Department of Physiotherapy and Occupational Therapy, Herlev and Gentofte Hospital, Herlev, Copenhagen, Denmark.
Department of Obstetrics and Gynecology, Herlev and Gentofte Hospital, Herlev, Copenhagen, Denmark.
Neurourol Urodyn. 2019 Jan;38(1):379-386. doi: 10.1002/nau.23872. Epub 2018 Nov 8.
To explore if adding occlusion training of a thigh (KAATSU) to low-intensity pelvic floor muscle training (PFMT) could increase effect of PFMT in women with stress urinary incontinence (SUI).
Single-blinded randomized controlled pilot study. Women with SUI and an ICIQ-UI-SF (International Consultation on Incontinence Questionnaire-Short form) score of ≥12 were randomized to a low-intensity PFMT program followed by KAATSU (KAATSU + PFMT) or to a low-intensity PFMT program without KAATSU (PFMT group), both performed four times a week for 12 weeks.
Change in the ICIQ-UI-SF score at a 12-week follow-up.
a 3-day leakage diary, the PGI-I (Patient Global Index of Improvement scale), bother with KAATSU in a numeric rank scale and change in urethral opening pressure (UOP) measured with urethral pressure reflectometry (UPR) at rest, contraction and straining at the 12-week follow-up.
Forty-one women with SUI and an ICIQ-UI-SF of 13 (range 12-16) were included. Fourteen in the KAATSU + PFMT and 17 in the PFMT group completed the study. Both groups had a significant and clinically relevant improvement of the ICIQ-UI-SF score and decrease in number of incontinence episodes with no significant between group differences. UOP did not increase significantly in either group. Bother with KAATSU was low but seven of 14 women expressed dislike with KAATSU.
The added KAATSU protocol did not increase the effect of low-intensity PFMT and it was not well tolerated. While subjective effect was significant in both intervention groups this was not reflected in the UPR measures.
探讨在低强度盆底肌训练（PFMT）中加入大腿加压训练（KAATSU）是否可以增加压力性尿失禁（SUI）女性患者 PFMT 的效果。
单盲随机对照初步研究。将 SUI 患者和国际尿失禁咨询委员会问卷-尿失禁简短问卷（ICIQ-UI-SF）评分≥12 的患者随机分为低强度 PFMT 方案后加 KAATSU（KAATSU+PFMT）组或低强度 PFMT 方案不加 KAATSU（PFMT 组），两组均每周进行 4 次，共 12 周。
12 周随访时 ICIQ-UI-SF 评分的变化。
3 天尿失禁日记、PGI-I（患者总体改善量表）、KAATSU 治疗时的数字等级量表的困扰程度，以及 12 周随访时静息、收缩和用力时尿道开口压（UOP）的尿道压力反射测量（UPR）的变化。
纳入了 41 名 SUI 患者，ICIQ-UI-SF 评分为 13 分（范围 12-16 分）。KAATSU+PFMT 组 14 例，PFMT 组 17 例完成了研究。两组 ICIQ-UI-SF 评分均有显著且有临床意义的改善，尿失禁发作次数减少，但两组间无显著差异。两组 UOP 均无显著增加。KAATSU 治疗的困扰程度较低，但 14 名女性中有 7 名表示不喜欢 KAATSU。
附加的 KAATSU 方案并未增加低强度 PFMT 的效果，且患者耐受性差。虽然两组干预措施的主观效果均显著，但 UPR 测量并未反映这一点。
