Journal Mobile Options
Table of Contents
Vol. 56, No. 1, 2003
Issue release date: August 2003
Section title: Original Paper
Gynecol Obstet Invest 2003;56:23–27
(DOI:10.1159/000072327)

Biofeedback and Pelvic Floor Exercises for the Rehabilitation of Urinary Stress Incontinence

Aksac B. · Aki S. · Karan A. · Yalcin O. · Isikoglu M. · Eskiyurt N.
Departments of aPhysical Medicine and Rehabilitation and bObstetrics and Gynecology, Istanbul University Medical Faculty, Istanbul, Turkey

Do you have an account?

Register and profit from personalized services (MyKarger) Login Information

Please create your User ID & Password





Contact Information









I have read the Karger Terms and Conditions and agree.

Register and profit from personalized services (MyKarger) Login Information

Please create your User ID & Password





Contact Information









I have read the Karger Terms and Conditions and agree.

To view the fulltext, please log in

To view the pdf, please log in

Buy

  • FullText & PDF
  • Unlimited re-access via MyKarger (new!)
  • Unrestricted printing, no saving restrictions for personal use
  • Reduced rates with a PPV account
read more

Direct: USD 38.00
Account: USD 26.50

Select

Rent/Cloud

  • Rent for 48h to view
  • Buy Cloud Access for unlimited viewing via different devices
  • Synchronizing in the ReadCube Cloud
  • Printing and saving restriction apply

Rental: USD 8.50
Cloud: USD 20.00

Select

Subscribe

  • Automatic perpetual access to all articles of the subscribed year(s)
  • Unlimited re-access via Subscriber Login or MyKarger
  • Unrestricted printing, no saving restrictions for personal use
read more

Subcription rates


Select


Article / Publication Details

First-Page Preview
Abstract of Original Paper

Received: 9/9/2002
Accepted: 6/2/2003
Published online: 8/29/2003

Number of Print Pages: 5
Number of Figures: 0
Number of Tables: 4

ISSN: 0378-7346 (Print)
eISSN: 1423-002X (Online)

For additional information: http://www.karger.com/GOI

Abstract

We investigated the effectiveness of pelvic floor muscle (PFM) exercises or biofeedback for the treatment of urinary stress incontinence (USI). Fifty patients with USI were included in this randomized, controlled, prospective study. Twenty patients were taught PFM exercises via digital palpation and instructed to perform regularly as home program. The second group of 20 patients had PFM exercises via biofeedback three times a week for 2 months. The third group of 10 patients did not have any exercises. The patients were evaluated via pad test, perineometry, digital palpation based PFM strength, incontinence frequency, and visual analog scale based social activity index prior to and 8 weeks after the treatment. The first two groups had significant improvement in USI with respect to the control group (p < 0.001). The rise in PFM strength with perineometry of the biofeedback group was higher than in the digital palpation group after treatment (p < 0.001). PFM exercises are effective for the treatment of USI; the biofeedback method revealed better PFM strength results with respect to digital palpation.


Article / Publication Details

First-Page Preview
Abstract of Original Paper

Received: 9/9/2002
Accepted: 6/2/2003
Published online: 8/29/2003

Number of Print Pages: 5
Number of Figures: 0
Number of Tables: 4

ISSN: 0378-7346 (Print)
eISSN: 1423-002X (Online)

For additional information: http://www.karger.com/GOI


Copyright / Drug Dosage

Copyright: All rights reserved. No part of this publication may be translated into other languages, reproduced or utilized in any form or by any means, electronic or mechanical, including photocopying, recording, microcopying, or by any information storage and retrieval system, without permission in writing from the publisher or, in the case of photocopying, direct payment of a specified fee to the Copyright Clearance Center.
Drug Dosage: The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in goverment regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any changes in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug.
Disclaimer: The statements, opinions and data contained in this publication are solely those of the individual authors and contributors and not of the publishers and the editor(s). The appearance of advertisements or/and product references in the publication is not a warranty, endorsement, or approval of the products or services advertised or of their effectiveness, quality or safety. The publisher and the editor(s) disclaim responsibility for any injury to persons or property resulting from any ideas, methods, instructions or products referred to in the content or advertisements.

