Exercise and education improve balance and quality of life in women with stress urinary incontinence
DOI:
https://doi.org/10.22267/rus.222401.255Keywords:
Stress urinary incontinence, Pelvic floor, Quality of life, Postural balanceAbstract
Introduction: Stress urinary incontinence (SUI) has high prevalence in adult women, affecting psychological, social and functional variables, including decreased balance capacity, due to a lack of trunk movements that contribute to postural correction. Objective: To determine how a program based on pelvic floor muscle exercises and education affects static balance and quality of life of women with SUI. Materials and methods: 18 SUI female patients participated in a 12 week/10 sessions program that included pelvic floor muscle exercises and education (hygiene habits, urination, fluid intake). Static balance and quality of life were assessed before and after the intervention using postural oscillography and the International Consultation on Incontinence Questionnaire Short Form(ICQ-SF), respectively. Data were analyzed with the non-parametric Wilcoxon test. Results: The displacement area of the center of pressure in the open (p=0.027) and closed (p=0.006) subtests showed a significant reduction. Likewise, the amount of symptoms associated with SUI decreased (p=0.0001). Conclusions: Intervention improves static balance and quality of life, confirming the positive effects of this program, which can serve as a guide for health professionals who work with women with SUI.
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Rogers RG, Pauls RN, Thakar R, Morin M, Kuhn A, Petri E, et al. An International Urogynecological Association (IUGA)/International Continence Society (ICS) joint report on the terminology for the assessment of sexual health of women with pelvic floor dysfunction. Neurourol Urodyn [Internet]. 2018 Apr 14;37(4):1220–40. Disponible en: https://onlinelibrary.wiley.com/doi/abs/10.1002/nau.23508
Castañeda BI, Martínez TJC, García DJÁ, Rodríguez AEM, Pérez RNM. Aspectos epidemiológicos de la incontinencia urinaria. Revisión Bibliográfica. Rev Cuba Med Física y Rehabil. 2016;8(Suppl 1):88–98. Disponible en: https://www.medigraphic.com/cgi-bin/new/resumen.cgi?IDARTICULO=72108
González-Ruíz C, Pérez-Hero ML, Jalón-Monzón A, García-Rodríguez J. Actualización en incontinencia urinaria femenina. Semergen. 2017;43(8):578–84. DOI: 10.1016/j.semerg.2017.01.003.
González-Maldonado LA, Erosa-Villarreal RA, Janssen-Aguilar R, Laviada-Molina HA, Méndez-Domínguez NI. Urinary incontinence: Risk factors and frequency in women above 60 years of age in the Southeast of Mexico. Rev Mex Urol. 2019;79(3):e03. Disponible en: http://www.scielo.org.mx/scielo.php?script=sci_arttext&pid=S2007-40852019000300003
Tuda C, Carnero MP. Prevalencia y factores asociados a incontinencia urinaria en el área de salud este de Valladolid. Enferm glob. 2020;19(1):390–412. Disponible en: https://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1695-61412020000100012&lng=es
Lukacz ES, Santiago-Lastra Y, Albo M, Brubaker L. Incontinencia urinaria en mujeres Una revisión. Jama-Journal Am Med Assoc. 2017;318(16):1592–16054. DOI: 10.1001/jama.2017.12137.
Da Costa A, Vasconcellos I, Pacheco R, Di Bella Z, Riera R. What do Cochrane systematic reviews say about non-surgical interventions for urinary in-continence in women? Sao Paulo Med J. 2018;136(1):73–83. DOI: 10.1590/1516-3180.2017.039420122017.
Gretchen I. Urinary Incontinence. Prim Care. 2019;46(2):233–42. DOI: 10.1016/j.pop.2019.02.004.
Oliveira Alves J, Tonon Da Luz S, Brandão S, Madeiros Da Luz C, Natal Jorge R, Da Rosa T. Urinary Incontinence in Physically Active Young Women: Prevalence and Related Factors. Int J Sports Med. 2017;38(12):937–41. DOI: 10.1055/s-0043-115736.
Capobianco G, Madonia M, Morelli S, Dessole F, De Vita D, Cherchi P, et al. Management of female stress urinary incontinence: A care pathway and update. Maturitas. 2018;109:32–8. DOI: 10.1016/j.maturitas.2017.12.008.
Pazmiño LM, Esparza D, Ayala L, Quinteros MJ. Prevalencia de la incontinencia urinaria en mujeres de 45-65 años del Hospital Padre Carollo. Mediciencias UTA. 2019;3(2):69-75. DOI: 10.31243/mdc.uta.v3i2.168.2019.
Da Roza T, Brandao S, Mascarenhas T, Jorge R, Duarte J. Urinary Incontinence and Levels of Regular Physical Exercise in Young Women. Int J Sports Med. 2015;36(9):776–80. DOI: 10.1055/s-0034-1398625.
