Urinary incontinence: a problem of the modern woman

Chmielewska, Daria; Piecha, Magdalena; Kwaśna, Krystyna; Błaszczak, Edward; Taradaj, Jakub; Skrzypulec-Plinta, Violetta

doi:10.5114/pm.2013.38590

Cited by 7 publications

(8 citation statements)

References 13 publications

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“…Incontinent women had lower PFM activities, especially in the standing position, related to age and vaginal deliveries [ 3 ]. PFM function is affected by age, the number of vaginal deliveries, BMI, and intense physical exertion [ 25 ].…”

Section: Discussionmentioning

confidence: 99%

Impact of Different Body Positions on Bioelectrical Activity of the Pelvic Floor Muscles in Nulliparous Continent Women

Chmielewska

Stania

Sobota

et al. 2015

BioMed Research International

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We examined pelvic floor muscles (PFM) activity (%MVC) in twenty nulliparous women by body position during exercise as well as the activation of abdominal muscles and the gluteus maximus during voluntary contractions of the PFMs. Pelvic floor muscle activity was recorded using a vaginal probe during five experimental trials. Activation of transversus abdominis, rectus abdominis, and gluteus maximus during voluntary PFM contractions was also assessed. Significant differences in mean normalized amplitudes of baseline PFM activity were revealed between standing and lying (P < 0.00024) and lying and ball-sitting positions (P < 0.0053). Average peak, average time before peak, and average time after peak did not differ significantly during the voluntary contractions of the PFMs. Baseline PFM activity seemed to depend on the body position and was the highest in standing. Pelvic floor muscles activity during voluntary contractions did not differ by position in continent women. Statistically significant differences between the supine lying and sitting positions were only observed during a sustained 60-second contraction of the PFMs.

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Section: Discussionmentioning

confidence: 99%

Impact of Different Body Positions on Bioelectrical Activity of the Pelvic Floor Muscles in Nulliparous Continent Women

Chmielewska

Stania

Sobota

et al. 2015

BioMed Research International

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“…Exercises during the respiratory phase were also used during sessions with patients by Ribeiro et al [ 19 ]. Published strategies of management of urinary incontinence have been changing, from local approaches to the problem [ 53 – 57 ] towards concepts linking pelvic floor muscles with other muscle groups forming a functional whole [ 46 – 48 ]. State-of-the-art knowledge affords a better understanding of relationships within the musculofascioligamentous system in the space of the pelvic floor and the cylinder formed by the respiratory diaphragm, abdominal muscles, and lower back.…”

Section: Discussionmentioning

confidence: 99%

Efficacy of Physiotherapy for Urinary Incontinence following Prostate Cancer Surgery

Rajkowska-Labon

Bakuła

Kucharzewski

et al. 2014

BioMed Research International

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The study enrolled 81 with urinary incontinence following radical prostate-only prostatectomy for prostatic carcinoma. The patients were divided into two groups. The patients in Group I were additionally subdivided into two subgroups with respect to the physiotherapeutic method used. The patients of subgroup IA received a rehabilitation program consisting of three parts. The patients of subgroup IB rehabilitation program consist of two parts. Group II, a control group, had reported for therapy for persistent urinary incontinence following radical prostatectomy but had not entered therapy for personal reasons. For estimating the level of incontinence, a 1-hour and 24-hour urinary pad tests, the miction diary, and incontinence questionnaire were used, and for recording the measurements of pelvic floor muscles tension, the sEMG (surface electromyography) was applied. The therapy duration depended on the level of incontinence and it continued for not longer than 12 months. Superior continence outcomes were obtained in Group I versus Group II and the difference was statistically significant. The odds ratio for regaining continence was greater in the rehabilitated Group I and smaller in the group II without the rehabilitation. A comparison of continence outcomes revealed a statistically significant difference between Subgroups IA versus IB. The physiotherapeutic procedures applied on patients with urine incontinence after prostatectomy, for most of them, proved to be an effective way of acting, which is supported by the obtained results.

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“…18,22 Alcohol abuse and cigarette smoking are also believed to have a significant effect. 7,22 Injuries to both the organs of urinary tract and the central and peripheral nervous system may be the cause of UI. 3…”

Section: Urinary Incontinence In Womenmentioning

confidence: 99%

“…The most commonly used types of BF are as follows (Figure 1): (a) NF (neuro BF, electroencephalograph (EEG) BF), which consists of the reception and recording of neurophysiological brain activity (frequency of brain waves), which are a response to a given stimulus, by the apparatus designed for this purpose. This type of BF is used to treat children with ADHD attention deficit hyperactivity disorder (ADHD); 7 (b) Electromyography (EMG BF, miofeedback), which is a part of exercises where the main element is self-control over the work of selected muscles by providing the patient with acoustic or visual signals. This method is used in various neuromuscular disorders; 47 (c) Heart rate variability (HRV BF), which records changes in respiratory rate and heart rate in case of cardiovascular diseases; (d) respiratory BF, which is based on the analysis of respiratory rate.…”

Section: Biofeedbackmentioning

confidence: 99%

Urinary incontinence in women: biofeedback as an innovative treatment method

Kopańska

Torices

Czech³

et al. 2020

Therapeutic Advances in Urology

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Urinary incontinence is an involuntary urination (leakage of urine). About 200 million people suffer from this condition, and 60% of cases are concealed and untreated because of shame. It is estimated that an increasing number of young women and women of menopausal age will suffer from urinary incontinence. This disease occurs during the perinatal, perimenopausal period, as a result of brain damage or an unhealthy lifestyle. There are four main types of urinary incontinence: stress, urge, overflow and mixed form. Treatment is adapted to the severity of disease, its type and includes physiotherapeutic treatment (kinesiotherapy, physiotherapy, massage), pharmacological, psychological and surgical treatment. In recent years, growing interest has been observed in the noninvasive biofeedback method. The patient learns to contract the weakened pelvic floor muscles, constantly monitoring progress in treatment. She is also motivated by visual and auditory stimuli. Growing evidence confirms the effectiveness of this method, which to a large extent eliminates urinary incontinence. Nevertheless, attention should also be paid to prevention, which reduces the risk of involuntary leakage of urine.

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Urinary incontinence: a problem of the modern woman

Cited by 7 publications

References 13 publications

Impact of Different Body Positions on Bioelectrical Activity of the Pelvic Floor Muscles in Nulliparous Continent Women

Impact of Different Body Positions on Bioelectrical Activity of the Pelvic Floor Muscles in Nulliparous Continent Women

Efficacy of Physiotherapy for Urinary Incontinence following Prostate Cancer Surgery

Urinary incontinence in women: biofeedback as an innovative treatment method

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