Driusso P1, Figueiredo V1,2, Ferreira C3, Nascimento S2
1Federal University of Sao Carlos, Physiotherapy, São Carlos, Brazil, 2Federal University of Ceara, Fortaleza, Brazil, 3University of Sao Paulo, Ribeirão Preto, Brazil
Background: Pelvic Floor Distress Inventory-20 (PFDI-20) e Pelvic Floor Impact Questionnaire-7 (PFIQ-7) are two questionnaires to identify and evaluate the pelvic floor dysfunctions symptoms, including urinary incontinence, pelvic organ prolapse, and fecal incontinence, and how these dysfunctions impact condition-specific quality-of-life. Both questionnaires have been cultural translated and validated into Brazilian Portuguese language, and their responsiveness was therefore assessed after surgery. However, their responsiveness after pelvic floor muscle training (PFMT) was not available.
Purpose: The aim of this study was to evaluate responsiveness of PFDI-20 and PFIQ-7 to pelvic floor muscle training in women with urinary incontinence.
Methods: A secondary analysis of a Randomized Clinical Trial was performed of 72 women with clinical symptoms of urinary incontinence. They answered PFDI-20 e PFIQ-7 questionnaires before and after 12 weeks of physiotherapeutic intervention with PFMT. The training protocol progression parameters was based on American College of Sports Medicine recommendations, performed during 12 weeks, under Physical Therapist supervision once a week, 30 minutes long.
Results: Seventy two women(mean age 51.8 ± 11.9) were enrolled with stress (N =33) and mixed(N =39) urinary incontinence. The responsiveness of both questionnaires after PFMT was considered moderate - PFDI-20 (effect size 0.49 e SEM 0.61; p 0,0001) e PFIQ-7(Effect size 0.51 e SEM 0.52; p 0,0001).
Conclusion(s): Responsiveness was demonstrated by a significant reduction in the scales / subscale scores of PFDI-20 and PFIQ-7 after physiotherapeutic intervention with PFMT.
Implications: PFDI-20 and PFIQ-7 Portuguese-Brazilian version presented adequate responsiveness after physiotherapeutic intervention PFMT and can be used to evaluate the effect of this conservative intervention.
Keywords: quality of life, physiotherapy, urinary incontinence
Funding acknowledgements: Foundation for Support in Scientific and Technological Development of Ceara (FUNCAP, Fortaleza): BDS-0017, São Paulo Research Foundation (FAPESP) - 2016/0638-4
Purpose: The aim of this study was to evaluate responsiveness of PFDI-20 and PFIQ-7 to pelvic floor muscle training in women with urinary incontinence.
Methods: A secondary analysis of a Randomized Clinical Trial was performed of 72 women with clinical symptoms of urinary incontinence. They answered PFDI-20 e PFIQ-7 questionnaires before and after 12 weeks of physiotherapeutic intervention with PFMT. The training protocol progression parameters was based on American College of Sports Medicine recommendations, performed during 12 weeks, under Physical Therapist supervision once a week, 30 minutes long.
Results: Seventy two women(mean age 51.8 ± 11.9) were enrolled with stress (N =33) and mixed(N =39) urinary incontinence. The responsiveness of both questionnaires after PFMT was considered moderate - PFDI-20 (effect size 0.49 e SEM 0.61; p 0,0001) e PFIQ-7(Effect size 0.51 e SEM 0.52; p 0,0001).
Conclusion(s): Responsiveness was demonstrated by a significant reduction in the scales / subscale scores of PFDI-20 and PFIQ-7 after physiotherapeutic intervention with PFMT.
Implications: PFDI-20 and PFIQ-7 Portuguese-Brazilian version presented adequate responsiveness after physiotherapeutic intervention PFMT and can be used to evaluate the effect of this conservative intervention.
Keywords: quality of life, physiotherapy, urinary incontinence
Funding acknowledgements: Foundation for Support in Scientific and Technological Development of Ceara (FUNCAP, Fortaleza): BDS-0017, São Paulo Research Foundation (FAPESP) - 2016/0638-4
Topic: Women's & men's pelvic health
Ethics approval required: Yes
Institution: Federal University of São Carlos (UFSCar)
Ethics committee: Federal University of São Carlos (UFSCar)
Ethics number: 1207393
All authors, affiliations and abstracts have been published as submitted.
