Department of Physical Therapy, Maccabi Healthcare Services, Rishon Le'Zion, Israel.
Disabil Rehabil. 2012;34(20):1699-705. doi: 10.3109/09638288.2012.660597. Epub 2012 Mar 2.
To compare self-reported function and disability between women with urgency urinary incontinence (UUI) and healthy controls.
Self-reported function and disability were evaluated using the Late Life Function and Disability Instrument (LLFDI) in 66 women with UUI (mean age 61.9 ± 5.6) and 66 age-matched control women without UUI in a cross-sectional study. The function component evaluates difficulty in performing physical activities in upper and lower extremities and the disability component evaluates limitations in life activities and frequency in taking part in life tasks. Body Mass Index (BMI), self-report incontinence quality of life questionnaire (I-QoL) and Visual Analog Scale (VAS) that indicate the degree to which the bladder problems limited the subject's daily life activity were also evaluated.
The LLFDI scores in overall function, basic and advanced lower limb function, were significantly lower in women with UUI compared with continent women, while the upper extremity function and disability components were not. There was significant negative correlation between BMI and function scores in women with UUI.
Our results support the assumptions that the women with UUI are likely to show poorer lower extremity physical functioning and that disability is a multifactorial combination of behavioral, psychological and environmental factors, and not functional limitations per se.
比较急迫性尿失禁（UUI）女性患者与健康对照者的自我报告功能和残疾情况。
在一项横断面研究中，对 66 例 UUI 女性（平均年龄 61.9±5.6 岁）和 66 例年龄匹配的无 UUI 健康对照者使用生活后期功能和残疾量表（LLFDI）评估自我报告的功能和残疾情况。功能部分评估上下肢进行身体活动的困难程度，残疾部分评估生活活动的限制和参与生活任务的频率。还评估了身体质量指数（BMI）、自我报告的尿失禁生活质量问卷（I-QoL）和视觉模拟量表（VAS），这些指标表明膀胱问题对患者日常生活活动的限制程度。
与无尿失禁的女性相比，UUI 女性的 LLFDI 总分、基本和高级下肢功能评分显著降低，而上肢功能和残疾评分则无显著差异。UUI 女性的 BMI 与功能评分呈显著负相关。
我们的结果支持以下假设，即 UUI 女性可能表现出较差的下肢身体功能，而残疾是行为、心理和环境因素的综合，而不仅仅是功能限制本身。
