Yıl 2017, Cilt 22, Sayı 3, Sayfalar 193 - 199 2017-04-19

An Investigation of the Effectiveness of Electromyographic Biofeedback Applied In Addition To Pelvic Floor Muscle Training in Women with Stress Urinary Incontinence
Stres Üriner İnkontinanslı Kadınlarda Pelvik Taban Kas Eğitimine Ek Olarak Uygulanan Elektromyografik Biofeedback Eğitiminin Etkinliğinin İncelenmesi

Nuriye ÖZENGİN [1] , Hatice ÇANKAYA [2] , Yeşim BAKAR [3] , Mehmet Ata TOPÇUOĞLU [4] , Handan ANKARALI [5]

258 484

Aim: The aim was to investigate the effects of electromyography biofeedback training applied in addition to pelvic floor muscle training on the quality of life, amount of urine leakage and pelvic floor muscle strength in women with stress urinary incontinence.

Materials and Methods: 52 women with stress urinary incontinence included in the study. The patients were divided into two groups.  First group received pelvic floor muscle training (n= 27) and the other group received electromyography biofeedback training in addition to pelvic floor muscle training (n= 25). The perceived quality of life and dryness sensation of the women were assessed by using a visual analog scale. The pelvic floor muscle strength was evaluated by a vaginal pressure manometer. Their amount of urine leakage was evaluated by a 1-hour pad test. The evaluations were performed before the treatment and after an 8 weeks treatment. 

Results: Pelvic floor muscle training and electromyographic biofeedback training in addition to pelvic floor muscle training showed improvement in dryness sensation, perceived quality of life, pelvic floor muscle strength and amount of urine leakage before and after treatment in intra-group analyzes (p<0.05). The assessments showed that there was no difference between the groups (p>0.05)

Discussion and Conclusion: The electromyography biofeedback training in addition to pelvic floor muscle training did not show an additional healing effect in the treatment of women with stress urinary incontinence. 

Amaç: Stres üriner inkontinanslı kadınlarda pelvik taban kas eğitimine ek olarak uygulanan elektromyografik biofeedback eğitiminin yaşam kalitesi, idrar kaçırma miktarı ve pelvik taban kas kuvveti üzerine etkisinin araştırılması amaçlandı.

Gereç ve Yöntemler: Çalışmaya stres üriner inkontinanslı 52 kadın hasta dâhil edildi. Hastalar pelvik taban kas eğitimi (n=27) ve pelvik taban kas eğitimiyle birlikte elektromyografik biofeedback eğitimi (n=25) alanlar olarak iki gruba ayrıldı. Hastaların algılanan yaşam kalitesi ve algılanan kuruluk hissi için bir vizüel analog skala kullanıldı. Pelvik taban kas kuvveti, vajinal basınç manometresi ile; idrar kaçırma miktarı ise 1 saatlik ped testi ile değerlendirildi. Değerlendirmeler, tedavi öncesi ve 8 haftalık tedavi sonrasında yapıldı.

Bulgular: Pelvik taban kas eğitimi ve pelvik taban kas eğitimine ek olarak uygulanan elektromyografik biofeedback eğitimleri grup içi analizlerinde, tedavi öncesi ve sonrası algılanan kuruluk hissi, algılanan yaşam kalitesi, pelvik taban kas kuvveti ve idrar kaçırma miktarında iyileşme olduğu saptandı (p<0.05). Gruplar arası değerlendirmelerde fark saptanmadı (p>0.05).

Tartışma ve Sonuç: Stres üriner inkontinanslı kadınların tedavisinde pelvik taban kas eğitimine ek olarak uygulanan elektromyografik biofeedback eğitiminin ilave bir iyileştirici etkisi olmadığı saptandı.nce. 

