Faculty of Medical Sciences, Statel University of Campinas, UNICAMP, Campinas, SP, Brazil.
University Center of Associated Colleges, São João da Boa Vista, SP, Brazil.
Rev Bras Ginecol Obstet. 2021 Jul;43(7):535-544. doi: 10.1055/s-0041-1733979. Epub 2021 Aug 30.
To investigate the feasibility of pelvic floor muscle training (PFMT) through gametherapy for relieving urinary symptoms of climacteric women with stress or mixed urinary incontinence (UI).
Randomized clinical trial, divided into two groups: Gametherapy (G_Game) and Control (G_Control). Both groups received recommendations about unsupervised PFMT, and G_Game also received supervised PFMT through gametherapy. After 5 consecutive weeks, the feasibility was investigated considering participant adherence, urinary symptoms (evaluated by the International Consultation on Incontinence Questionnaire-Urinary Incontinence Short Form [ICIQ-UI-SF] questionnaire), and pelvic floor function (PERFECT Scheme: power, endurance, repetition and fast). The Fisher exact, Kruskal-Wallis, Wilcoxon sign paired, and Mann-Whitney U tests were used by intention-to-treat analysis, using STATA 15.1 (StataCorp, College Station, TX, USA) software.
The present study included 20 women per group and observed a higher adherence in G_Game. In the intragroup analysis, a decrease in the ICIQ-UI-SF score was observed in both groups (14.0 to 10.0; 13.5 to 0), associated with increased endurance (2.5 to 3.5; 2.5 to 4.0) in G_Control and G_Game, respectively. Moreover, there was a concomitant increase in pelvic floor muscles (PFMs) power (2.0 to 3.0), repetition (3.0 to 5.0), and fast (10.0 to 10.0) in G_Game. In the intergroup analysis, a reduction of UI was observed ( < 0.001; r = 0.8), as well an increase in PFM power ( = 0.027, r = 0.2) and endurance ( = 0.033; r = 0.3) in G_Game.
The feasibility of supervised PFMT through gametherapy was identified by observing participant adherence, relief of urinary symptoms, and improvement in PFM function.
探讨游戏疗法对缓解围绝经期压力性或混合性尿失禁（UI）女性的尿失禁症状的盆底肌训练（PFMT）的可行性。
采用随机临床试验，分为两组：游戏疗法（G_Game）和对照组（G_Control）。两组均接受非监督性 PFMT 建议，G_Game 还通过游戏疗法接受监督性 PFMT。经过连续 5 周，从参与者的依从性、尿失禁症状（通过国际尿失禁咨询问卷 - 尿失禁简短问卷 [ICIQ-UI-SF] 问卷评估）和盆底功能（PERFECT 方案：力量、耐力、重复和快速）来评估可行性。采用意向治疗分析，使用 STATA 15.1（StataCorp，德克萨斯州学院站，美国）软件进行 Fisher 确切检验、Kruskal-Wallis 检验、Wilcoxon 符号配对检验和 Mann-Whitney U 检验。
本研究每组纳入 20 名女性，发现 G_Game 的依从性更高。在组内分析中，两组的 ICIQ-UI-SF 评分均下降（14.0 降至 10.0；13.5 降至 0），与对照组和 G_Game 中耐力的增加（分别为 2.5 升至 3.5；2.5 升至 4.0）相关。此外，G_Game 中还观察到盆底肌（PFMs）力量（2.0 升至 3.0）、重复（3.0 升至 5.0）和快速（10.0 升至 10.0）的协同增加。在组间分析中，观察到尿失禁减少（ < 0.001；r = 0.8），以及 G_Game 中 PFMs 力量（ = 0.027，r = 0.2）和耐力（ = 0.033；r = 0.3）的增加。
通过观察参与者的依从性、尿失禁症状的缓解以及 PFM 功能的改善，证实了通过游戏疗法进行监督性 PFMT 的可行性。
