Correlation between the Severity of Female Urinary Incontinence and Concomitant Morbidities: A Multi-Center Cross-Sectional Clinical Study
2
조회
0
다운로드
2
인용
0
참고문헌
키워드
초록
Purpose: The aim of this study was to identify the relationship between urinary incontinence (UI) and low back pain (LBP) discomfort and disability, static balance, and demographic factors. Methods: A total of 348 women aged 20-80 years were included in this cross-sectional study. The general characteristics of the subjects and the main outcome (UI condition, LBP discomfort, LBP disability, and static balance ability) were assessed by using clinical questionnaires and assessment tools. Results: Of all the subjects, 22.8% had experienced UI. Women with UI showed a significantly higher relationship of LBP and disability, and static balance ability (P<0.01). We found a significant correlation between UI, age, LBP and disability, and static balance ability (P<0.01). Conclusions: These findings suggest that UI correlates negatively with LBP discomfort, LBP disability, and static balance ability. Further studies should focus on the identification of the precise mechanisms underlying UI and its related physical symptoms and on the development of therapeutic strategies to manage this condition.
Abstract
Purpose: The aim of this study was to identify the relationship between urinary incontinence (UI) and low back pain (LBP) discomfort and disability, static balance, and demographic factors. Methods: A total of 348 women aged 20-80 years were included in this cross-sectional study. The general characteristics of the subjects and the main outcome (UI condition, LBP discomfort, LBP disability, and static balance ability) were assessed by using clinical questionnaires and assessment tools. Results: Of all the subjects, 22.8% had experienced UI. Women with UI showed a significantly higher relationship of LBP and disability, and static balance ability (P<0.01). We found a significant correlation between UI, age, LBP and disability, and static balance ability (P<0.01). Conclusions: These findings suggest that UI correlates negatively with LBP discomfort, LBP disability, and static balance ability. Further studies should focus on the identification of the precise mechanisms underlying UI and its related physical symptoms and on the development of therapeutic strategies to manage this condition.
참고문헌 (35)
- Hunskaar S, "Epidemiology and natural history of urinary incontinence", Int Urogynecol J Pelvic Floor Dysfunct, 11, pp.301~319 (2000)
- Hunskaar S, "The prevalence of urinary incontinence in women in four European countries", BJU Int, 93, pp.324~330 (2004)
- Abrams P, "The standardisation of terminology of lower urinary tract function:report from the Standardisation Sub-committee of the International Continence Society", Neurourol Urodyn, 21, pp.167~178 (2002)
- 김욱현, "젊은 여성에서 과민성방광과 요실금의 유병률 및 삶의 질", Korean Journal of Urology, 45(6), pp.543~550 (2004), 대한비뇨기과학회
- Kim JS, "The prevalence of urinary incontinence in elderly women at institutionalized facilities in Pusan", Korean J Urol, 40, pp.1019~1023 (1999)
- Rortveit G, "Age- and typedependent effects of parity on urinary incontinence: the Norwegian EPINCONT study", Obstet Gynecol, 98, pp.1004~1010 (2001)
- Smith MD, "Postural response of the pelvic floor and abdominal muscles in women with and without incontinence", Neurourol Urodyn, 26, pp.377~385 (2007)
- Smith MD, "Is balance different in women with and without stress urinary incontinence?", Neurourol Urodyn, 27, pp.71~78 (2008)
- Peschers UM, "Pelvic muscle activity in nulliparous volunteers", Neurourol Urodyn, 20, pp.269~275 (2001)
- Thompson JA, "Levator plate movement during voluntary pelvic floor muscle contraction in subjects with incontinence and prolapse: a cross-sectional study and review", Int Urogynecol J Pelvic Floor Dysfunct, 14, pp.84~88 (2003)
