Graduate Program in Physical Therapy, Federal University of Rio Grande do Norte, Rio Grande do Norte, Brazil.
Graduate Program in Health Science, Federal University of Rio Grande do Norte, Rio Grande do Norte, Brazil.
Games Health J. 2021 Feb;10(1):43-49. doi: 10.1089/g4h.2019.0207. Epub 2020 Jul 21.
To verify whether pelvic floor muscle training (PFMT) associated with game therapy (GT) can potentiate improvements in PFM pressure, urinary loss, and perception of improvement in women with mixed urinary incontinence (MUI). A randomized and blinded trial was conducted with 32 women aged between 45 to 70 years presenting diagnosis of MUI. They were randomly divided into two groups: PFMT group and PFMT+GT group. Interventions occurred twice a week during 8 weeks. Primary outcome was PFM pressure, assessed by manometry, and secondary outcomes were 1-hour pad-test, International Consultation on Incontinence Questionnaire-Short Form (ICIQ-SF), and patients global impression of improvement for incontinence (PGI-I). Two-way analysis of variance and post hoc Tukey analysis were performed. Initially, no significant difference between groups was found in variables of age, body mass index, educational level, marital status, gynecological and obstetric variables, life habits, and sexual activity. Besides, at baseline clinical variables also showed similar results between groups for PFM pressure, 1-hour pad-test, and ICIQ-SF. Time-group interaction did not present statistically significant differences for PFM pressure ( = 0.56), 1-hour pad-test ( = 0.75), and ICIQ-SF ( = 0.30) in intergroup analysis. All women reported being "much better or better," considering the comparison of urinary complaints in the beginning and end of treatment. There were no statistically significant differences between groups for PFM pressure, 1-hour pad-test, and ICIQ-SF. However, both treatments proved to be effective for MUI symptoms. Perception of improvement was highly improved, according to women's report.
为了验证盆底肌训练（PFMT）联合游戏疗法（GT）是否能增强混合性尿失禁（MUI）女性的盆底肌压力、尿失禁漏尿量和改善感知。一项随机、双盲试验纳入了 32 名年龄在 45 至 70 岁之间、被诊断为 MUI 的女性。她们被随机分为两组：PFMT 组和 PFMT+GT 组。干预措施每周进行两次，持续 8 周。主要结局是通过压力测量评估的盆底肌压力，次要结局是 1 小时垫试验、国际尿失禁咨询问卷-短表（ICIQ-SF）和患者对尿失禁改善的总体印象（PGI-I）。采用双因素方差分析和事后 Tukey 分析。最初，两组在年龄、体重指数、教育水平、婚姻状况、妇科和产科变量、生活习惯和性生活方面的变量无显著差异。此外，基线临床变量在两组的盆底肌压力、1 小时垫试验和 ICIQ-SF 之间也显示出相似的结果。组间分析时，压力（ = 0.56）、1 小时垫试验（ = 0.75）和 ICIQ-SF（ = 0.30）的时间-组间交互作用无统计学差异。所有女性均报告“明显改善或改善”，考虑到治疗前后尿失禁症状的比较。两组之间在盆底肌压力、1 小时垫试验和 ICIQ-SF 方面均无统计学差异。然而，两种治疗方法均对 MUI 症状有效。根据女性的报告，改善感知得到了显著提高。
