دورية أكاديمية
أعرض في EDS

Home-based noninvasive pelvic floor muscle training device to assist women in performing Kegel exercise in the management of stress urinary incontinence.

التفاصيل البيبلوغرافية
العنوان: Home-based noninvasive pelvic floor muscle training device to assist women in performing Kegel exercise in the management of stress urinary incontinence.
المؤلفون: Horng HC; Institute of BioMedical Informatics, National Yang Ming Chiao Tung University, Taipei, Taiwan, ROC.; Department of Obstetrics and Gynecology, Taipei Veterans General Hospital, Taipei, Taiwan, ROC.; Faculty of Medicine, School of Medicine, National Yang Ming Chiao Tung University, Taipei, Taiwan, ROC., Chao WT; Department of Obstetrics and Gynecology, Taipei Veterans General Hospital, Taipei, Taiwan, ROC.; Faculty of Medicine, School of Medicine, National Yang Ming Chiao Tung University, Taipei, Taiwan, ROC.; Institute of Clinical Medicine, National Yang-Ming University, Taipei, Taiwan, ROC.; Institute of Clinical Medicine, National Yang Ming Chiao Tung University, Taipei, Taiwan, ROC., Chen JF; Department of Information Engineering and Computer Science, Tamkang University, New Taipei City, Taiwan, ROC., Chang CP; Department of Obstetrics and Gynecology, Taipei Veterans General Hospital, Taipei, Taiwan, ROC.; Faculty of Medicine, School of Medicine, National Yang Ming Chiao Tung University, Taipei, Taiwan, ROC., Wang PH; Department of Obstetrics and Gynecology, Taipei Veterans General Hospital, Taipei, Taiwan, ROC.; Faculty of Medicine, School of Medicine, National Yang Ming Chiao Tung University, Taipei, Taiwan, ROC.; Institute of Clinical Medicine, National Yang-Ming University, Taipei, Taiwan, ROC.; Institute of Clinical Medicine, National Yang Ming Chiao Tung University, Taipei, Taiwan, ROC., Chang PL; Institute of BioMedical Informatics, National Yang Ming Chiao Tung University, Taipei, Taiwan, ROC.
المصدر: Journal of the Chinese Medical Association : JCMA [J Chin Med Assoc] 2022 Apr 01; Vol. 85 (4), pp. 484-490.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Wolters Kluwer Health Country of Publication: Netherlands NLM ID: 101174817 Publication Model: Print Cited Medium: Internet ISSN: 1728-7731 (Electronic) Linking ISSN: 17264901 NLM ISO Abbreviation: J Chin Med Assoc Subsets: MEDLINE
أسماء مطبوعة: Publication: 2019- : [Alphen aan den Rijn, The Netherlands] : Wolters Kluwer Health
Original Publication: Taipei, Taiwan : Chinese Medical Association, c2003-
مواضيع طبية MeSH: Urinary Incontinence, Stress*/therapy, Exercise Therapy ; Female ; Humans ; Pelvic Floor ; Quality of Life ; Treatment Outcome
مستخلص: Background: Stress urinary incontinence (SUI) is a major health problem affecting approximately 50% of the female population over 45 years of age. We evaluated the therapeutic effects of a home-based non-invasive wireless sensor pelvic floor muscle training (PFMT) device with assisted Kegel exercise for SUI.
Methods: We included 60 women 40 to 60 years of age who were diagnosed with urodynamic SUI (mean pad test, 10.52 g). The PFMT device applicator was clamped on the upper inner thigh, and the patients could self-train at home. The signal was recorded and delivered to a 3G/4G smartphone via Bluetooth, which also allows guided feedback via the smartphone's voice. To evaluate the therapeutic effect, all patients completed the following questionnaires: a 3-day bladder diary, the International Consultation on Incontinence Questionnaire-Short Form (ICIQ-SF), the Urogenital Distress Inventory-Short Form, and the Incontinence Impact Questionnaire-7 (IIQ-7). One-hour pad test measurements were performed before the test (M0) and at 1 (M1), 2 months (M2), and 3 months (M3) after the PFMT device-assisted Kegel exercise.
Results: The 1-hour pad test and the scores of the ICIQ-SF, UDI-6, and IIQ-7 questionnaires were improved at M1, M2, and M3, compared with the M0 values. The mean value of the post-voiding residual urine (PVR) significantly decreased at M2 and M3. The subjective and objective improvement rates at M3 were 80% and 72%, respectively.
Conclusion: The data demonstrated that 3 months of Kegel exercise assisted with a home-based PFMT device improved the number and severity of episodes, PVR, and quality of life in patients with SUI, suggesting that this device might serve as an alternative non-invasive therapy for mild and moderate SUI.
Competing Interests: Conflicts of interest: Dr. Peng-Hui Wang, an editorial board member at the Journal of the Chinese Medical Association, had no role in the peer review process of or decision to publish this article. The other authors declare that they have no conflicts of interest related to the subject matter or materials discussed in this article.
(Copyright © 2021, the Chinese Medical Association.)
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تواريخ الأحداث: Date Created: 20211111 Date Completed: 20220407 Latest Revision: 20230727
رمز التحديث: 20240628
DOI: 10.1097/JCMA.0000000000000660
PMID: 34759210
قاعدة البيانات: MEDLINE
الوصف
تدمد:1728-7731
DOI:10.1097/JCMA.0000000000000660