Chmielewska D, Stania M, Słomka K, Błaszczak E, Taradaj J, Dolibog P, et al. Static postural stability in women with stress urinary incontinence: Effects of vision and bladder filling. Neurourology and Urodynamics. Neurourol Urodyn. 2017;36(8):2019–27. DOI: 10.1002/nau.23222.
Campani Nygaard C, Schereiner L, Picolli Morsch T, Petersen Saadi R, Faria Figueiredo M, Vontobel Padoin A. Urinary Incontinence and Quality of Life in Female Patients with Obesity. Rev Bras Ginecol Obstet. 2018;40(9):534–9. DOI: 10.1055/s-0038-1670626.
Nygaard I, Shaw J. Physical activity and the pelvic floor. Am J Obstet Gynecol. 2016;214(2):164–71. DOI: 10.1016/j.ajog.2015.08.067.
Téllez-Díaz JA, Aragón-Castro MA, Vázquez-Niño LC, Gutiérrez-Rosales R, Ruvalcaba-Oceguera GE, Guerrero-Reyes G, et al. Aspectos actuales en el tratamiento de la incontinencia urinaria de esfuerzo en mujeres. Rev Mex Urol. 2017;77(5):411–8. Disponible en: https://www.medigraphic.com/pdfs/uro/ur-2017/ur175k.pdf
Cañamero de León S, Da Cuña Carrera I, De la Hoz González C, Soto Gonzáles M. Comparación De Los Efectos De Un Programa De Ejercicio Sobre Diastasis De Rectos Según El Pe-Riodo Postparto. Med Natur [Internet]. 2020;14(1):53-8. Disponible en: https://dialnet.unirioja.es/servlet/articulo?codigo=7248976
Madokoro S, Miaki H. Relationship between transversus abdominis muscle thickness and urinary incontinence in females at 2 months postpartum. J Phys Ther Sci. 2019;31(1):108–11. DOI: 10.1589/jpts.31.108.
Alewijnse D, Metsemakers J, Mesters I, Van den Borne B. Effectiveness of pelvic floor muscle exercise therapy supplemented with a health education program to promote long-term adherence among women with urinary incontinence. Neurourol Urodyn. 2003;22(4):284–95. DOI: 10.1002/nau.10122.
Segarra V, Heredia JR, Peña G, Sampietro M, Moyano M, Mata F, et al. Core y sistema de control neuro-motor: mecanismos básicos para la estabilidad del raquis lumbar. Rev Bras Educ Fís Esporte. 2014;28(3):521–9. DOI: 10.1590/S1807-55092014005000005.
Sapsford R. Rehabilitation of pelvic floor muscles utilizing trunk stabilization. Man Ther. 2004;9(1):3–12. DOI: 10.1016/s1356-689x(03)00131-0.
Kegel A. Progressive resistance exercise in the functional restoration of the perineal muscles. Obs Gynecol. 1948;56(2):238–48. DOI: 10.1016/0002-9378(48)90266-x.
Cavkaytar S, Kokanali MK, Topcu HO, Aksakal OS, Doğanay M. Effect of home-based Kegel exercises on quality of life in women with stress and mixed urinary incontinence. J Obs Gynaecol. 2015;35(4):407–10. DOI: 10.3109/01443615.2014.960831.
Chang Calderin O, Pérez Rodríguez M, Figueredo Villa K, Torres Pérez M, Torres Pérez M, Llori Otero K. Efectividad de la reeducación del suelo pélvico en adultas mayores con incontinencia urinaria de esfuerzo. Rev Cuba Med Gen Integr. 2019;35(1):e785. Disponible en: https://www.medigraphic.com/cgi-bin/new/resumen.cgi?IDARTICULO=91084
Aranda Lozano J, Sierra Labarta R. Incontinencia urinaria de esfuerzo en mujeres: impacto en la calidad de vida tras rehabilitación del suelo pélvico. Rev Arg de Urol. 2018;83(2):60–7. Disponible en: https://www.revistasau.org/index.php/revista/article/viewFile/4147/3545
Fuentes B, Venegas M. The Role of a physiotherapist in the pelvic floor unit. Rev Med Clin Condes. 2013;24(2):305–12. Disponible en: https://www.clinicalascondes.cl/Dev_CLC/media/Imagenes/PDF%20revista%20m%C3%A9dica/2013/2%20marzo/14-Kine.Fuentes.pdf
Carneiro E, Araujo S, Beuttenmüll L, Vieira P, Cader S, Rett M, et al. The anatomical-functional characteristics of the pelvic floor and quality of life of women with stress urinary incontinence subjected to perineal exercises. Actas Urol Esp. 2010;34(9):788–93. Disponible en: https://pubmed.ncbi.nlm.nih.gov/20843456/
Castro Adrada LM. Entrenamiento del suelo pélvico en incontinencia urinaria durante el embarazo y postparto vaginal. FisioGlia [Internet]. 2017;4(3):53–6. Disponible en: https://dialnet.unirioja.es/servlet/articulo?codigo=6084962
Laycock J. Patient Assessment. In: Laycock J, Haslam J (eds). Therapeutic Management of Incontinence and Pelvic Pain. London: Springer; 2002. DOI: 10.1007/978-1-4471-3715-3_6.
