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Pourmomeny A.A.1, Torkzadeh A.1
1Isfahan University of Medical Sciences, Physiotherapy, Isfahan, Iran
Background: Stress urinary incontinence (SUI) is the involuntary loss of urine that occurs with physical exertion and a rise in abdominal pressure. Coughing, sneezing, straining, jumping, and running are events commonly associated with SUI. Pelvic floor muscle training (PFMT) is generally recommended to reduce SUI. This therapy involves graded muscle training, either alone or in combination with instrument such as EMG biofeedback. Other hand,(Additional), recent studies have focused on the relationship of pelvic floor muscles (PFM) and abdominal muscles (Sapsford and Hodges2001, Neumann and Gill2002, Madill and McLean2006). Sapsford found that the co-contraction of PFM and deep abdominal muscles occurred during both PFM voluntary contraction and abdominal maneuvers.
Purpose: This study aimed to compare the effects of three different PFMT in with stress or mixed urinary incontinence by deep abdominal and pelvic floor muscle retraining.
Methods: Eighty-one eligible urinary incontinence women were allocated to the study. A research investigator not involved in any of the intervention evaluated all participants by PFMT, according to oxford scale. All patients filled the Persian version of King´s Health Questionnaire. Participants randomly were divided into three groups. The first group (n=31) could perform pelvic floor muscle contraction exercise by electromyography biofeedback. Physical therapy sessions for every patients consisted of a 30-min period of biofeedback. The second group (n=28) received electromyography biofeedback plus abdominal training. The program of this group was biofeedback, an additional 15-min of deep abdominal muscle exercises. The last group (n=20) performed 30-min only deep abdominal muscle exercises for every session. Treatment was done 3 sessions every week for 12 weeks.
Results: The scores of Quality of life and pelvic floor muscle strength were increased in all groups after treatment. More aspects of quality of life improved significantly in the biofeedback plus abdominal training group than in others group. table1. However, the score of pelvic floor muscle strength was not statistical significant difference among the three groups (p 0.05)
Table 1: Mean of quality of life and oxford scale in per/post intervention
Conclusion(s): The results showed an increase in pelvic floor muscle strength and improved quality of life. However, statistical difference of improvement was found only in biofeedback plus abdominal training between groups. The present study found increase cure in all three groups, but significantly more increase in Group 2 than Group 1 and Group 3. Thus, the abdominal exercise Seem to be co-contraction in pelvic floor exercise
Implications: It not enough abdominal Exercise for treatment stress urinary incontinence.
Funding acknowledgements: We thank our colleagues from Isfahan University and Vice-Chancellery Research To support research.
Topic: Electrophysical & isothermal agents
Ethics approval: The study was approved by Iranian Registry of Clinical Trials (ID: IRCT201506246083N9)
All authors, affiliations and abstracts have been published as submitted.
