Pelvic floor muscle training in female stress urinary incontinence: comparison between group training and individual treatment using PERFECT assessment scheme.

Flávia de Oliveira Camargo, Andrea Moura Rodrigues, Raquel Martins Arruda, Marair Gracio Ferreira Sartori, Manoel João Batista Castello Girão, Rodrigo Aquino Castro
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引用次数: 54

Abstract

Introduction and hypothesis: Pelvic floor muscle training (PFMT) is a treatment for stress urinary incontinence (SUI) that can be done individually or in a group. The aim of this study was to compare these two types of treatment.

Methods: Sixty women 30 to 75 years old with SUI were randomly assigned to participate in the two groups. They were evaluated before and after the treatment with the Oxford grading system, pad test, voiding diary, and the King's Health Questionnaire.

Results: Both groups experienced significant reductions in urinary leakage as measured by the pad test and bladder diary. A negative pad test was observed in about 50% of patients in both groups. There were statistically significant improvements in both muscle strength and quality of life. When the groups were compared, there were no differences in the results between them.

Conclusions: Individual treatment and group PFMT appear to be equally effective for improving SUI.

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盆底肌训练治疗女性压力性尿失禁:使用PERFECT评估方案进行组训练与个例治疗的比较。
介绍和假设:盆底肌肉训练(PFMT)是一种治疗压力性尿失禁(SUI)的方法,可以单独或集体进行。本研究的目的是比较这两种治疗方法。方法:60例30 ~ 75岁SUI患者随机分为两组。在治疗前后分别用牛津评分系统、尿垫试验、排尿日记和国王健康问卷进行评估。结果:通过尿垫试验和膀胱日记测量,两组尿漏均显著减少。两组中约50%的患者尿垫试验呈阴性。在肌肉力量和生活质量方面都有统计学上的显著改善。当两组进行比较时,他们之间的结果没有差异。结论:在改善SUI方面,个体治疗和群体PFMT似乎同样有效。
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