Outpatient biofeedback in addition to home pelvic floor muscle training for stress urinary incontinence: a randomized controlled trial. 2017

Fátima Faní Fitz, and Liliana Stüpp, and Thaís Fonseca da Costa, and Maria Augusta Tezelli Bortolini, and Manoel João Batista Castello Girão, and Rodrigo Aquino Castro
Department of Gynaecology, Federal University of São Paulo, São Paulo, Brazil.

OBJECTIVE 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. METHODS baseline, after 3 months of supervised treatment, at 9-month follow-up (after six additional months of home PFMT only). METHODS frequency of monthly exercises sets performed (exercise diary) after 3-month treatment. RESULTS 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. METHODS 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.

UI MeSH Term Description Entries
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D010045 Outpatients Persons who receive ambulatory care at an outpatient department or clinic without room and board being provided. Out-patients,Out patients,Out-patient,Outpatient
D011788 Quality of Life A generic concept reflecting concern with the modification and enhancement of life attributes, e.g., physical, political, moral, social environment as well as health and disease. HRQOL,Health-Related Quality Of Life,Life Quality,Health Related Quality Of Life
D005081 Exercise Therapy A regimen or plan of physical activities designed and prescribed for specific therapeutic goals. Its purpose is to restore normal musculoskeletal function or to reduce pain caused by diseases or injuries. Rehabilitation Exercise,Remedial Exercise,Therapy, Exercise,Exercise Therapies,Exercise, Rehabilitation,Exercise, Remedial,Exercises, Rehabilitation,Exercises, Remedial,Rehabilitation Exercises,Remedial Exercises,Therapies, Exercise
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults
D000368 Aged A person 65 years of age or older. For a person older than 79 years, AGED, 80 AND OVER is available. Elderly
D001676 Biofeedback, Psychology The therapy technique of providing the status of one's own AUTONOMIC NERVOUS SYSTEM function (e.g., skin temperature, heartbeats, brain waves) as visual or auditory feedback in order to self-control related conditions (e.g., hypertension, migraine headaches). Biofeedback (Psychology),Bogus Physiological Feedback,False Physiological Feedback,Feedback, Psychophysiologic,Biofeedback,Feedback, Psychophysiological,Myofeedback,Psychophysiologic Feedback,Biofeedbacks,Biofeedbacks (Psychology),Biofeedbacks, Psychology,Bogus Physiological Feedbacks,False Physiological Feedbacks,Feedback, Bogus Physiological,Feedback, False Physiological,Feedbacks, Bogus Physiological,Feedbacks, False Physiological,Myofeedbacks,Physiological Feedback, Bogus,Physiological Feedback, False,Physiological Feedbacks, Bogus,Physiological Feedbacks, False,Psychology Biofeedback,Psychology Biofeedbacks
D014550 Urinary Incontinence, Stress Involuntary discharge of URINE as a result of physical activities that increase abdominal pressure on the URINARY BLADDER without detrusor contraction or overdistended bladder. The subtypes are classified by the degree of leakage, descent and opening of the bladder neck and URETHRA without bladder contraction, and sphincter deficiency. Urinary Stress Incontinence,Incontinence, Urinary Stress,Stress Incontinence, Urinary

Related Publications

Fátima Faní Fitz, and Liliana Stüpp, and Thaís Fonseca da Costa, and Maria Augusta Tezelli Bortolini, and Manoel João Batista Castello Girão, and Rodrigo Aquino Castro
August 2013, International urogynecology journal,
Fátima Faní Fitz, and Liliana Stüpp, and Thaís Fonseca da Costa, and Maria Augusta Tezelli Bortolini, and Manoel João Batista Castello Girão, and Rodrigo Aquino Castro
May 2020, International urogynecology journal,
Fátima Faní Fitz, and Liliana Stüpp, and Thaís Fonseca da Costa, and Maria Augusta Tezelli Bortolini, and Manoel João Batista Castello Girão, and Rodrigo Aquino Castro
January 2022, International urogynecology journal,
Fátima Faní Fitz, and Liliana Stüpp, and Thaís Fonseca da Costa, and Maria Augusta Tezelli Bortolini, and Manoel João Batista Castello Girão, and Rodrigo Aquino Castro
November 2024, JAMA network open,
Fátima Faní Fitz, and Liliana Stüpp, and Thaís Fonseca da Costa, and Maria Augusta Tezelli Bortolini, and Manoel João Batista Castello Girão, and Rodrigo Aquino Castro
December 2013, Obstetrics and gynecology,
Fátima Faní Fitz, and Liliana Stüpp, and Thaís Fonseca da Costa, and Maria Augusta Tezelli Bortolini, and Manoel João Batista Castello Girão, and Rodrigo Aquino Castro
September 2011, Physiotherapy research international : the journal for researchers and clinicians in physical therapy,
Fátima Faní Fitz, and Liliana Stüpp, and Thaís Fonseca da Costa, and Maria Augusta Tezelli Bortolini, and Manoel João Batista Castello Girão, and Rodrigo Aquino Castro
March 2022, International urogynecology journal,
Fátima Faní Fitz, and Liliana Stüpp, and Thaís Fonseca da Costa, and Maria Augusta Tezelli Bortolini, and Manoel João Batista Castello Girão, and Rodrigo Aquino Castro
April 2023, Journal of clinical medicine,
Fátima Faní Fitz, and Liliana Stüpp, and Thaís Fonseca da Costa, and Maria Augusta Tezelli Bortolini, and Manoel João Batista Castello Girão, and Rodrigo Aquino Castro
January 2022, International urogynecology journal,
Fátima Faní Fitz, and Liliana Stüpp, and Thaís Fonseca da Costa, and Maria Augusta Tezelli Bortolini, and Manoel João Batista Castello Girão, and Rodrigo Aquino Castro
June 2015, Clinical rehabilitation,
Copied contents to your clipboard!