Department of Physiotherapy, University of Valencia, Gascó Oliag, 5, 46010 Valencia, Spain.
Physiotherapy in Motion, Multi Speciality Research Group (PTinMOTION), Department of Physiotherapy, University of Valencia, Gascó Oliag, 5, 46010 Valencia, Spain.
Int J Environ Res Public Health. 2021 Jan 21;18(3):928. doi: 10.3390/ijerph18030928.
The aim of this study was to investigate the add-on effect of postural instructions to an abdominopelvic exercise program on incontinence urinary symptoms (UI symptoms) and quality of life (QoL) in climacteric women with stress urinary incontinence (SUI). A randomized controlled trial was performed with a total of 40 climacteric women with SUI aged between 46 and 75 years old. Participants were randomly assigned to two groups: a group performing an abdominopelvic exercise program (AEP) ( = 20) and a group performing abdominopelvic exercise with the addition of postural instructions (AEPPI) ( = 20). Primary outcome measures were UI symptoms, UI impact and QoL related to UI (UI-QoL), measured by 48 h Pad Test and International Consultation on Incontinence Questionnaire Short Form (ICIQ-UI-SF), which were assessed at baseline, post-intervention and 3 months follow-up. Secondary outcome was patient's satisfaction measured by the 100-point Visual Analogic Scale (VAS) only after the intervention. Between-groups differences were observed in terms of UI-QoL immediately after intervention. Within-groups differences were observed between baseline to 3 months follow-up and between post-intervention to 3 months follow-up in AEPPI group ( < 0.05) for UI-QoL and UI impact. UI symptoms were improved in both groups between baseline to 3-months follow-up ( < 0.05). Patient's satisfaction was higher in the AEPPI group ( < 0.05). The addition of postural instructions to an abdominopelvic exercise program improves UI impact to QoL and patients' satisfaction in women with SUI.
本研究旨在探讨姿势指导对腹盆运动方案在绝经期压力性尿失禁（SUI）女性中的附加效果，以改善尿失禁症状（UI 症状）和生活质量（QoL）。采用随机对照试验，共纳入 40 名年龄在 46-75 岁之间的绝经期 SUI 女性。参与者随机分为两组：一组进行腹盆运动方案（AEP）（=20），一组进行腹盆运动加姿势指导（AEPPI）（=20）。主要结局指标为 48 小时垫试验和国际尿失禁咨询问卷简表（ICIQ-UI-SF）评估的 UI 症状、UI 影响和与 UI 相关的 QoL（UI-QoL），分别在基线、干预后和 3 个月随访时进行评估。次要结局为仅在干预后通过 100 分视觉模拟量表（VAS）评估的患者满意度。干预后即刻观察到 AEPPI 组在 UI-QoL 方面存在组间差异。AEPPI 组在基线至 3 个月随访以及干预后至 3 个月随访之间，在 UI-QoL 和 UI 影响方面存在组内差异（<0.05）。两组患者的 UI 症状均在基线至 3 个月随访期间得到改善（<0.05）。AEPPI 组患者的满意度更高（<0.05）。在腹盆运动方案中加入姿势指导可改善 SUI 女性的 UI 影响对 QoL 和患者满意度。
