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Outpatient biofeedback in addition to home pelvic floor muscle training for stress urinary incontinence: a randomized controlled trial
Author(s) -
Fitz Fátima Faní,
Stüpp Liliana,
da Costa Thaís Fonseca,
Bortolini Maria Augusta Tezelli,
Girão Manoel João Batista Castello,
Castro Rodrigo Aquino
Publication year - 2017
Publication title -
neurourology and urodynamics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.918
H-Index - 90
eISSN - 1520-6777
pISSN - 0733-2467
DOI - 10.1002/nau.23226
Subject(s) - medicine , urinary incontinence , pelvic floor muscle , biofeedback , physical therapy , quality of life (healthcare) , pelvic floor , randomized controlled trial , outpatient clinic , statistical significance , clinical trial , ambulatory , patient satisfaction , urology , surgery , nursing
AIMS To test if biofeedback (BF) added to pelvic floor muscle training (PFMT) increases the frequency of home exercises performed by women with stress urinary incontinence (SUI). METHODS 72 incontinent women were randomized to BF (outpatient BF + home PFMT) or PFMT (outpatient PFMT + home PFMT) groups. Assessments: baseline, after 3 months of supervised treatment, at 9‐month follow‐up (after six additional months of home PFMT only). Primary outcome: frequency of monthly exercises sets performed (exercise diary) after 3‐month treatment. Secondary outcomes: adherence, urinary symptoms, severity and cure of SUI (pad test <2 g leakage), muscle function, quality of life, and subject cure (satisfaction report with no desire for different treatment) at the two time‐points. Statistical analyses: ANOVA and Student's t ‐test with 5% cut‐off for significance. RESULTS It was observed similar frequency of monthly home exercises sets performed by BF (67.9 out of 82) and PFMT (68.2 out of 82) groups at 3 months. Secondarily, equal satisfaction, but superior objective cure of SUI for BF group after 3‐month treatment ( P = 0.018; OR: 3.15 [95% CI: 1.20‐8.25]). At 9‐month follow‐up, the adherence to home exercises was similar (around 50%) and significantly dropped in both groups compared to the 3‐month results (around 85%). No difference was detected in the objective and subjective cure of SUI between the groups after 9 months. Both therapies similarly improved the muscle function and quality of life during the study ( P < 0.005). CONCLUSIONS Adjunct BF did not increase the frequency of home exercises performed by SUI patients.