Document Detail


Efficacy of biofeedback, when included with pelvic floor muscle exercise treatment, for genuine stress incontinence.
MedLine Citation:
PMID:  8696355     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
STUDY OBJECTIVE: "Is a physical therapeutical training program (pelvic floor muscle training) combined with biofeedback, more effective than the same program without biofeedback in patients with mild or moderate stress incontinence?" Forty-four patients were referred by a general practitioner or a urologist. After informed consent, 40 patients were randomized in an exercises and biofeedback group (BF), or treated with exercises exclusively (pelvic floor muscle training = PFMT). After a diagnostic phase of 1 week every patient received twelve treatment sessions, three times weekly. The primary measure of effect, the quantity of involuntary urine loss, was measured with the 48 hours PAD test (Inco-test Mölnlycke). Before every treatment session the Symptoms questionnaire was filed out by the patient and the Patient dairy was controlled. The data of the trial were analysed according to the principal of intention to treat. During the trial there was 100% compliance. There were no drop-outs. Both treatment modalities appeared to be effective. After twelve treatment sessions there was a mean improvement of +/- 55% (P = 0.00) in both treatment groups, measured by the primary measure of effect. In the group with BF this improvement was already realized after six treatment sessions (P = 0.01). Yet, the difference between BF and PFMT faded to reach significance at six treatment sessions (P = 0.08). Although differences in treatment effects between both groups were not significant, our findings suggest that adding biofeedback to pelvic floor muscle exercises might be more effective than pelvic floor muscle exercises alone after six treatments.
Authors:
L C Berghmans; C M Frederiks; R A de Bie; E H Weil; L W Smeets; E S van Waalwijk van Doorn; R A Janknegt
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Publication Detail:
Type:  Clinical Trial; Journal Article; Randomized Controlled Trial    
Journal Detail:
Title:  Neurourology and urodynamics     Volume:  15     ISSN:  0733-2467     ISO Abbreviation:  Neurourol. Urodyn.     Publication Date:  1996  
Date Detail:
Created Date:  1996-09-03     Completed Date:  1996-09-03     Revised Date:  2014-07-29    
Medline Journal Info:
Nlm Unique ID:  8303326     Medline TA:  Neurourol Urodyn     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  37-52     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Biofeedback, Psychology*
Exercise Therapy / methods*
Female
Humans
Middle Aged
Muscle, Skeletal / physiopathology*
Pelvic Floor / physiopathology*
Questionnaires
Single-Blind Method
Treatment Outcome
Urinary Incontinence, Stress / physiopathology,  therapy*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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