Effects of Inspiratory Muscle Training on Stress Urinary Incontinence in North African Women: A Randomized Controlled Trial

IF 1.8 3区医学 Q3 OBSTETRICS & GYNECOLOGY International Urogynecology Journal Pub Date : 2024-09-14 DOI:10.1007/s00192-024-05921-1

Sirine Abidi, Amine Ghram, Said Ahmaidi, Helmi Ben Saad, Mehdi Chlif

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Abstract

Introduction and Hypothesis

Pelvic floor muscles (PFMs) are involved in respiratory mechanisms. Additionally, stress urinary incontinence (SUI) can affect physical function. This randomized controlled trial was aimed at investigating the effects of inspiratory muscle training (IMT) on SUI severity, PFM function, and physical function in Tunisian women with SUI.

Methods

Twenty-seven incontinent women were randomly assigned to either the experimental group or the control group. The following parameters were assessed: respiratory muscle strength (RMS; maximal inspiratory and expiratory pressures), SUI severity (Urogenital Distress Inventory-6; Incontinence Impact Questionnaire-7; pad test), PFM function (Modified Oxford Scale, electromyography, and endurance), and physical function (Timed Up & Go test; 6-min walk test; incremental shuttle walking test). IMT was conducted using threshold IMT.

Results

The IMT program significantly reduced the severity of SUI (p < 0.01), improved PFM function (p < 0.001), enhanced physical function (p < 0.01), and increased RMS (p < 0.001).

Conclusion

Inspiratory muscle training could be an effective method for improving pelvic floor disorders and physical function in women with SUI.

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吸气肌训练对北非女性压力性尿失禁的影响：随机对照试验

引言和假设盆底肌肉（PFM）参与呼吸机制。此外，压力性尿失禁（SUI）也会影响身体功能。本随机对照试验旨在研究吸气肌训练（IMT）对突尼斯 SUI 女性患者的 SUI 严重程度、盆底肌功能和身体功能的影响。对以下参数进行了评估：呼吸肌力量（RMS；最大吸气和呼气压力）、尿失禁严重程度（泌尿生殖系统压力量表-6；尿失禁影响问卷-7；尿垫测试）、PFM 功能（改良牛津量表、肌电图和耐力）和身体功能（定时向上&；Go 测试；6 分钟步行测试；增量穿梭步行测试）。结果IMT项目显著降低了SUI的严重程度（p <0.01），改善了PFM功能（p <0.001），增强了身体功能（p <0.01），提高了RMS（p <0.001）。

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来源期刊

International Urogynecology Journal 医学-妇产科学

CiteScore

3.80

自引率

22.20%

发文量

406

审稿时长

3-6 weeks

期刊介绍： The International Urogynecology Journal is the official journal of the International Urogynecological Association (IUGA).The International Urogynecology Journal has evolved in response to a perceived need amongst the clinicians, scientists, and researchers active in the field of urogynecology and pelvic floor disorders. Gynecologists, urologists, physiotherapists, nurses and basic scientists require regular means of communication within this field of pelvic floor dysfunction to express new ideas and research, and to review clinical practice in the diagnosis and treatment of women with disorders of the pelvic floor. This Journal has adopted the peer review process for all original contributions and will maintain high standards with regard to the research published therein. The clinical approach to urogynecology and pelvic floor disorders will be emphasized with each issue containing clinically relevant material that will be immediately applicable for clinical medicine. This publication covers all aspects of the field in an interdisciplinary fashion