Document Detail

Exercise adherence to pelvic floor muscle strengthening is not a significant predictor of symptom reduction for women with urinary incontinence.
MedLine Citation:
PMID:  22446154     Owner:  NLM     Status:  Publisher    
OBJECTIVE: To explore the predictors of treatment effectiveness for women with urinary incontinence (UI) receiving pelvic floor muscle (PFM) strengthening. DESIGN: A four-month cohort study. SETTING: Laboratory. PARTICIPANTS: Sixty-eight volunteers (50.5±6 years old) with UI. INTERVENTION: Four-month daily PFM strengthening exercise program at home. MAIN OUTCOME MEASURES: Outcome measures included self-reported improvement, Severity Index score, 3-days diary, strength of PFM, and quality of life. The amount of exercise during 4 months was used to assess the exercise adherence from the participants' recall after 4-month exercise period. RESULTS: Seventy-five percent (51/68) of women reported their condition improved after 4-month exercise. There were significant reductions in Severity Index score, number of voiding per day, number of leakage per day, and impact on quality of life (P<0.05). Besides, the score of PFM strength was significantly improved (P=0.001). There was no significant correlations between the change score of Severity Index and age, BMI, parity, type of UI, duration of UI, menopausal status, and amount of exercise (all P>0.1). Multiple regression analysis revealed that initial severity of symptoms and improvement of PFM strength predicted 51.3% of variance in 4-month exercise effectiveness (change score of Severity Index). CONCLUSIONS: The effectiveness of 4-month PFM strengthening program was influenced by severity of symptom and improvement score of PFM strength instead of exercise adherence. Women who had more significant symptom of leakage (higher score of Severity Index at baseline) and who had more improvement of PFM strength showed more improvement of symptom after PFM strengthening.
Hsiu-Chuan Hung; Shu-Yun Chih; Ho-Hsiung Lin; Jau-Yih Tsauo
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-3-22
Journal Detail:
Title:  Archives of physical medicine and rehabilitation     Volume:  -     ISSN:  1532-821X     ISO Abbreviation:  -     Publication Date:  2012 Mar 
Date Detail:
Created Date:  2012-3-26     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  2985158R     Medline TA:  Arch Phys Med Rehabil     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
Copyright © 2012 the American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.
School and Graduate Institute of Physical Therapy, College of Medicine, National Taiwan University; Department of Rehabilitation Science, Jen-The Junior College of Medicine, Nursing and Management.
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