Impact of menopausal status on the outcome of pelvic floor physiotherapy in women with urinary incontinence

Nygaard, Christiana Campani; Betschart, Cornelia; Hafez, Ahmed A. A.; Lewis, Erica; Chasiotis, Ilias; Doumouchtsis, Stergios K.

doi:10.1007/s00192-013-2179-7

Cited by 12 publications

(17 citation statements)

References 20 publications

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“…Many studies [1–6] of prevalence of menopause have reported symptoms of menstruation dysfunctions, symptoms of menopausal syndrome (hot flushes, profuse sweating, sleep disorders, irritability, depression, dizziness, headache, articular and muscular pain, and general weakness), and libido dysfunctions. Menopause may also be an etiological factor in the development or progress of urinary incontinence (UI) [1, 7–10]. In the postmenopausal period, stress urinary incontinence (SUI) appears often.…”

Section: Introductionmentioning

confidence: 99%

“…In the postmenopausal period, stress urinary incontinence (SUI) appears often. It is probably connected with hormonal disturbances leading to muscle and fascial flaccidity and their decreased tone [6, 7]. Prevalence of UI in women ranges from 5% to 62% [11–18] and the incidence of UI changes with age [9].…”

Section: Introductionmentioning

confidence: 99%

“…Maximum occurrence of the UI is in the 45–54 age group and is about 70% and in the age groups: 35–44 (nearly 60%), 55–64 (more than 60%) and 65–74 (about 50%). According to other studies [7–11], the estimated percentage of women suffering from UI is up to 73% during the peri- and postmenopausal periods.…”

Section: Introductionmentioning

confidence: 99%

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Evaluation of Bioelectrical Activity of Pelvic Floor Muscles and Synergistic Muscles Depending on Orientation of Pelvis in Menopausal Women with Symptoms of Stress Urinary Incontinence: A Preliminary Observational Study

Halski

Słupska

Dymarek

et al. 2014

BioMed Research International

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Objectives. Evaluation of resting and functional bioelectrical activity of the pelvic floor muscles (PFM) and the synergistic muscles, depending on the orientation of the pelvis, in anterior (P1) and posterior (P2) pelvic tilt. Design. Preliminary, prospective observational study. Setting. Department and Clinic of Urology, University Hospital in Wroclaw, Poland. Participants. Thirty-two menopausal and postmenopausal women with stress urinary incontinence were recruited. Based on inclusion and exclusion criteria, sixteen women aged 55 to 70 years were enrolled in the study. Primary Outcome Measures. Evaluation of resting and functional bioelectrical activity of the pelvic floor muscles by electromyography (sEMG) and vaginal probe. Secondary Outcome Measures. Evaluation of activity of the synergistic muscles by sEMG and surface electrodes. Results. No significant differences between orientations P1 and P2 were found in functional and resting sEMG activity of the PFM. During resting and functional PFM activity, higher electrical activity in P2 than in P1 has been recorded in some of the synergistic muscles. Conclusions. This preliminary study does not provide initial evidence that pelvic tilt influences PFM activation. Although different activity of synergistic muscles occurs in various orientations of the pelvic tilt, it does not have to affect the sEMG activity of the PFM.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Evaluation of Bioelectrical Activity of Pelvic Floor Muscles and Synergistic Muscles Depending on Orientation of Pelvis in Menopausal Women with Symptoms of Stress Urinary Incontinence: A Preliminary Observational Study

Halski

Słupska

Dymarek

et al. 2014

BioMed Research International

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“…In women, weakening of fascia-ligament-muscle structures of the pelvic floor and disorders of the blood supply to the tissues of this area often cause symptoms of stress or mixed urinary incontinence (SUI and MUI) [1][2][3][4][5]. Physiotherapy (including physical therapy) should be performed by patients with these types of symptoms to increase the strength and endurance of the pelvic floor muscles (PFMs) as well as increase the elasticity of the pelvic floor structures [6][7][8][9][10]. It seems that one of the methods of physical therapy that may positively affect the pelvic floor is stimulation with high-inductive electromagnetic stimulation (HIES; high-inductive, deep-penetrating, pulsed electromagnetic stimulation) [11][12][13][14].…”

Section: Introductionmentioning

confidence: 99%

Assessment of the Short-Term Effects after High-Inductive Electromagnetic Stimulation of Pelvic Floor Muscles: A Randomized, Sham-Controlled Study

Ptaszkowski

Małkiewicz

Zdrojowy

et al. 2020

JCM

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Background: Physiotherapy should be performed by patients with stress or mixed urinary incontinence (SUI and MUI) to increase the strength and endurance of the pelvic floor muscles (PFMs). A method that can positively affect the pelvic floor is stimulation with high-inductive electromagnetic stimulation (HIES). The aim of the study was to evaluate the PFMs after the application of HIES in women with SUI and MUI by using surface electromyography (sEMG). Methods: This was a prospective, randomized, single-blind study with a sham intervention group. The participants were randomly assigned to the HIES group or sham group. The outcomes were features of the bioelectrical PFM activity assessed using sEMG and endovaginal probes. A single-session intervention in the HIES group included 20 min of HIES with an electromagnetic induction intensity of 2.5 T. Results: In the HIES group, there was a statistically significant difference in the PFM sEMG activity during “contractions” (p < 0.001) and “quick flicks” (p = 0.005). In the intergroup comparison, higher PFM sEMG activity after the intervention (“contraction”) was observed in the HIES group than in the sham group (after: p = 0.047; 1 h after: p = 0.017). Conclusions: The assessed HIES method seems effective for SUI and MUI patients in the short term and shows an advantage over the sham intervention in the assessment of PFM contractions.

