Effectiveness of pelvic floor muscle training and bladder training for women with urinary incontinence in primary care: a pragmatic controlled trial
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Universidade Federal de Minas Gerais
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Artigo de periódico
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Resumo
Background: Although the efficacy of pelvic floor muscle training (PFMT) and bladder training
are well established, there is a paucity of patient centered models using these interventions to
treat women with UI at primary level of health assistance in Brazil.
Objective: To investigate the effectiveness of a physical therapy intervention to treat women
with UI in primary health centers.
Methods: Pragmatic non-randomized controlled trial in which women with UI from the community
participated in a supervised physical therapy program consisting of bladder training plus
12 weeks of PFMT, performed either at home or in the health center. Outcome measures were
amount and frequency of urine loss measured by the 24-h pad-test and the 24-h voiding diary;
secondary outcome was the impact of UI on quality of life measured by the ICIQ-SF. Outcomes
were measured at baseline, at the 6th and 12th weeks of the intervention and 1 month after
discharge.
Results: Interventions reduced the amount (pad-test, p = 0.004; d = 0.13, 95% CI = −0.23 to 0.49)
and frequency of urine loss (voiding diary, p = 0.003; d = 0.51, 95%CI = 0.14 to 0.87), and the
impact of UI on quality of life (ICIQ-SF, p < 0.001; d = 1.26, 95%CI = 0.87 to 1.66) over time, with
positive effects from the 6th week up to 1 month for both intervention setting (home and health
center), and no differences between them. Conclusion: Interventions were effective, can be implemented in primary health centers favoring
the treatment of a greater number of women who do not have access to specialized physical
therapy.
Abstract
Assunto
Urina - Incontinência, Fisioterapia, Cuidados primários de saúde
Palavras-chave
Urinary incontinence, Pelvic floor, Physical therapy modalities, Primary health care
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http://www.rbf-bjpt.org.br/en-effectiveness-pelvic-floor-muscle-training-articulo-S1413355518302922