Device to promote pelvic floor muscle training for stress incontinence

Sugaya, Kimio; Owan, Tomoko; Hatano, Tadashi; Nishijima, Saori; Miyazato, Minoru; Mukouyama, Hideki; Shiroma, Kazuo; Soejima, Kyoko; Masaki, Zenjiro; Ogawa, Yoshihide

doi:10.1046/j.1442-2042.2003.00659.x

Cited by 26 publications

(26 citation statements)

References 22 publications

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“…This was a better result than what was obtained by Sugaya et al, 18 who did not observe any signifi cant effect.…”

Section: Referencescontrasting

confidence: 55%

“…More recently, Sugaya et al 18 compared the effi cacy of an electronic device used in perineal exercises at home, for two months. In that study, 41 patients were randomly placed into two groups: one that performed exercises for two minutes every time a device sounded (three times a day), and another, the control group (n = 20) wich was instructed to perform the same amount of exercises.…”

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confidence: 99%

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Impact of supervised physiotherapeutic pelvic floor exercises for treating female stress urinary incontinence

et al. 2007

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CONTEXT AND OBJECTIVE: Urinary incontinence is a public health problem that affects more than 200 million people worldwide. Stress incontinence is the most prevalent type. Pelvic floor muscle exercises have been used for treating it, although there is no consensus regarding their application. The aim of this study was to compare the results from treating female stress urinary incontinence with pelvic floor muscle exercises with or without physiotherapist supervision. DESIGN AND SETTING: This was a randomized, prospective, controlled trial in the Urogynecology and Vaginal Surgery Sector, Universidade Federal de São Paulo. METHODS: Forty-four women were randomized to be treated for stress urinary incontinence with pelvic floor exercises for three consecutive months, into two groups: one with and the other without physiotherapist supervision. They were evaluated before and after treatment using a quality-of-life questionnaire, pad test, micturition diary and subjective evaluation. Descriptive analysis was used to evaluate the population. The homogeneity of the two groups was evaluated using the Kruskal-Wallis and Chi-squared tests. The success of the two groups after treatment was evaluated using the Wilcoxon test. RESULTS: The supervised group showed statistically greater improvement in the pad test, micturition diary and quality of life than did the control group. In the subjective evaluation, only 23.8% of the control group patients were satised with their treatment. In the supervised group, 66.8% of patients did not want any other treatment. CONCLUSION: Supervised pelvic floor muscle exercises presented better results in objective and subjective evaluations than did unsupervised exercises.

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“…This was a better result than what was obtained by Sugaya et al, 18 who did not observe any signifi cant effect.…”

Section: Referencescontrasting

confidence: 55%

mentioning

confidence: 99%

Impact of supervised physiotherapeutic pelvic floor exercises for treating female stress urinary incontinence

et al. 2007

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“…Standard management of patients with stress incontinence includes guidance about pelvic floor exercises and keeping a voiding diary, but most patients find it difficult to persist with such measures. We previously carried out a study on the effect of an alarm device . We found that the device group was better motivated to carry out pelvic floor exercises because the alarm reminded them to do so, and the response to exercise was significantly greater in the device group than in the control group.…”

Section: Discussionmentioning

confidence: 99%

Effect of propiverine hydrochloride on stress urinary incontinence

Sugaya¹,

Sekiguchi²,

Satoh

et al. 2014

Int J of Urology

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Abbreviations & AcronymsObjectives: To investigate whether the anticholinergic agent, propiverine hydrochloride, is clinically effective for stress urinary incontinence. Methods: The participants were adult female patients with the chief complaint of stress incontinence. Propiverine (20 mg once daily) was given for 8 weeks. If the response was inadequate after 4 weeks of treatment, the dose was increased to 40 mg/day. Before and after 4 and 8 weeks of treatment, lower urinary tract symptoms were assessed. The urethral pressure and blood catecholamine levels were also measured. Results: A total of 37 patients (mean age 69 ± 11 years) were enrolled, including 15 patients with stress incontinence and 22 with mixed incontinence. The number of episodes of stress incontinence decreased significantly from 2.6 ± 2.3 times per day to 1.3 ± 2.2 times per day after 4 weeks, and 0.4 ± 0.6 times per day after 8 weeks. The daytime and night-time frequency of urination, and quality of life score showed significant improvement. The maximum urethral closing pressure and the functional urethral length increased significantly after treatment, but blood catecholamine levels, blood pressure and pulse rate at 8 weeks were not significantly different from those at baseline. Conclusions: Propiverine could be an effective drug for stress urinary incontinence by increasing urethral closing pressure without increasing blood catecholamine levels.

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“…Finally, two trials have investigated the use of adherence strategies as a means of rendering PFM training more effective in women with SUI. In both trials, two groups followed the same daily home‐based PFM training programme, but one was provided with an adherence strategy 30, 31. In the Sugaya study, participants were provided with a device emitting a rhythmic beep, signaling them to undertake a contraction; they also pressed a button on the device to record each contraction 30.…”

Section: Types Of Behavior and Adherence Strategies For Effective Pfmmentioning

confidence: 99%

Determining the optimal pelvic floor muscle training regimen for women with stress urinary incontinence

Dumoulin

Glazener

Jenkinson

2011

Neurourology and Urodynamics

100

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Pelvic floor muscle (PFM) training has received Level-A evidence rating in the treatment of stress urinary incontinence (SUI) in women, based on meta-analysis of numerous randomized control trials (RCTs) and is recommended in many published guidelines. However, the actual regimen of PFM training used varies widely in these RCTs. Hence, to date, the optimal PFM training regimen for achieving continence remains unknown and the following questions persist: how often should women attend PFM training sessions and how many contractions should they perform for maximal effect? Is a regimen of strengthening exercises better than a motor control strategy or functional retraining? Is it better to administer a PFM training regimen to an individual or are group sessions equally effective, or better? Which is better, PFM training by itself or in combination with biofeedback, neuromuscular electrical stimulation, and/or vaginal cones? Should we use improvement or cure as the ultimate outcome to determine which regimen is the best? The questions are endless. As a starting point in our endeavour to identify optimal PFM training regimens, the aim of this study is (a) to review the present evidence in terms of the effectiveness of different PFM training regimens in women with SUI and (b) to discuss the current literature on PFM dysfunction in SUI women, including the up-to-date evidence on skeletal muscle training theory and other factors known to impact on women's participation in and adherence to PFM training.

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Device to promote pelvic floor muscle training for stress incontinence

Cited by 26 publications

References 22 publications

Impact of supervised physiotherapeutic pelvic floor exercises for treating female stress urinary incontinence

Impact of supervised physiotherapeutic pelvic floor exercises for treating female stress urinary incontinence

Effect of propiverine hydrochloride on stress urinary incontinence

Determining the optimal pelvic floor muscle training regimen for women with stress urinary incontinence

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