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http://dx.doi.org/10.4040/jkan.2015.45.1.35

Effect of Muscle Strength Training on Urinary Incontinence and Physical Function: A Randomized Controlled Trial in Long-term Care Facilities  

Kang, Hyekyung (College of Nursing, Hanyang University)
HongSon, Gwi-Ryung (College of Nursing, Hanyang University)
Publication Information
Journal of Korean Academy of Nursing / v.45, no.1, 2015 , pp. 35-45 More about this Journal
Abstract
Purpose: This study was done to determine whether muscle strength training programs have an impact on improving symptoms of urinary incontinence (UI) and physical function among elderly women with UI who reside in long-term care facilities. Methods: A randomized controlled trial was conducted. Participants had to be over 65 years, score over 15 score on the mini-mental state examination, and be able to walk alone or with an assistant. Seventy residents were randomly allocated to either the training group (n=35) or control group (n=35). The program consisted of 50 minutes, twice a week for 8 weeks, and included Kegel's exercise, Thera-band training and indoor walking. Main outcomes were UI symptoms, peak vaginal pressure and physical functions measured with timed up and go test (TUG), one leg standing test (OLST), activities of daily living (ADL) and grip strength. Changes in outcome measurements were calculated from baseline to 4 weeks and to 8 weeks using repeated measures ANOVA. Results: There were significant differences in peak vaginal pressure (p<.001), TUG (p<.001), OLST (p=.012) and grip strength (p<.001) in the interaction between groups and time. Conclusion: Future studies are suggested to confirm the effect of muscle strength training in long-term care facilities where elderly women with UI reside.
Keywords
Long-term care facility; Elderly women; Urinary incontinence; Physical function; Muscle strength training program;
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1 Rice J, Keogh JWL. Power training: Can it improve functional performance in older adults? A systematic review. International Journal of Exercise Science. 2009;2(2):131-151.
2 Han JW, Kim TH, Jhoo JH, Park JH, Kim JL, Ryu SH, et al. A normative study of the mini-mental state examination for dementia screening (MMSE-DS) and its short form(SMMSE-DS) in the Korean elderly. Journal of Korean Geriatric Psychiatry. 2010;14(1):27-37.
3 Academy of Geriatric Physical Therapy. Section on geriatrics recommended outcome measures for medicare functional limitation/severity reporting [Internet]. Madison, WI: Author; 2013 [cited 2013 December 2]. Available from: http://www.geriatricspt.org/userfiles/files/SoGJoint-Report-March-2013.pdf.
4 Tibaek S, Gard G, Klarskov P, Iversen HK, Dehlendorff C, Jensen R. Are activity limitations associated with lower urinary tract symptoms in stroke patients? A cross-sectional, clinical survey. Scandinavian Journal of Urology and Nephrology. 2009;43(5):383-389. http://dx.doi.org/10.3109/00365590903013919   DOI   ScienceOn
5 Health Quality Ontario. Behavioural interventions for urinary incontinence in community-dwelling seniors: An evidence-based analysis. Ontario Health Technology Assessment Series. 2008;8(3):1-52.
6 Kim MS, Lee SH. Prevalence rate and associated factors of urinary incontinence among nursing home residents. Journal of Korean Academy of Nursing. 2008;38(1):92-100. http://dx.doi.org/10.4040/jkan.2008.38.1.92   DOI
7 Korean Continence Society. Geriatric incontinence [Internet]. Suwon: Author; 2007 [cited 2013 November 11]. Available from: http://www.kocon.or.kr/patient/pt5.html.