References

  1. Gjorup T, Hendriksen C, Lund E, Stromgard E: Is growing old a disease? A study of the attitudes of elderly people to physical symptoms. J Chronic Dis 1987;40:1095–1098.
  2. Wyman JF, Fantl JA, McClish DK, Bump RC: Comparative efficacy of behavioral interventions in the management of female urinary incontinence. Continence Program for Women Research Group. Am J Obstet Gynecol 1998;179:999–1007.
  3. Diokno AC, Brock BM, Brown D: Prevalence of urinary incontinence and other urologic symptoms in the noninstitutionalized patient. J Urol 1986;136:1022–1025.
  4. Morkved S, Bo K: The effect of post-natal exercises to strengthen the pelvic floor muscles. Acta Obstet Gynecol Scand 1996;75:382–385.
  5. Yarnel JW, Leger AS: The prevalence, severity and factors associated with urinary incontinence in a random sample of the elderly. Age Ageing 1979;8:81.
  6. De Lancey J: Stress urinary incontinence: Where are we now? Where should we go? Am J Obstet Gynecol 1996;175:311–319.
  7. Bent AE: Management of recurrent genuine stress incontinence. Clin Obstet Gynecol 1990;33:385.
  8. Burns PA, Pranikoff K, Nochajski TH, Hadley EC, Levy KJ, Ory MG: A comparison of effectiveness of biofeedback and pelvic muscle exercise treatment of stress incontinence in older community- dwelling women. J Gerontol 1993;48:M167–M174.
  9. Adams C, Frahm J: Genitourinary system; in: Saunders Manual of Physical Therapy Practica. Philadelphia, Saunders, 1995, pp 459–504.
  10. Susset J, Galea G, Manback K, Susset A: A predictive score index for the outcome of associated biofeedback and vaginal electrical stimulation in the treatment of female incontinence. J Urol 1995;153:1461–1466.
  11. Nygaard IE: Nonoperative management of urinary incontinence. Curr Opin Obstet Gynecol 1996;8:347–350.
  12. Laycock J, Green RJ: Interferential therapy in the treatment of incontinence. Physiotherapy 1988;74:161–168.
  13. Kegel AH: Progressive resistance exercise in the functional restoration of the perineal muscles. Am J Obstet Gynecol 1948;56:238–248.
  14. Kegel AH: The nonsurgical treatment of genital relaxation: Use of the perineometer as an aid in restoring anatomic and functional structure. Ann West Med Surg 1948:2:213–221.
  15. Castleden CM, Duff HM, Witchell EP: The effect of physiotherapy on stress incontinence. Age Ageing 1984;13:235–237.
  16. Shepherd A, Montgomery E: A pilot study of pelvic exercises in women with stress incontinence. J Obstet Gynaecol 1983;3:201–202.
  17. Bo K, Talseth T: Long-term effect of pelvic floor muscle exercise 5 years after cessation of organized training. Obstet Gynecol 1996;87:261–265.
  18. Hahn I, Milsom I, Fall M, Ekelund P: Long-term results of pelvic floor training in female stress urinary incontinence. Br J Urol 1993;72:421–427.
  19. Wilson TS: Incontinence of urine in the aged. Lancet 1948;ii:374–377.
  20. Shephard AM, Montgomery E, Anderson RS: Treatment of genuine stress incontinence with a new perineometer. Physiotherapy 1983;69:113.
  21. Glavind K, Laursen B, Jaquet A: Efficacy of biofeedback in the treatment of urinary stress incontinence. Int Urogynecol J Pelvic Floor Dysfunct 1998;9:151–153.
  22. Burgio KL, Robinson JC, Engel BT: The role of biofeedback in Kegel exercise training for stress urinary incontinence. Am J Obstet Gynecol 1986;154:58–64.
  23. Henderson JS, Taylor KH: Age as a variable in an exercise program for the treatment of simple urinary stress incontinence. J Obstet Gynecol Neonatal Nurs 1987;16:266–272.
  24. Chen HY, Chang WC, Lin WC, Yeh LS, Hsu TY, Tsai HD, Yang KY: Efficacy of pelvic floor rehabilitation for treatment of genuine stress incontinence. J Formos Med Assoc 1999;98:271–276.
  25. Berghmans LC, Frederiks CM, de Bie RA, Weil EH, Smeets LW, van Waalwijk van Doom ES, Janknegt RA: Efficacy of biofeedback, when included with pelvic floor muscle exercise treatment, for genuine stress incontinence. Neurourol Urodyn 1996;15:37–52.
  26. Meyer S, Dhenin T, Schmidt N, De Grandi P: Subjective and objective effects of intravaginal electrical myostimulation and biofeedback in patients with genuine stress urinary incontinence. Br J Urol 1992;69:584–588.
  27. Elser DM, Wyman JF, McClish DK, Robinson D, Fantl JA, Bump RC: The effect of bladder training, pelvic floor muscle training, or combination training on urodynamic parameters in women with urinary incontinence. Continence Program for Women Research Group. Neurourol Urodyn 1999;18:427–436.
  28. Hirsch A, Weirauch G, Steimer B, Bihler K, Peschers U, Bergauer F, Leib B, Dimpfl T: Treatment of female urinary incontinence with EMG-controlled biofeedback home training. Int Urogynecol J Pelvic Floor Dysfunct 1999;10:7–10.

    External Resources