دورية أكاديمية
A Motion-based Device Urinary Incontinence Treatment: A Longitudinal Analysis at 18 and 24 Months.
العنوان: | A Motion-based Device Urinary Incontinence Treatment: A Longitudinal Analysis at 18 and 24 Months. |
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المؤلفون: | Weinstein MM; Department of Obstetrics, Gynecology and Reproductive Biology, Division of Female Pelvic Medicine and Reconstructive Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA. mweinstein2@mgh.harvard.edu., Dunivan GC; University of Alabama at Birmingham, Birmingham, AL, USA., Guaderrama NM; Southern California Permanente Medical Group, Irvine, CA, USA., Richter HE; University of Alabama at Birmingham, Birmingham, AL, USA. |
المصدر: | International urogynecology journal [Int Urogynecol J] 2024 Apr; Vol. 35 (4), pp. 803-810. Date of Electronic Publication: 2024 Jan 22. |
نوع المنشور: | Journal Article |
اللغة: | English |
بيانات الدورية: | Publisher: Springer Country of Publication: England NLM ID: 101567041 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1433-3023 (Electronic) Linking ISSN: 09373462 NLM ISO Abbreviation: Int Urogynecol J Subsets: MEDLINE |
أسماء مطبوعة: | Original Publication: London : Springer |
مواضيع طبية MeSH: | Exercise Therapy*/methods , Exercise Therapy*/instrumentation , Pelvic Floor*/physiopathology , Urinary Incontinence*/therapy, Adult ; Aged ; Female ; Humans ; Middle Aged ; Longitudinal Studies ; Time Factors ; Treatment Outcome ; Urinary Incontinence, Stress/therapy ; Follow-Up Studies |
مستخلص: | Introduction and Hypothesis: There are sparse data regarding the long-term efficacy of pelvic floor muscle training (PFMT) for the treatment of urinary incontinence (UI). The objective of this study was to evaluate the impact of an 8-week PFMT program guided by a motion-based intravaginal device versus a standard home program over 24 months. Methods: Between October 2020 and March 2021, a total of 363 women with stress or stress-predominant mixed UI were randomized and completed an 8-week PFMT program using a motion-based intravaginal device (intervention group) or a home program following written/video instructions (control group). Participants were not asked to continue training after the 8-week program. At 18 and 24 months' follow-up, the Urogenital Distress Inventory, short-form (UDI-6) and Patient Global Impression of Improvement (PGI-I) were collected. In the original trial, a total of 139 participants in each arm were needed to detect a 0.3 effect size (alpha = 0.05, power 0.8, one-tailed t test) in the difference in UDI-6 scores. Results: A total of 231 participants returned 24-month data. Mean age at 24 months was 51.7 ± 14.5 years, and mean BMI was 31.8 ± 7.4 kg/m 2 . Mean change in UDI-6 scores from baseline to 24 months was greater in the intervention group than the control group (-21.1 ± 24.5 vs -14.8 ± 19.4, p = 0.04). Reported improvement using PGI-I was greater in the intervention group than in the control group at 24 months (35% vs 22%, p = 0.03, OR 1.95(95% CI 1.08, 3.57). Conclusions: Pelvic floor muscle training guided by a motion-based prescription intravaginal device yielded durable and significantly greater UI symptom improvement than a standard home program, even in the absence of continued therapy. (© 2024. The Author(s).) |
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فهرسة مساهمة: | Keywords: Conservative treatment; Motion-based biofeedback; Urinary incontinence |
تواريخ الأحداث: | Date Created: 20240122 Date Completed: 20240426 Latest Revision: 20240529 |
رمز التحديث: | 20240529 |
مُعرف محوري في PubMed: | PMC11052829 |
DOI: | 10.1007/s00192-023-05721-z |
PMID: | 38252280 |
قاعدة البيانات: | MEDLINE |
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