8 Abrams P, Cardozo L, Fall M, Griffiths D, Rosier P, Ulmsten U, et al. The standardisation of terminology of lower urinary tract function: Report from the standardisation sub-committee of the International Continence Society. Neurourology and Urodynamics. 2002;21(2):167-178. http://dx.doi.org/10.1002/nau.10052   DOI   ScienceOn
9 Sands LP, Wang Y, McCabe GP, Jennings K, Eng C, Covinsky KE. Rates of acute care admissions for frail older people living with met versus unmet activity of daily living needs. Journal of the American Geriatrics Society. 2006;54(2):339-344. http://dx.doi.org/10.1111/j.1532-5415.2005.00590.x   DOI   ScienceOn
10 Thirugnanasothy S. Managing urinary incontinence in older people. BMJ: British Medical Journal. 2010;341:c3835. http://dx.doi.org/10.1136/bmj.c3835   DOI
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. Neurourology and Urodynamics. 2005;24(4):348-357. http://dx.doi.org/10.1002/nau.20134   DOI   ScienceOn
12 Saxer S, de Bie RA, Dassen T, Halfens RJ. Nurses' knowledge and practice about urinary incontinence in nursing home care. Nurse Education Today. 2008;28(8):926-934. http://dx.doi.org/10.1016/j.nedt.2008.05.009   DOI   ScienceOn
13 Malmstrom TK, Andresen EM, Wolinsky FD, Schootman M, Miller JP, Miller DK. Urinary and fecal incontinence and quality of life in African Americans. Journal of the American Geriatrics Society. 2010;58(10):1941-1945. http://dx.doi.org/10.1111/j.1532-5415.2010.03057.x   DOI   ScienceOn
14 Landefeld CS, Bowers BJ, Feld AD, Hartmann KE, Hoffman E, Ingber MJ, et al. National Institutes of Health state-of-the-science conference statement: Prevention of fecal and urinary incontinence in adults. Annals of Internal Medicine. 2008;148(6):449-458.   DOI   ScienceOn
15 Amend B, Kruck S, Bedke J, Ritter R, Arenas da Silva L, Chapple C, et al. Urinary incontinence in the elderly: What can and should be done? Der Urologe. 2013;52(6):805-812. http://dx.doi.org/10.1007/s00120-012-3061-9   DOI   ScienceOn
16 Durrant J, Snape J. Urinary incontinence in nursing homes for older people. Age and Ageing. 2003;32(1):12-18.   DOI   ScienceOn
17 van Houten P, Achterberg W, Ribbe M. Urinary incontinence in disabled elderly women: A randomized clinical trial on the effect of training mobility and toileting skills to achieve independent toileting. Gerontology. 2007;53(4):205-210. http://dx.doi.org/10.1159/000100544   DOI   ScienceOn
18 Vinsnes AG, Helbostad JL, Nyronning S, Harkless GE, Granbo R, Seim A. Effect of physical training on urinary incontinence: A randomized parallel group trial in nursing homes. Clinical Interventions in Aging. 2012;7:45-50. http://dx.doi.org/10.2147/cia.s25326
19 Inouye SK, Studenski S, Tinetti ME, Kuchel GA. Geriatric syndromes: Clinical, research, and policy implications of a core geriatric concept. Journal of the American Geriatrics Society. 2007;55(5):780-791. http://dx.doi.org/10.1111/j.1532-5415.2007.01156.x   DOI   ScienceOn
20 Pereira VS, Correia GN, Driusso P. Individual and group pelvic floor muscle training versus no treatment in female stress urinary incontinence: A randomized controlled pilot study. European Journal of Obstetrics, Gynecology, and Reproductive Biology. 2011;159(2):465-471. http://dx.doi.org/10.1016/j.ejogrb.2011.09.003   DOI   ScienceOn
21 Song MS, Yoo YK, Choi CH, Kim NC. Effects of nordic walking on body composition, muscle strength, and lipid profile in elderly women. Asian Nursing Research. 2013;7(1):1-7. http://dx.doi.org/10.1016/j.anr.2012.11.001   DOI   ScienceOn
22 Offermans MP, Du Moulin MF, Hamers JP, Dassen T, Halfens RJ. Prevalence of urinary incontinence and associated risk factors in nursing home residents: A systematic review. Neurourology and Urodynamics. 2009;28(4):288-294. http://dx.doi.org/10.1002/nau.20668   DOI   ScienceOn
23 Ouslander JG, Griffiths PC, McConnell E, Riolo L, Kutner M, Schnelle J. Functional incidental training: A randomized, controlled, crossover trial in Veterans Affairs nursing homes. Journal of the American Geriatrics Society. 2005;53(7):1091-1100. http://dx.doi.org/10.1111/j.1532-5415.2005.53359.x   DOI   ScienceOn
24 Baker WL, Karan S, Kenny AM. Effect of dehydroepiandrosterone on muscle strength and physical function in older adults: A systematic review. Journal of the American Geriatrics Society. 2011;59(6):997-1002. http://dx.doi.org/10.1111/j.1532-5415.2011.03410.x   DOI   ScienceOn
25 Park SY, Shin IS. Muscle strengthening effects of exercise programs for preventing falls among the elderly in Korea: A meta-analysis. Physical Therapy Korea. 2011;18(3):38-48.
26 Kim SY, Won CW, Rho YG. The validity and reliability of Korean version of bathel ADL index. Journal of the Korean Academy of Family Medicine. 2004;25(7):534-541.
27 Lim CG, Lee KS. The study on the balance reaction and physical activity of dementia patients. Journal of the Korea Academia-Industrial Cooperation Society. 2011;12(11):5087-5093. http://dx.doi.org/10.5762/KAIS.2011.12.11.5087   DOI   ScienceOn
28 Choi IH. The effects of pelvic floor muscle exercise on urinary symptoms and quality of life in women with stress urinary incontinence. Journal of Korean Academy of Community Health Nursing. 2008;19 (1):46-56.
29 Bo K. Pelvic floor muscle strength and response to pelvic floor muscle training for stress urinary incontinence. Neurourology and Urodynamics. 2003;22(7):654-658. http://dx.doi.org/10.1002/nau.10153   DOI   ScienceOn
30 Kim HG, Nam HK. The effect of thera band exercise on muscle flexibility, balance ability, muscle strength in elderly women. Journal of Korean Academy of Community Health Nursing. 2011;22(4):451-457. http://dx.doi.org/10.12799/jkachn.2011.22.4.451   DOI