Telehealth in the rehabilitation of female pelvic floor dysfunction: a systematic literature review

Mata, Kyannie Risame Ueda da; Costa, Rafaela Cristina Monica; Carbone, Ébe dos Santos Monteiro; Gimenez, Márcia Maria; Bortolini, Maria Augusta Tezelli; Castro, Rodrigo Aquino; Fitz, Fátima Faní

doi:10.1007/s00192-020-04588-8

Cited by 42 publications

(18 citation statements)

References 23 publications

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“…In addition, in the management of female pelvic floor dysfunction, telehealth promotes significant improvements in urinary tract symptoms, pelvic floor muscle function and quality of life. Data shows that women who receive remote intervention experience significant improvement in symptoms, such as reducing the number of episodes of incontinence and frequency of urination, increasing pelvic floor muscle strength and improving quality of life compared to women who receive face-to-face care [12] . All patients, service providers and staff who have symptoms such as fever, cough or other respiratory symptoms and travel history should be screened for COVID-19.…”

Section: Resultsmentioning

confidence: 99%

Examination and Treatment Scenario in Urogynecology Case During COVID-19 Pandemic: A Review

Eighty Mardiyan Kurniawati,

Gatut Hardiyanto,

Hari Paraton

et al. 2021

Indian Journal of Forensic Medicine & Toxicology

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The number of COVID-19 cases continues to increase therefore health services in hospitals must adapt to the COVID-19 pandemic. One of the services that must be affected is urogynecology services. This study aims to examine scenarios in the examination and treatment of patients with urogynecological cases in hospitals during a pandemic. A non-systematic review examines several scientific articles related to recommendations. The articles were searched through the PubMed and Google Scholar databases with the keywords "urogynecology patient" or "hospital" or "treatment" or "urogynecology care" and "COVID-19". Data is arranged in the form of scenarios and narrative reviews. The scenario carried out is telemedicine, except for certain severe cases, so one must go to the hospital with a record of patient protection against COVID-19. It is possible to use online to prevent the accumulation of patients in the hospital. Management emphasizes non-surgical solutions such as lifestyle, nutritional patterns, behavioral concepts, and periodic drug administration. Implementation is carried out with preconditions, namely patient safety, an integrated system related to payment and prescription of drugs. Things that need to be underlined in telemedicine governance are the need for adequate counseling and good cooperation between doctors and patients because this will affect diagnosis and management. This effort makes it possible to break the chain of infection in urogynecology services and the need for further research related to a complete and comprehensive application system.

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Section: Resultsmentioning

confidence: 99%

Examination and Treatment Scenario in Urogynecology Case During COVID-19 Pandemic: A Review

Eighty Mardiyan Kurniawati,

Gatut Hardiyanto,

Hari Paraton

et al. 2021

Indian Journal of Forensic Medicine & Toxicology

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“…First, this review offers a literary resource on the impact of eHealth interventions on female pelvic floor health. As far as we know, only one review has focused on this issue before, and it was limited to qualitative analysis of the results [ 30 ]. One article quantitatively evaluated the impact of telemedicine on urinary incontinence, but the number of articles included was insufficient [ 65 ].…”

Section: Discussionmentioning

confidence: 99%

“…Some studies have provided evidence that eHealth interventions exert a beneficial influence on women’s pelvic floor symptom management [ 27 , 28 ], while others could not find any significant improvement [ 29 ]. More recently, a systematic review evaluated the efficiency of eHealth interventions in the rehabilitation of female PFD [ 30 ]. Nevertheless, there were several important limitations to this systematic review.…”

Section: Introductionmentioning

confidence: 99%

The effectiveness of eHealth interventions on female pelvic floor dysfunction: a systematic review and meta-analysis