- Baessler K, "Effects of voluntary pelvic floor contraction and relaxation on the urethral closure pressure", Int Urogynecol J Pelvic Floor Dysfunct, 16, pp.187~190 (2005)
- Smith MD, "Disorders of breathing and continence have a stronger association with back pain than obesity and physical activity", Aust J Physiother, 52, pp.11~16 (2006)
- Smith MD, "Do incontinence, breathing difficulties, and gastrointestinal symptoms increase the risk of future back pain?", J Pain, 10, pp.876~886 (2009)
- Ness TJ, "Elhefni H. Reliable visceromotor responses are evoked by noxious bladder distention in mice", J Urol, 171, pp.1704~1708 (2004)
- Hodges PW, "Inefficient muscular stabilization of the lumbar spine associated with low back pain: a motor control evaluation of transversus abdominis", Spine (Phila Pa 1976), 21, pp.2640~2650 (1996)
- Radebold A, "Muscle response pattern to sudden trunk loading in healthy individuals and in patients with chronic low back pain", Spine (Phila Pa 1976), 25, pp.947~954 (2000)
- Leboeuf-Yde C, "Body weight and low back pain: a systematic literature review of 56 journal articles reporting on 65 epidemiologic studies", Spine (Phila Pa 1976), 25, pp.226~237 (2000)
- Levangie PK, "Association of low back pain with self-reported risk factors among patients seeking physical therapy services", Phys Ther, 79, pp.757~766 (1999)
- Thomas E, "Predicting who develops chronic low back pain in primary care: a prospective study", BMJ, 318, pp.1662~1667 (1999)
- Hendrickson LS, "The frequency of stress incontinence in women before and after the implementation of an exercise program", Issues Health Care Women, 3, pp.81~92 (1981)
- Lee YS, "Effects of vaginoperineal muscle exercise on women having urinary incontinence" (1993), Yonsei University
- Kim MK, "Effects of integrated intervention program for urinary incontinence on urinary incontinence of women" (2003), Inha University
- Cole B, "Canadian Physiotherapy Association. Physical rehabilitation outcome measures" (1994), Canadian Physiotherapy Association
- Wagner DR, "Reliability and utility of a visual analog scale for the assessment of acute mountain sickness", High Alt Med Biol, 8, pp.27~31 (2007)
- Kim DY, "Validation of the Korean version of the oswestry disability index", Spine (Phila Pa 1976), 30, pp.123~127 (2005)
- 김진택, "요통 환자에서 나타나는 공포-회피 반응과 기능 수행 수준의 관계: 단면 연구", 한국전문물리치료학회지, 16(1), pp.52~60 (2009), 한국전문물리치료학회
- Rossiter-Fornoff JE, "A cross-sectional validation study of the FICSIT common data base static balance measures. Frailty and Injuries: Cooperative Studies of Intervention Techniques", J Gerontol A Biol Sci Med Sci, 50, pp.291~297 (1995)
- Davila GW, "Current treatment options for female urinary incontinence: a review", Int J Fertil Womens Med, 49, pp.102~112 (2004)
- Lee YS, "A study on stress incontinence in women in Korea", Korean J Matern Child Health Nurs, 4, pp.12~23 (1994)
- Kelleher CJ, "A medium-term analysis of the subjective efficacy of treatment for women with detrusor instability and low bladder compliance", Br J Obstet Gynaecol, 104, pp.988~993 (1997)
- Sapsford R, "Rehabilitation of pelvic floor muscles utilizing trunk stabilization", Man Ther, 9, pp.3~12 (2004)
- Norris CM, "Back stability in: Human kinetics:the information leader in physical activiry", pp.62~63 (2000), Human Kinetics Pub
- Sapsford RR, "Co-activation of the abdominal and pelvic floor muscles during voluntary exercises", Neurourol Urodyn, 20, pp.31~42 (2001)
- Neumann P, "Pelvic floor and abdominal muscle interaction:EMG activity and intra-abdominal pressure", Int Urogynecol J Pelvic Floor Dysfunct, 13, pp.125~132 (2002)
- Hodges PW, "Intra-abdominal pressure increases stiffness of the lumbar spine", J Biomech, 38, pp.1873~1880 (2005)
