类型：
--
作者：
Hagen S;Elders A;Stratton S;Sergenson N;Bugge C;Dean S;Hay-Smith J;Kilonzo M;Dimitrova M;Abdel-Fattah M;Agur W;Booth J;Glazener C;Guerrero K;McDonald A;Norrie J;Williams LR;McClurg D
评估盆底肌肉训练 (PFMT) 联合肌电生物反馈或单独 PFMT 对女性压力性尿失禁或混合性尿失禁的有效性。平行组随机对照试验。苏格兰和英格兰有 23 个社区和二级护理中心提供失禁护理。 2014 年 2 月至 2016 年 7 月期间，600 名 18 岁及以上、新近出现压力性尿失禁或混合性尿失禁的女性：300 名随机接受 PFMT 加肌电生物反馈治疗，300 名接受单独 PFMT。两组参与者在 16 周内都获得了 6 次与节制治疗师的预约。生物反馈 PFMT 组的参与者接受了监督下的 PFMT 和家庭 PFMT 计划，其中在诊所预约期间和在家中结合了肌电图生物反馈。 PFMT 小组接受了受监督的 PFMT 和家庭 PFMT 计划。 PFMT 计划在任命期间取得了进展。主要结局是24个月时自我报告的尿失禁严重程度（国际失禁问卷咨询-尿失禁简表（ICIQ-UI SF），范围0至21，分数越高表明严重程度越高）。次要结局是治愈或改善、其他盆底症状、特定情况的生活质量、女性对改善的看法、盆底肌肉功能、其他尿失禁治疗的采用、PFMT自我效能、依从性、干预成本和质量调整生命年。生物反馈 PFMT 组 24 个月时的平均 ICIQ-UI SF 评分为 8.2（SD 5.1，n=225），PFMT 组为 8.5（SD 4.9，n=235）（平均差 -0.09，95% 置信区间 -0.92 至 0.75，P=0.84）。生物反馈 PFMT 与 PFMT 具有相似的成本（平均差异 121 英镑（154 美元；133 欧元），-409 至 651 英镑，P=0.64）和质量调整生命年（-0.04，-0.12 至 0.04，P=0.28）。 48 名参与者报告了不良事件：其中 23 名参与者报告了不良事件，这与干预措施有关或可能与干预措施有关。 24 个月时，没有发现 PFMT 加肌电生物反馈组与单独 PFMT 组之间尿失禁严重程度有任何重要差异的证据。不建议常规使用肌电生物反馈和 PFMT。应研究最大化 PFMT 效果的其他方法。 ISRCTN57756448。
To assess the effectiveness of pelvic floor muscle training (PFMT) plus electromyographic biofeedback or PFMT alone for stress or mixed urinary incontinence in women. Parallel group randomised controlled trial. 23 community and secondary care centres providing continence care in Scotland and England. 600 women aged 18 and older, newly presenting with stress or mixed urinary incontinence between February 2014 and July 2016: 300 were randomised to PFMT plus electromyographic biofeedback and 300 to PFMT alone. Participants in both groups were offered six appointments with a continence therapist over 16 weeks. Participants in the biofeedback PFMT group received supervised PFMT and a home PFMT programme, incorporating electromyographic biofeedback during clinic appointments and at home. The PFMT group received supervised PFMT and a home PFMT programme. PFMT programmes were progressed over the appointments. The primary outcome was self-reported severity of urinary incontinence (International Consultation on Incontinence Questionnaire-urinary incontinence short form (ICIQ-UI SF), range 0 to 21, higher scores indicating greater severity) at 24 months. Secondary outcomes were cure or improvement, other pelvic floor symptoms, condition specific quality of life, women’s perception of improvement, pelvic floor muscle function, uptake of other urinary incontinence treatment, PFMT self-efficacy, adherence, intervention costs, and quality adjusted life years. Mean ICIQ-UI SF scores at 24 months were 8.2 (SD 5.1, n=225) in the biofeedback PFMT group and 8.5 (SD 4.9, n=235) in the PFMT group (mean difference −0.09, 95% confidence interval −0.92 to 0.75, P=0.84). Biofeedback PFMT had similar costs (mean difference £121 ($154; €133), −£409 to £651, P=0.64) and quality adjusted life years (−0.04, −0.12 to 0.04, P=0.28) to PFMT. 48 participants reported an adverse event: for 23 this was related or possibly related to the interventions. At 24 months no evidence was found of any important difference in severity of urinary incontinence between PFMT plus electromyographic biofeedback and PFMT alone groups. Routine use of electromyographic biofeedback with PFMT should not be recommended. Other ways of maximising the effects of PFMT should be investigated. ISRCTN57756448.
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影响因子：
2
作者：
Sherburn, Margaret;Bird, Margaret;Galea, Mary P.
通讯作者：
Galea, Mary P.
影响因子：
2
作者：
Nystrom, E.;Sjostrom, M.;Samuelsson, E.
通讯作者：
Samuelsson, E.
影响因子：
1.8
作者：
Hirakawa, Tomoe;Suzuki, Shigeyuki;Yoshikawa, Yoko
通讯作者：
Yoshikawa, Yoko
影响因子：
2
作者：
Messelink, B;Benson, T;Van Kerrebroeck, P
通讯作者：
Van Kerrebroeck, P
DOI：
10.1111/j.1471-0528.2008.01903.x
发表时间：
2009-01-01
影响因子：
5.8
作者：
Hagen, S.;Glazener, C.;Bugge, C.
通讯作者：
Bugge, C.