Kołodyńska Gabriela, Zalewski Maciej, Mucha Anna, Andrzejewski Waldemar
Department of Physiotherapy, Wroclaw University of Health and Sport Sciences, 51-612 Wroclaw, Poland.
Faculty of Medical Sciences and Health Sciences, University of Social and Medical Sciences in Warsaw, 04-367 Warszawa, Poland.
J Clin Med. 2022 Jan 27;11(3):659. doi: 10.3390/jcm11030659.
Urinary incontinence is a common problem that affects postmenopausal women. This ailment has a negative impact on many aspects of life, significantly limiting everyday functioning related to professional work, physical activity or the intimate sphere. The aim of the study was to assess the effectiveness of the sonofeedback method in reducing the severity of urinary incontinence in postmenopausal women with a urinary incontinence problem. A total of 60 patients aged 45-65 with stress urinary incontinence, confirmed by a gynecologist, were qualified for the study. All persons qualified for the study were randomly assigned to study group A ( = 20), comparative B ( = 20) and control C ( = 20). Patients from group A were treated with sonofeedback of the pelvic floor muscles. In group B, the combined electrostimulation method was used with biofeedback training. Group C was a control group in which only the measured parameters were measured at the same time interval as those carried out in groups A and B. In all patients, three times: before the therapy, after the fifth procedure and after the end of the therapy, the incidence and severity of stress urinary incontinence were assessed-Gaudenz questionnaire and the intensity of urinary incontinence-a modified 1 h pad test. The obtained results have an application value giving the possibility of using effective therapy with sonofeedback in women in whom the recommended electrostimulation method cannot be used due to health and behavioral reasons.
尿失禁是影响绝经后女性的常见问题。这种疾病对生活的许多方面都有负面影响，严重限制了与职业工作、体育活动或私密领域相关的日常功能。本研究的目的是评估声反馈方法在减轻有尿失禁问题的绝经后女性尿失禁严重程度方面的有效性。共有60名年龄在45至65岁之间、经妇科医生确诊为压力性尿失禁的患者符合研究条件。所有符合研究条件的人被随机分配到研究组A（=20）、对照组B（=20）和对照组C（=20）。A组患者接受盆底肌肉声反馈治疗。B组采用联合电刺激方法并结合生物反馈训练。C组为对照组，仅在与A组和B组相同的时间间隔测量相关参数。对所有患者在治疗前、第五次治疗后和治疗结束后三次评估压力性尿失禁的发生率和严重程度——采用高登兹问卷，以及尿失禁的强度——采用改良的1小时尿垫试验。所得结果具有应用价值，使得在因健康和行为原因无法使用推荐的电刺激方法的女性中，有可能使用有效的声反馈治疗。
