Responsiveness of Pelvic Floor Distress Inventory (PFDI-20) and Pelvic Floor Impact Questionnaire (PFIQ-7) after pelvic floor muscle training in women with stress and mixed urinary incontinence

Figueirêdo, Vilena Barros de; Ferreira, Cristine Homsi Jorge; Silva, Jordana Barbosa da; Esmeraldo, Gláucia Nunes Diniz de Oliveira; Brito, Luiz Gustavo Oliveira; Nascimento, Simony Lira do; Driusso, Patrícia

doi:10.1016/j.ejogrb.2020.10.039

Cited by 4 publications

(4 citation statements)

References 33 publications

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“…The PFIQ-7 and PFDI-20 questionnaires show good responsiveness to assess the degree of discomfort caused by PF dysfunctions. 12,27 The PFDI-20 indicated a greater impairment in the anal dysfunction domain, which demonstrates how much participants need to make a great evacuation effort to defecate, how much they felt that their bowel did not completely empty at the end of defecation and that they generally felt pain when defecating. It is important to highlight that FIC is a health problem that is not life-threatening for participants, but it can be a risk factor for other PF disorders, such as urinary incontinence and pelvic organ prolapse.…”

Section: Discussionmentioning

confidence: 99%

“…The PFIQ‐7 and PFDI‐20 questionnaires show good responsiveness to assess the degree of discomfort caused by PF dysfunctions 12,27 . The PFDI‐20 indicated a greater impairment in the anal dysfunction domain, which demonstrates how much participants need to make a great evacuation effort to defecate, how much they felt that their bowel did not completely empty at the end of defecation and that they generally felt pain when defecating.…”

Section: Discussionmentioning

confidence: 99%

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Women with functional constipation have a worse ability to relax their pelvic floor muscle: A cross sectional study

Miotto

Fernandes

Ossa

et al. 2022

Neurourology and Urodynamics

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Introduction: Functional intestinal constipation (FIC) has a high prevalence worldwide. It is higher in adult and elderly women, and in those with alterations in the pelvic floor muscle (PFM) structure and function.Objective: The primary aim of this study was to characterize PFM function, including tone, of women with and without FIC. The secondary aim was to assess and compare the general and symptom-related quality of life (QoL) between participants with and without FIC and its correlation with the assessed PFM function. Methods: This was a cross-sectional observational study, the outcomes were assessed using vaginal palpation, vaginal manometry and validated questionnaires: the Pelvic Floor Impact Questionnaire Short Form 7 (PFIQ-7), the Pelvic Floor Distress inventory (PFDI-20), and the Short-Form Health Survey (SF-36). This study included 60 women, 30 with FIC and 30 without FIC. The mean age of women with FIC was 48.2 years (standard deviation [SD] 12.22) and 51 years (SD 13.47) for those without FIC. Both groups were overweight. There was a significant difference between groups in the bowel domain of the PFIQ-7 (p = 0.016) and in the anal dysfunction domain of the PFDI-20 ( p < 0.001), being higher in those women with FIC. Women with FIC presented a significantly worse ability to voluntarily relax their PFM (38.3%) than those without FIC (11.7%; p = 0.008).participants without FIC presented higher values of maximum voluntary contraction (MVC) assessed by vaginal manometry compared to participants without FIC ( p = 0.008). PFM tone was not different between groups. Conclusion:Women with FIC have more difficulty in relaxing their PFM and lower MVC values than women without FIC. FIC negatively impacts women's symptom-related QoL. The main contribution of this study was to reavel the difficulty of the participants with FIC to relax their PFM. This finding is important to guide clinical decision making for an adequate treatment program direct to women with FIC.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Women with functional constipation have a worse ability to relax their pelvic floor muscle: A cross sectional study

Miotto

Fernandes

Ossa

et al. 2022

Neurourology and Urodynamics

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“…Both instruments presented adequate internal consistency and test-retest reliability in the Brazilian Portuguese version. The PFDI-20 and PFIQ-7 responsiveness after surgical treatment 10 and physical therapy treatment 14 were considered as moderate 14 …”

