Add-On Effect of Postural Instructions to Abdominopelvic Exercise on Urinary Symptoms and Quality of Life in Climacteric Women with Stress Urinary Incontinence. A Pilot Randomized Controlled Trial

Laura Fuentes-Aparicio, Mercè Balasch-Bernat and Laura López-Bueno
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Laura Fuentes-Aparicio: Department of Physiotherapy, University of Valencia, Gascó Oliag, 5, 46010 Valencia, Spain
Mercè Balasch-Bernat: Department of Physiotherapy, University of Valencia, Gascó Oliag, 5, 46010 Valencia, Spain
Laura López-Bueno: Department of Physiotherapy, University of Valencia, Gascó Oliag, 5, 46010 Valencia, Spain

IJERPH, 2021, vol. 18, issue 3, 1-12

Abstract: The aim of this study was to investigate the add-on effect of postural instructions to an abdominopelvic exercise program on incontinence urinary symptoms (UI symptoms) and quality of life (QoL) in climacteric women with stress urinary incontinence (SUI). A randomized controlled trial was performed with a total of 40 climacteric women with SUI aged between 46 and 75 years old. Participants were randomly assigned to two groups: a group performing an abdominopelvic exercise program (AEP) ( n = 20) and a group performing abdominopelvic exercise with the addition of postural instructions (AEPPI) ( n = 20). Primary outcome measures were UI symptoms, UI impact and QoL related to UI (UI-QoL), measured by 48 h Pad Test and International Consultation on Incontinence Questionnaire Short Form (ICIQ-UI-SF), which were assessed at baseline, post-intervention and 3 months follow-up. Secondary outcome was patient’s satisfaction measured by the 100-point Visual Analogic Scale (VAS) only after the intervention. Between-groups differences were observed in terms of UI-QoL immediately after intervention. Within-groups differences were observed between baseline to 3 months follow-up and between post-intervention to 3 months follow-up in AEPPI group ( p < 0.05) for UI-QoL and UI impact. UI symptoms were improved in both groups between baseline to 3-months follow-up ( p < 0.05). Patient’s satisfaction was higher in the AEPPI group ( p < 0.05). The addition of postural instructions to an abdominopelvic exercise program improves UI impact to QoL and patients’ satisfaction in women with SUI.

Keywords: abdominal muscles; pelvic floor muscles; postural control; stress urinary incontinence; urinary symptoms; quality of life (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (1)

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Persistent link: https://EconPapers.repec.org/RePEc:gam:jijerp:v:18:y:2021:i:3:p:928-:d:484739

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