골반저근운동과 전기자극요법이 중년여성의 복압성 요실금에 미치는 효과
Effects of Pelvic Floor Muscle Exercise and Electric Stimulation Therapy for Stress Urinary Incontinence Among Middle-aged Women
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Objectives: This study compared the effect of pelvic floor muscle exercise with electric stimulation therapy for middle-aged women with stress urinary incontinence. Methods: It was conducted by non-equivalent control group pre-test and post-test design among sixty community-based residents. A total of 60 women, recruited from KwangJu area, was assigned to 2 groups; 31 to the pelvic floor muscle exercise group and 29 to the electric stimulation therapy group. The interventions were provided twice a week for six weeks, and study measurements were taken at the beginning and 6th week of intervention. Results: Subjects had mild incontinence. In multiple comparisons, peak and mean pressure of pelvic floor muscle contraction (PPPFMC, MPPFMC) of electric stimulation group were significantly increased more than those of pelvic floor muscle exercise group, respectively (p=.041; p=.019). Leaked urinary amount (LUA) and urinary incontinence score (UIS) of the electrical stimulation group were no significantly decreased more than those of pelvic floor muscle exercise group. Conclusions: Compared to pelvic floor muscle exercise group, the effect of electric stimulation therapy group using portable machine on PPPFMC and MPPFMC was stronger. It was suggested that the interventions might be implemented longer than six weeks for improving urinary incontinence under the repeated measures randomized controlled design.
Abstract
Objectives: This study compared the effect of pelvic floor muscle exercise with electric stimulation therapy for middle-aged women with stress urinary incontinence. Methods: It was conducted by non-equivalent control group pre-test and post-test design among sixty community-based residents. A total of 60 women, recruited from KwangJu area, was assigned to 2 groups; 31 to the pelvic floor muscle exercise group and 29 to the electric stimulation therapy group. The interventions were provided twice a week for six weeks, and study measurements were taken at the beginning and 6th week of intervention. Results: Subjects had mild incontinence. In multiple comparisons, peak and mean pressure of pelvic floor muscle contraction (PPPFMC, MPPFMC) of electric stimulation group were significantly increased more than those of pelvic floor muscle exercise group, respectively (p=.041; p=.019). Leaked urinary amount (LUA) and urinary incontinence score (UIS) of the electrical stimulation group were no significantly decreased more than those of pelvic floor muscle exercise group. Conclusions: Compared to pelvic floor muscle exercise group, the effect of electric stimulation therapy group using portable machine on PPPFMC and MPPFMC was stronger. It was suggested that the interventions might be implemented longer than six weeks for improving urinary incontinence under the repeated measures randomized controlled design.
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