Oteo Manjavacas P, Donis Canet F, Estigaribia Benítez CA, Costell J. Incontinencia urinaria en la mujer: evaluación y manejo práctico en atención primaria. Form medica Contin en atención primaria. 2020;27(9):480–7. DOI: 10.1016/j.fmc.2020.05.002.
Manual de protocolos y procedimientos generales de enfermería. Higiene perianal y cuidados en la incontinencia [Internet]. Hospital universitario Reina Sofía; 2010. 8 p. Disponible en: http://www.sspa.juntadeandalucia.es/servicioandaluzdesalud/hrs3/fileadmin/user_upload/area_enfermeria/enfermeria/procedimientos/procedimientos_2012/b5_higienes_perianal.pdf
Gonazález Sánchez B, Rodríguez-Mansilla J, de Toro García A, González López-Arza MV. Eficacia del entrenamiento de la musculatura del suelo pélvico en incontinencia urinaria femenina. Anales Sis San Navarra [Internet]. 2014;37(3):381–400. DOI: 10.4321/S1137-66272014000300008.
Marques A, Stothers L, Macnab A, Frcpch F. The status of pelvic floor muscle training for women. Can Urol Assoc J. 2010;4(6):419–24. DOI: 10.5489/cuaj.963.
García-Sánchez E, Ávila-Gandía V, López-Román J, Martínez-Rodríguez A, Rubio-Arias JÁ. What Pelvic Floor Muscle Training Load is Optimal in Minimizing Urine Loss in Women with Stress Urinary Incontinence? A Systematic Review and Meta-Analysis. Int J Environ Res Public Health. 2019;16(22):4358. DOI: 10.3390/ijerph16224358.
Caniuqueo A, Fernandes J, Quiroz G, Rivas R. Cinética de marcha, balance postural e índice masa corporal durante el primer, segundo y tecer trimestre de embarazo. Rev Peru Ginecol y Obstet. 2014;60(2):109–16. Disponible en: http://www.scielo.org.pe/pdf/rgo/v60n2/a03v60n2.pdf
Gatica VF, Velásquez SI, Méndez GA, Guzmán EE, Manterola CG. Differences in standing balance in patients with cerebral palsy and typically developing children. Diferencias en el balance de pie en pacientes con parálisis cerebral y niños con desarrollo típico. Biomédica. 2014;34(1):102–9. DOI: 10.7705/biomedica.v34i1.1535.
Duarte M, Freitas S. Revision of posturography based on force plate for balance evaluation. Rev Bras Fisioter. 2010;14(3):183–92. Disponible en: https://www.scielo.br/j/rbfis/a/hFQTppgw4q3jGBCDKV9fdCH/?format=pdf&lang=en
Klovning A, Avery K, Sandvik H, Hunskaar S. Comparison of Two Questionnaires for Assessing the Severity of Urinary Incontinence: The ICIQ-UI SF Versus the Incontinence Severity Index. Neurourol Urodyn. 2009;28(5):411–5. DOI: 10.1002/nau.20674.
Busquets M, Serra R. Validation of a Spanish version of the International Consultation on Incontinence Ques-tionnaire Short-Form. Rev Med Chile. 2012;140(3):340–6. DOI: 10.4067/S0034-98872012000300009.
Smith M, Coppieters M, Hodges P. Is balance different in women with and without stress urinary incontinence? Neurourol Urodyn. 2008;27(1):71–8. DOI: 10.1002/nau.20476.
Le Berre M, Morin M, Corriveau H, Hamel M, Nadeau S, Filiatrault J, et al. Characteristics of Lower Limb Muscle Strength , Balance , Mobility , and Function in Older Women with Urge and Mixed Urinary Incontinence: An Observational Pilot Study. Physiother Can. 2019;71(3):250–60. DOI: 10.3138/ptc.2018-30.
Le Berre M, Dumoulin C. Force, équilibre, mobilité et fonction des femmes âgées avec incontinence urinaire: une revue de la littérature. Kinésithérapie, la Revue. 2020;20(226):3–20. DOI: 10.1016/j.kine.2020.05.020.
Ortuño-Cortés MA, Martín-Sanz E, Barona-de Guzmán R. Posturografía estática frente a pruebas clínicas en ancianos con vestibulopatía. Acta Otorrinolaringol Esp. 2008;59(7):334–40. DOI: 10.1016/S0001-6519(08)75552-3.
Rincón Ardila O. Prevalence and risk factors for urinary incontinence among women consulting in primary care. Rev Med Chil [Internet]. 2015;143(2):203–12. DOI: 10.4067/S0034-98872015000200008.
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