Burgio K L
University of Pittsburgh, School of Medicine, Pa.
Gerontology. 1990;36 Suppl 2:27-34. doi: 10.1159/000213239.
Behavioral training procedures provide an effective, low-risk approach to the treatment of persistent urinary incontinence. This paper describes the use of biofeedback techniques for the operant conditioning of physiological responses, such as selective contraction of pelvic floor muscles and voluntary inhibition of detrusor contraction, that mediate bladder control. The effectiveness of biofeedback-assisted behavioral training for most independent-living older adults is documented in several research studies. The data indicate that behavioral treatment of stress or urge incontinence results in improvement rates which range from 78 to 94%. The role of biofeedback in behavioral training and its practicality for use in office practice are also discussed.
行为训练程序为持续性尿失禁的治疗提供了一种有效且低风险的方法。本文描述了生物反馈技术在生理反应操作性条件反射中的应用，这些生理反应包括盆底肌肉的选择性收缩和逼尿肌收缩的自主抑制，它们介导膀胱控制。多项研究记录了生物反馈辅助行为训练对大多数独立生活的老年人的有效性。数据表明，压力性或急迫性尿失禁的行为治疗改善率在78%至94%之间。还讨论了生物反馈在行为训练中的作用及其在门诊实践中的实用性。