Section: Methodsmentioning

confidence: 99%

“…The PFDI-20 and PFIQ-7 responsiveness after surgical treatment 10 and physical therapy treatment 14 were considered as moderate. 14…”

Section: Pfdi-20 and Pfiq-7mentioning

confidence: 99%

Cross-cultural adaptation and psychometric evaluation of the Brazilian Portuguese version of the Vulvovaginal Symptoms Questionnaire

et al. 2022

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Objective: The aims of this study were to perform a cross-cultural adaptation of the Vulvovaginal Symptoms Questionnaire (VSQ) into Brazilian Portuguese (VSQ-Br) and evaluate its measurement properties (structural validity, construct validity, internal consistency, and reliability).Methods: Cross-cultural adaptation was conducted through the translation, synthesis, and back-translation of the VSQ-Br. Subsequently, 314 women completed the Pelvic Floor Impact Questionnaire, Pelvic Floor Disorders Inventory, Medical Outcomes Study 36-Item Short-Form Health Survey, and VSQ-Br. Seven to 10 days later, participants completed the VSQ-Br for the second time. Data were submitted for confirmatory factor analysis. Cronbach α was used to verify internal consistency, and construct validity was assessed using Pearson correlation coefficient (r). Reliability was calculated using the intraclass correlation coefficient.Results: Confirmatory factor analysis showed that the questions were grouped into four domains (symptoms, emotions, life impact, and sexual impact). The model showed good fit (>0.95). The Cronbach α in this study was 0.85, reflecting adequate internal consistency. Adequate reliability was confirmed, with an intraclass correlation coefficient total score of 0.80. The VSQ-Br had a weak correlation with the pelvic domain of the Pelvic Floor Disorders Inventory, the pelvic organ prolapse domain of the Pelvic Floor Impact Questionnaire, and pain, vitality, and the social aspect domains of the Medical Outcomes Study 36-Item Short-Form Health Survey.Conclusions: The VSQ-Br was validated and had acceptable measurement properties for assessing vulvovaginal symptoms in Brazilian women.

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Digital Care Program for Urinary Incontinence in Females: A Large-Scale, Prospective, Cohort Study

Janela,

Areias,

Molinos

et al. 2024

Healthcare

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Female urinary incontinence (UI) is highly prevalent in the US (>60%). Pelvic floor muscle training (PFMT) represents first-line care for UI; however, access and adherence challenges urge new care delivery models. This prospective cohort study investigates the feasibility and safety of a remote digital care program (DCP) combining education and PFMT with real-time biofeedback with an average duration of 10 weeks. The primary outcome was the change in the Urinary Impact Questionnaire—short form (UIQ-7) from baseline to program-end, calculated through latent growth curve analysis (LGCA). Secondary outcomes included the impact of pelvic conditions (PFIQ-7), depression (PHQ-9), anxiety (GAD-7), productivity impairment (WPAI), intention to seek additional healthcare, engagement, and satisfaction. Of the 326 participants who started the program, 264 (81.0%) completed the intervention. Significant improvement on UIQ-7 (8.8, 95%CI 4.7; 12.9, p < 0.001) was observed, corresponding to a response rate of 57.3%, together with improvements in all other outcomes and high satisfaction (8.9/10, SD 1.8). This study shows the feasibility and safety of a completely remote DCP with biofeedback managed asynchronously by a physical therapist to reduce UI-related symptoms in a real-world setting. Together, these findings may advocate for the exploration of this care delivery option to escalate access to proper and timely UI care.

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Responsiveness of Pelvic Floor Distress Inventory (PFDI-20) and Pelvic Floor Impact Questionnaire (PFIQ-7) after pelvic floor muscle training in women with stress and mixed urinary incontinence

Cited by 4 publications

References 33 publications

Women with functional constipation have a worse ability to relax their pelvic floor muscle: A cross sectional study

Women with functional constipation have a worse ability to relax their pelvic floor muscle: A cross sectional study

Cross-cultural adaptation and psychometric evaluation of the Brazilian Portuguese version of the Vulvovaginal Symptoms Questionnaire

Digital Care Program for Urinary Incontinence in Females: A Large-Scale, Prospective, Cohort Study

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