Rehabilitation Sciences Research Centre, Melbourne Physiotherapy School, The University of Melbourne, Parkville, Victoria, Australia.
Neurourol Urodyn. 2011 Mar;30(3):317-24. doi: 10.1002/nau.20968. Epub 2011 Jan 31.
To test the hypotheses that high intensity pelvic floor muscle training (PFMT) is effective in relief of stress urinary incontinence in community dwelling older women, and that intense PFMT improves stress urinary incontinence more than bladder training (BT) in this population.
A two-center, assessor-blinded randomized controlled trial of 20 weeks duration with two active intervention arms: PFMT and BT. Assessments and interventions were undertaken at two metropolitan tertiary hospitals. Participants were community dwelling women over 65 years of age with urodynamic stress incontinence. Primary outcome measure was urinary leakage during a cough stress test. Secondary outcome measures included symptoms and bother (ICIQ-UI SF), participant global perception of change, leakage episodes (7-day accident diary), degree of "bother" (VAS) and health related quality of life (AQoL).
Eighty-three Caucasian women, 71.8 (SD 5.3) years participated in the study. Both groups improved over the intervention period; however, the PFMT group reported significantly lower amounts of leakage on the stress test [PFMT median 0.0 g, 95% CI: 0.2-0.9; BT median 0.3 g, 95% CI: 0.2-1.7, P=0.006], improved symptoms and bother [PFMT mean 5.9, 95% CI: 4.8-7.1; BT group mean 8.5, 95% CI: 7.1-9.9 and greater perception of change [PFMT 28 (73.6%); BT 12 (36.4%) (P=0.002)] after 5 months than the BT group.
High intensity PFMT is effective in managing stress urinary incontinence and is more effective than BT in healthy older women.
检验高强度盆底肌训练（PFMT）缓解社区居住的老年女性压力性尿失禁的假设，以及在该人群中，高强度 PFMT 比膀胱训练（BT）更能改善压力性尿失禁。
一项为期 20 周的、有两个活跃干预组的、评估员盲法的、两中心随机对照试验：PFMT 和 BT。评估和干预在两个大都市三级医院进行。参与者为 65 岁以上、有尿动力学压力性尿失禁的社区居住女性。主要结局测量是咳嗽应激试验中的尿漏。次要结局测量包括症状和困扰（ICIQ-UI SF）、参与者对变化的总体感知、漏尿事件（7 天意外日记）、“困扰”程度（VAS）和健康相关生活质量（AQoL）。
83 名高加索裔女性（71.8[5.3]岁）参与了这项研究。两组在干预期间均有改善；然而，PFMT 组在应激测试中报告的漏尿量明显较少[PFMT 中位数 0.0g，95%CI：0.2-0.9；BT 中位数 0.3g，95%CI：0.2-1.7，P=0.006]，症状和困扰得到改善[PFMT 平均 5.9，95%CI：4.8-7.1；BT 组平均 8.5，95%CI：7.1-9.9]，并且对变化的感知更大[PFMT 28（73.6%）；BT 组 12（36.4%）（P=0.002）]，5 个月后比 BT 组更有效。
高强度 PFMT 对管理压力性尿失禁有效，在健康的老年女性中比 BT 更有效。
