Randomized controlled trial of pelvic floor muscle training with or without biofeedback for urinary incontinence
Randomized controlled trial of pelvic floor muscle training with or without biofeedback for urinary incontinence
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DOI：
10.1007/s00192-012-2012-8
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发表时间：
2013-08-01
影响因子：
1.8
通讯作者：
Yoshikawa, Yoko
中科院分区：
文献类型：
--
作者：
Hirakawa, Tomoe;Suzuki, Shigeyuki;Yoshikawa, Yoko
比较盆底肌肉训练（PFMT）联合或不联合生物反馈（BF）治疗压力性尿失禁（SUI）的效果，重点关注特定条件的生活质量（QOL）结果。作为主要的结局指标，主观症状和生活质量进行了评估，国王的健康问卷（KHQ）和国际咨询对胰岛素简表（ICIQ-SF）。排尿日记、1小时尿垫试验和测量PFM强度是次要结局指标。在KHQ的9个领域中，PFMT组5个领域的得分显著降低，BF组7个领域的得分显著降低。两组治疗后ICIQ-SF各项目及总分均较治疗前明显下降。PFMT组尿失禁发作次数显著减少，BF组有减少趋势，但不显著（P = 0.054）。两组在1小时垫试验中的泄漏量均呈下降趋势，但不显著。两组的最大阴道挤压压均显著增加。结果表明PFMT治疗SUI有效。在短期随访中，BF训练没有明显的附加作用。
To compare the effects of pelvic floor muscle training (PFMT), with or without biofeedback (BF), for stress urinary incontinence (SUI), focusing on condition-specific quality of life (QOL) outcomes.Women with SUI were randomized to PFMT with BF (BF group, n = 23) or without BF (PFMT group, n = 23) for 12 weeks. As primary outcome measures, subjective symptoms and QOL were assessed by the King's Health Questionnaire (KHQ) and International Consultation on Incontinence Questionnaire-Short Form (ICIQ-SF). A voiding diary, 1-h pad test, and measurement of PFM strength were secondary outcome measures. Changes in the primary and secondary outcomes were assessed before and after 12 weeks' exercise training.Of the 9 domains of the KHQ, the scores of 5 significantly decreased in the PFMT group, and the scores of 7 significantly decreased in the BF group. All ICIQ-SF items and the total score significantly decreased in both groups after therapy. The number of incontinence episodes significantly decreased in the PFMT group, and tended to decrease in the BF group, but this was not significant (P = 0.054). The leakage volume in the 1-h pad test tended to decrease in both groups, but was not significant. Maximum vaginal squeeze pressure significantly increased in both groups. There were no significant inter-group differences in the changes in any of the parameters assessed.The results indicate that PFMT is effective for treating SUI. There is no apparent add-on effect of BF training in short-term follow-up.