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“…Inne wyniki uzyskali Nygaard i wsp. [22] wśród 47 przed-i 35 pomenopauzalnych kobiet ćwiczących MDM wg treningu opracowanego przez Physiotherapy Departament of London Hospital University. Na efekty przeprowadzonego leczenia zachowawczego w postaci gimnastyki trwającej 20 miesięcy oraz doustnej hormonalnej terapii zastępczej nie wpłynął status menopauzalny pacjentek.…”

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Wpływ ćwiczeń mięśni dna miednicy z udziałem i bez udziału mięśni synergistycznych na jakość życia kobiet z wysiłkowym nietrzymaniem moczu

Ptak

2017

Pomeranian J Life Sci

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Introduction: Stress urinary incontinence (SUI) is an ailment diagnosed in many women in different periods of life. It is estimated that nearly 60% of them will experience the effect of SUI on the quality of life (QOL) in the perimenopausal period. The International Continence Society (ICS) recommended pelvic floor muscle (PFM) exercise as first line treatment. The aim of this study was to compare the QOL of patients with stage 1 SUI that performed PFM and the synergistic muscle (PFM and SM) exercise and isolated PMF (PFM) exercise for the period of 3 months. The additional objective was to evaluate the influence of menopausal status, body mass index (BMI), waist-hip ratio (WHR) and the number of births given on the effectiveness of treatment. Materials and methods: After urodynamic testing executed at the Clinic of Gynaecology, Endocrinology and Gynaecologic Oncology in the Pomeranian Medical University in Szczecin (in Poland), 140 patients were selected. Women were in the perimenopausal period and suffered from SUI stage 1. The conservative treatment was carried out under supervision in 2 groups, 70 patients each. The mean age of women was 51-53 years, BMI -27.4 kg/m2 and WHR was 0.88 (first group) and 0.81 (second group). Before and after the treatment, patients' QOL was evaluated with the use of the ICIQ LUTS qol questionnaire. Moreover, the patients in both groups received vaginal oestriol. Statistica v. 12.0 PL, StatSoft, USA, was used for statistical calculations. Results: Analysis demonstrated the effectiveness of both exercise protocols. The study revealed that exercise according to protocol A (PMF and SM) is more effective than protocol B (PMF). There was no change in QOL in personal relationships. The influence of menopausal status, WHR and number of births was proven. Conclusions: PFM and SM exercise and PFM exercise alone improved the QOL of women with SUI stage 1. However, a stronger impact was observed in the physiotherapy of PFM and SM. The PFM and SM exercise was proven to be more effective than the PFM exercise alone when performed by women with SUI in their premenopausal period, with a gynoidal body type, and in the case of women who gave birth less than three times. Keywords: stress urinary incontinence; perimenopausal period; physiotherapy; pelvic floor muscles; ICIQ LUTS qol; quality of life. ABSTRAKT Wstęp:Wysiłkowe nietrzymanie moczu (WNM) jest dolegliwością dotyczącą wielu kobiet w różnych okresach życia. Szacuje się, iż prawie 60% z nich w wieku perimenopauzalnym doświadczy wpływu WNM na jakość życia (QOL). Według International Continence Society leczenie rozpoczyna się od metod zachowawczych, do których zalicza się gimnastykę mięśni dna miednicy (MDM). Celem pracy było porównanie QOL pacjentek z WNM I stopnia po zastosowaniu gimnastyki MDM z mięśniem synergistycznym oraz gimnastyki wyłącznie MDM, którą przeprowadzono w okresie 3 miesięcy. Dodatkowo oceniono wpływ wskaźnika masy ciała (BMI), wskaźnika dystrybucji tkanki tłuszczowej w organizmie (WHR), liczby porodów oraz statusu...

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Impact of menopausal status on the outcome of pelvic floor physiotherapy in women with urinary incontinence

Abstract: Pre- and postmenopausal women experience similar outcomes in relation to urinary symptoms following a short-term supervised PFMT.

Cited by 12 publications

References 20 publications

Evaluation of Bioelectrical Activity of Pelvic Floor Muscles and Synergistic Muscles Depending on Orientation of Pelvis in Menopausal Women with Symptoms of Stress Urinary Incontinence: A Preliminary Observational Study

Evaluation of Bioelectrical Activity of Pelvic Floor Muscles and Synergistic Muscles Depending on Orientation of Pelvis in Menopausal Women with Symptoms of Stress Urinary Incontinence: A Preliminary Observational Study

Assessment of the Short-Term Effects after High-Inductive Electromagnetic Stimulation of Pelvic Floor Muscles: A Randomized, Sham-Controlled Study

Wpływ ćwiczeń mięśni dna miednicy z udziałem i bez udziału mięśni synergistycznych na jakość życia kobiet z wysiłkowym nietrzymaniem moczu

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