Effects of exercise treatment with or without heat and steam generating sheet on urine loss in community‐dwelling Japanese elderly women with urinary incontinence

Abstract

This data suggests that exercise treatment with HSGS is more effective for treating urine loss regardless of UI type. The HSGS can be used as a supplementary treatment method to enhance the effects of exercise on women with urge, mixed and stress UI.

Pelvic floor muscle training versus no treatment, or inactive control treatments, for urinary incontinence in women: A short version Cochrane systematic review with meta-analysis

“…Twenty‐one trials involving 1,281 women (665 PFMT, 616 controls) were included, 15 of which were included in the previous version of the review; Eighteen trials (1,051 women) contributed data to the meta‐analysis, but three trials contained no data usable for the pooled analysis . Twelve trials contributed to the analysis of primary outcomes . One trial from the previous review was excluded because it was considered to be confounded by the choice of sham .…”

“…All the women had urinary incontinence. Based on diagnosis, the subgroups used in the analysis were: SUI (15 trials), amalgam of urinary incontinence diagnoses (six trials) . No trial had participants with UUI or MUI only.…”

“…Of the 18 remaining trials, 13 stated that a correct voluntary PFM maximal contraction was confirmed prior to training using either vaginal, rectal or physical examination . Three trials reported that participants were taught a voluntary PFM maximal contraction but did not say how . The individual characteristics of each exercise program (that is the number of voluntary pelvic floor muscle contractions; duration of hold; duration of rest; number of sets per day; types of contraction strength; endurance; coordination; body position; and adherence strategies) are detailed in the full Cochrane review.…”

Nonantimuscarinic treatment for overactive bladder: a systematic review

“…The participants recorded the time of day that they placed and removed the sheet in their urinary diary (Table 3). Exercises along with heat-and steamgenerating sheets were superior to control for subjective cure of OAB symptoms in 1 RCT (1A) 15 at 3 months, with no increase in adverse events.…”

Behavioral Treatment for Geriatric Syndrome

“…The HSGS also has beneficial effects for the different urinary incontinence types. Research reveals higher cure rates in those with stress urinary incontinence with the combination of both exercise and heat; however, there is strong evidence that the HSGS can be used as a supplementary treatment method in order to enhance the effects of exercise on those with urge, mixed, and stress urinary incontinence (Kim et al, 2011b) (Table 7). …”