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The Effect of Pelvic Floor Muscle Exercise Program on Pelvic Floor Muscle Strength and Lower Urinary Tract Symptom of Women with Urinary Incontinence after Stroke  

Choi, Se-Jong (Physical Therapy, Graduate School of Sahmyook University)
Lee, Yong-Woo (Physical Therapy, Graduate School of Sahmyook University)
Song, Chang-Ho (Department of Physical Therapy, Sahmyook University)
Publication Information
Journal of the Korean Society of Physical Medicine / v.5, no.2, 2010 , pp. 203-210 More about this Journal
Abstract
Purpose : The purpose of this study was to evaluate the effect of Pelvic Floor Muscle Exercise(PFME) in women with urinary incontinence (UI) after ischemic stroke. Methods : Thirty women were divided into two groups by randomly Experimental Group(15 subject) and Control Group(15 subject) in a single blinded, randomised study. Experimental Group was conducted for the 6-weeks PFME program and had a structured training program for 60 minutes, 3 days per week and they were encouraged to PFME at home seven days for a period of 6weeks. They were measured by questionnaire of urinary symptoms and perineometry. Results : A significant improvement in pelvic floor muscle strength and lower urinary tract symptom was also demonstrated within the Treatment Group(p<.05), but not in the Control Group. Conclusion : PFME program had a significant effect in women with UI after stroke measured by pelvic floor muscle strength and lower urinary tract symptom.
Keywords
Stroke; Urinary incontinence; Pelvic floor muscle; Women;
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Times Cited By KSCI : 1  (Citation Analysis)
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1 Khan IJ, Tariq SH. Urinary incontinence: behavioral modification therapy in older adult. Clin Geriatr Med. 2004;20(3):499-509.   DOI   ScienceOn
2 Kolominsky-Rabas PL, Hilz MJ, Neundoerfer B, et al. Impact of urinary incontinence after stroke: results from a prospective population-based stroke register. Neurourol Urodyn. 2003;22(4):322-7.   DOI   ScienceOn
3 Hellberg D, Holmgren C, Lanner L, et al. Re: "quality of life in relation to TVT procedure for the treatment of stress urinary incontinence". Acta Obstet Gynecol Scand. 2006;85(12):1512.   DOI   ScienceOn
4 Burgio KL, Robinson JC, Engel BT. The role of biofeedback in Kegel exercise training for stress urinary incontinence. Am J Obstet Gynecol. 1986;154(1):58-64.
5 Weiss BD. Selecting medications for the treatment of urinary incontinence. Am Fam Physician. 2005; 71(2):315-22.
6 Burns PA, Pranikoff K, Nochajski T, et al. Treatment of stress incontinence with pelvic floor exercises and biofeedback. J Am Geriatr Soc. 1990;38(3): 341-4.
7 박은영. 요실금에 대한 골반근육운동 효과 검증연구. 이화여자대학교대학원. 석사학위논문. 2001.
8 박재순, 오정아, 이인숙 등. 골반근육 강화훈련이 산후 비뇨생식기 회복, 성생활 및 일상생활 불편감에 미치는 효과. 여성건강간호학회지. 2002;8(3):412-3.   과학기술학회마을
9 Wyman JF., Fantl JA., McClish DK, et al Comparative efficacy of behavioral interventions in the management of female urinary incontinence. Am J Obstet Gynecol. 1999;179(4):999-1007.
10 Warlow C, van Gijn J, Dennis M. Stroke : practical management. 3rd ed.. Oxford. Blackwell Publishing. 2008.
11 Tibaek S, Gard G, Jensen R. Pelvic floor muscle training is effective in women with urinary incontinence after stroke: a randomised, controlled and blinded study. Neurourol Urodyn. 2005;24(4): 348-57.   DOI   ScienceOn
12 Hvidman L, Foldspang A, Mommsen S, et al. Does urinary incontinence occurrence depend on the menstrual cycle phase? Acta Obstet Gynecol Scand. 2002;81(4):347-50.   DOI   ScienceOn
13 손애리, 송창호. 중년 여성의 요실금 예방과 치료를 위한 골반저근 운동의 비교 분석. 한국여성체육학회지. 2006;20(4):1-16.
14 Tibaek S, Gard G, Jensen R. Is there a long-lasting effect of pelvic floor muscle training in women with urinary incontinence after ischemic stroke? A 6-month follow-up study. Int Urogynecol J Pelvic Floor Dysfunct. 2007;18(3):281-7.   DOI
15 Tibaek S, Jensen R, Lindskov G, et al. Can quality of life be improved by pelvic floor muscle training in women with urinary incontinence after ischemic stroke? A randomised, controlled and blinded study. Int Urogynecol J Pelvic Floor Dysfunct. 2004;15(2):117-23.   DOI
16 Ng SC, Lin TL, Chang SJ, et al. Nursing intervention to enhance efficacy of home practice of pelvic floor muscle exercises in treating mixed urinary incontinence. Int Urogynecol J Pelvic Floor Dysfunct. 2008;19(5):637-42.   DOI
17 Patel M, Coshall C, Rudd AG, et al. Natural history and effects on 2-year outcomes of urinary incontinence after stroke. Stroke. 2001;32(1):122-7.   DOI   ScienceOn
18 Shamliyan TA, Kane RL, Wyman J, et al. Systematic review: randomized, controlled trials of nonsurgical treatments for urinary incontinence in women. Ann Intern Med. 2008;148(6):459-73.   DOI   ScienceOn
19 Kirschner-Hermanns R, Scherr PA, Branch LG, et al. Accuracy of survey questions for geriatric urinary incontinence. J Urol. 1998;159(6):1903-8.   DOI   ScienceOn
20 Morkved S, Bo K, Fjortoft T. Effect of adding biofeedback to pelvic floor muscle training to treat urodynamic stress incontinence. Obstet Gynecol. 2002;100(4):730-9.   DOI   ScienceOn
21 Jackson S, Donovan J, Brookes S, et al. The Bristol Female Lower Urinary Tract Symptoms questionnaire: development and psychometric testing. Br J Urol. 1996;77(6):805-12.   DOI
22 Kegel AH. Progressive resistance exercise in the functional restoration of the perineal muscles. Am J Obstet Gynecol. 1948;56(2):238-48.
23 Donnan GA, Fisher M, Macleod M, et al. Stroke. Lancet. 2008;371(9624):1612-3.   DOI   ScienceOn
24 Kirschner-Hermanns R, Borchers H, Reineke T, et al. Fecal incontinence after radical perineal prosta-tectomy: a prospective study. Urology. 2005;65(2):337-42.   DOI   ScienceOn
25 de Groat, W. C. A neurologic basis for the overactive bladder. Urology. 1997;50(6A Suppl):36-52.