Open AccessManometric Biofeedback Effectiveness on Urinary Incontinence and Quality of Life: A Non-Randomized Control Trial
Author(s) -
Marcos Edgar Fernández-Cuadros,
Maria Fuencisla Diez-Ramos,
María Jesús Albaladejo-Florín,
Olga Susana Pérez-Moro
Publication year - 2017
Publication title -
middle east journal of rehabilitation and health studies
Language(s) - English
Resource type - Journals
ISSN - 2423-4451
DOI - 10.5812/mejrh.46201
Subject(s) - medicine , urinary incontinence , biofeedback , quality of life (healthcare) , physical therapy , rehabilitation , pelvic floor , randomized controlled trial , pelvic floor muscle , urology , surgery , nursing
ObjectivesThis study aimed at examining if a 6-session protocol of tonic-phasic exercises using manometric biofeedback (BFB) is capable of improving quality of life (QoL) and muscular strength in patients with urinary incontinence (UI).MethodsA prospective quasi-experimental before-after study was performed on 31 patients with Urinary Incontinence (UI) referred to the rehabilitation department of Santa Cristina’s University hospital, Madrid, Spain. The study was performed from January to December 2016. At initial evaluation, affiliation of data, predisposing factors, and type of UI were recorded. Patients were given lifestyle recommendations and international consultation on incontinence questionnaire short form (ICIQ-SF)/ incontinence quality-of-life measure (I-QOL) questionnaires/scales to be fulfilled at the beginning/end of treatment. Manometric evaluation was recorded at initial/final evaluation by MYOMED ® 932. Manometric-BFB protocol consisted of a 30-minute session of tonic/phasic exercises (15 minutes each), 2 times a week for up to 6 sessions, supervised by a physiotherapist.ResultsMean age was 52 ± 12.1 years. Overall, 96.7% (n = 31) of the participants were females. Maximum and mean strength of pelvic floor contraction was 24 ± 17.72 and 4.9 ± 4.1 mmHg, and increased significantly after treatment to 35 ± 20.85 and 7.45 ± 4.92 mmHg (P < 0.01). The mean ICIQ-SF score was 9.13 ± 5.18 and decreased significantly to 6.13 ± 4.75 (P = 0.003). The mean I-QoL score increased significantly from 70.33 ± 22.12 to 81.25 ± 16.72 (P = 0.0017). The I-QoL Limiting Behaviour (LB)-subscale raised from 68.38 ± 23.33 to 80 ± 16.56 (P = 0.0015); I-QoL Psychosocial Impact (PI)-subscale increased from 77.43 ± 24.51 to 80 ± 17.47 (p = 0.0152); and I-QoL social embarrassment (SE)-subscale incremented from 60.72 ± 22.37 to 74.37 ± 20.86 (P = 0.0007).ConclusionsManometric-BFB protocol is capable of decreasing UI and to improve QoL and manometric values. This reduced protocol could be applied to other public and private institutions and it could have an economical impact on the health system and on patients’ economy