College of Health and Human Sciences, Charles Darwin University, Darwin, Northern Territory, 0909, Australia.
College of Nursing and Health Sciences, Flinders University, Bedford Park, 5042, Australia.
Int Urogynecol J. 2023 Apr;34(4):913-920. doi: 10.1007/s00192-022-05281-8. Epub 2022 Jul 8.
The objective was to investigate and compare the efficacy of supervised Kegel exercises with bio-feedback on stress urinary incontinence (SUI) and pelvic floor muscle strength (PFMS) compared with unsupervised Kegel exercises.
Matched-group quasi-experimental study of 29 female participants divided into two groups (supervised and non-supervised) was conducted over 12 weeks. Baseline measurements of PFMS were undertaken by a women's health physiotherapist and a Kegel exercise regime bespoke designed for each participant. The supervised group visited the physiotherapist monthly for bio-feedback training (BT); the unsupervised group continued at home with their individualised Kegel exercises. Data were collected via a perineometer (Peritron™) and self-reporting responses to questionnaires. All participants received a final PFMS measurement on completion of the study.
Overall Incontinence Severity index (ISI) score was significantly lower in the supervised group post-intervention. Wilcoxon signed-rank tests indicated that supervised Kegel exercises significantly reduced frequency (p= 0.002) and severity (p= 0.020) of overall ISI. Analysis of PFMS were not significantly different, despite an increase in maximum voluntary contraction or pelvic floor muscle strength (PFMS) (p= 0.032) in the supervised group. Of the questionnaires, results of Wilcoxon signed-rank tests indicated that "total bother" was significantly reduced (p= 0.005) in the supervised group. The correlation analysis between PFMS and ISI did not reveal any significant results.
The study confirmed that supervised BT is more effective in reducing SUI than unsupervised Kegel exercises, and that this reduction in ISI score did not correlate with the improvement in PFMS.
目的是调查和比较监督凯格尔运动与生物反馈对压力性尿失禁（SUI）和盆底肌肉力量（PFMS）的疗效，与非监督凯格尔运动相比。
对 29 名女性参与者进行了匹配组准实验研究，分为两组（监督组和非监督组），为期 12 周。PFMS 的基线测量由女性健康物理治疗师进行，为每位参与者量身定制了凯格尔运动方案。监督组每月访问物理治疗师进行生物反馈训练（BT）；非监督组继续在家进行个性化的凯格尔运动。数据通过会阴测压计（Peritron™）和自我报告的问卷回答收集。所有参与者在研究结束时都接受了最后的 PFMS 测量。
干预后，监督组的整体尿失禁严重程度指数（ISI）评分显著降低。Wilcoxon 符号秩检验表明，监督性凯格尔运动显著降低了总体 ISI 的频率（p=0.002）和严重程度（p=0.020）。尽管监督组的最大随意收缩或盆底肌肉力量（PFMS）（p=0.032）有所增加，但对 PFMS 的分析并无显著差异。在问卷调查中，Wilcoxon 符号秩检验的结果表明，监督组的“总困扰”显著降低（p=0.005）。PFMS 和 ISI 之间的相关性分析没有显示出任何显著结果。
该研究证实，与非监督性凯格尔运动相比，监督性 BT 更能有效减少 SUI，并且 ISI 评分的降低与 PFMS 的改善没有相关性。