Wang

Guo

et al. 2022

Int Urogynecol J

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Introduction and hypothesis eHealth interventions represent a promising novel strategy in pelvic floor management for women. Nevertheless, the effectiveness of eHealth interventions among women with or at risk of pelvic floor dysfunction (PFD) has not been adequately discussed to date. This study aimed to determine the effectiveness of eHealth interventions in preventing and treating PFD among women. Methods Eleven electronic databases were searched for randomized controlled trials (RCTs) from inception until August 28, 2021. Results Twenty-four RCTs were included in this meta-analysis that included 3691 women. The meta-analysis showed that eHealth interventions were not only vital for preventing PFD (pregnant women: pooled OR = 0.25, 95% CI: 0.14 to 0.45, p < 0.001; postnatal women: pooled OR = 0.19, 95% CI: 0.06 to 0.60, p = 0.005), but also for reducing the severity of PFD (pooled SMD = -0.63, 95% CI: -1.20 to -0.06, p = 0.031). In addition, compared with traditional care, eHealth interventions showed significant positive effects on several outcome indicators, including quality of life (pooled SMD = 0.49, 95% CI: 0.19 to 0.80, p = 0.002), pelvic floor type I muscle strength (pooled OR = 1.92, 95% CI: 1.30 to 2.82, p = 0.001), pelvic floor type II muscle strength (pooled OR = 2.04, 95% CI: 1.38 to 3.01, p < 0.001), sexual function (pooled SMD = 0.51, 95% CI: 0.29 to 0.73, p < 0.001), satisfaction (pooled OR = 3.93, 95% CI: 2.73 to 5.66, p < 0.001), and self-efficacy (pooled SMD = 2.62, 95% CI: 2.12 to 3.13, p < 0.001). Conclusions eHealth interventions are an effective emerging treatment and preventive modality for female PFD. Higher quality, larger scale, and strictly designed RCTs are warranted to evaluate the effectiveness of eHealth interventions on female pelvic floor management.

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“…Before starting pelvic floor muscle training, it is necessary to ensure that the patient can perform pelvic floor muscle contractions. More than 30% of patients are unable to contract the pelvic floor muscles at the first meeting of educational exercises [40]. So that training and education repeatedly need to be done.…”

Section: Improving the Ability To Do Ways To Deal With Post-stroke Uimentioning

confidence: 99%

Development of Management Model Post-Stroke Urinary Incontinence

Heltty¹,

Sitorus²,

Nusdwinuringtyas³

et al. 2022

Pelvic Floor Dysfunction - Symptoms, Causes, and Treatment

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Post-stroke urinary incontinence (UI) is one of the sequelae of stroke. This situation affects all aspects of the patient’s life both physically, psychologically, socially, and spiritually. Post-stroke UI as a chronic disease requires holistic treatment. Many chronic health problems will respond well when handled from a holistic perspective. The holistic health view focuses on the patient’s health care needs, not only needs related to the patient’s physical condition of health, but also subjective aspects related to social representation of his/her health conditions. Developing a holistic post-stroke UI management model and continuous care at the patient’s home needs to be done. This chapter includes model components which are also interventions that can be done to overcome post-stroke UI. These interventions include information and understanding of post-stroke UI; ways to overcome post-stroke UI; conduct self-control and stay motivated; perform daily activities independently according to ability; and get family support and peer attention. This model was developed based on previous qualitative studies and literature studies related to post-stroke urinary incontinence. Intervention in this model is aimed at patients who have passed the acute phase of stroke, when they will be discharge from the hospital and continued at the patient’s home.

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Telehealth in the rehabilitation of female pelvic floor dysfunction: a systematic literature review

Cited by 42 publications

References 23 publications

Examination and Treatment Scenario in Urogynecology Case During COVID-19 Pandemic: A Review

Examination and Treatment Scenario in Urogynecology Case During COVID-19 Pandemic: A Review

The effectiveness of eHealth interventions on female pelvic floor dysfunction: a systematic review and meta-analysis

Development of Management Model Post-Stroke Urinary Incontinence

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