  • 1. Haylen BT, Maher CF, Barber MD, Camargo S, Dandolu V, Digesu A, et al. An International Urogynecological Association (IUGA) / International Continence Society (ICS) joint report on the terminology for female pelvic organ prolapse (POP). Int Urogynecol J. 2016;27(2):165-94.
  • 2. Kaya S. Stres üriner inkontinansta fizyoterapi ve rehabilitasyon In: Akbayrak T, Kaya S, editors. Kadın Sağlığında Fizyoterapi ve Rehabilitasyon Ankara: Hipokrat Kitabevi, Pelikan Kitabevi, Nisan Kitabevi; 2016. p. 67-89.
  • 3. Demirtürk F, Akbayrak T. İnkontinansta Fizyoterapi ve Rehabilitasyon. In: Karaduman A, Tunca ÖY, editors. Fizyoterapi ve Rehabilitasyon. Ankara: Hipokrat Kitabevi, Pelikan Kitabevi, Nisan Kitabevi; 2016. p. 471-87.
  • 4. Kaya S, Akbayrak T. Üriner inkontinansta pelvik taban kas eğitimi. In: Ünal E, editor. Fizyoterapide kanıta dayalı egzersiz yaklaşımları. Ankara: Pelikan yayıncılık; 2015. p. 125-54.
  • 5. Kaya S, Akbayrak T, Demirtaş N, Bakar Y, Tosun ÖÇ, Özengin N, et al. Kanıt derlemesi In: Akbayrak T, Kaya S, editors. KNGF Kılavuzu, stres üriner inkontiontinansı olan hastalarda fizyoterapi. Ankara: Pelikan Kitabevi 2015. p. 140.
  • 6. Basak T, Kok G, Guvenc G. Prevalence, risk factors and quality of life in Turkish women with urinary incontinence: a synthesis of the literature. Int Nurs Rev. 2013;60(4):448-60.
  • 7. Özerdoğan NÖ. Kadınlarda üriner inkontinans ve yaşam kalitesi. F. N. Hem. Derg. 2003;13(51).
  • 8. Bo K, Berghmans B, Morkved S, Van Kampen M. Evidence-based physical therapy for the pelvic floor: bridging science and clinical practice. 2nd edition ed. Edinburgh: Elsevier Health Sciences; 2015. p. 162-178.
  • 9. Dumoulin C, Hay-Smith J. Pelvic floor muscle training versus no treatment, or inactive control treatments, for urinary incontinence in women. Cochrane Database Syst Rev. 2010;1(1).
  • 10. de Oliveira Camargo F, Rodrigues AM, Arruda RM, Sartori MGF, Girão MJBC, Castro RA. Pelvic floor muscle training in female stress urinary incontinence: comparison between group training and individual treatment using PERFECT assessment scheme. Int Urogynecol J. 2009;20(12):1455-62.
  • 11. Bø K. Pelvic floor muscle training in treatment of female stress urinary incontinence, pelvic organ prolapse and sexual dysfunction. World J Urol. 2012;30(4):437-43.
  • 12. Mørkved S, Bø K, Fjørtoft T. Effect of adding biofeedback to pelvic floor muscle training to treat urodynamic stress incontinence. Obstet Gynecol. 2002;100(4):730-9.
  • 13. Berghmans L, Frederiks C, De Bie R, Weil E, Smeets L, Van Waalwijk van Doorn E, et al. Efficacy of biofeedback, when included with pelvic floor muscle exercise treatment, for genuine stress incontinence. Neurourol Urodyn. 1996;15(1):37-52.
  • 14. Aksac B, Aki S, Karan A, Yalcin O, Isikoglu M, Eskiyurt N. Biofeedback and pelvic floor exercises for the rehabilitation of urinary stress incontinence. Gynecol Obstet Invest. 2003;56(1):23-7.
  • 15. Berghmans LC HH, Bo K, Hay-Smith EJ, de Bie RA, van Waalwijk van Doorn ES. Conservative treatment of stress urinary incontinence in women: a systematic review of randomized clinical trials. Br J Urol. 1998;82(2):181-91.
  • 16. Rett MT, Simoes JA, Herrmann V, Pinto CL. Management of stress urinary incontinence with surface electromyography-assisted biofeedback in women of reproductive age. Phys Ther. 2007;87(2):136.
  • 17. Bradley CS, Rovner ES, Morgan MA, Berlin M, Novi JM, Shea JA, et al. A new questionnaire for urinary incontinence diagnosis in women: development and testing. Am J Obstet Gynecol. 2005;192(1):66-73.
  • 18. Lukacz ES, Lawrence JM, Burchette RJ, Luber KM, Nager CW, Buckwalter JG. The use of Visual Analog Scale in urogynecologic research: a psychometric evaluation. Am J Obstet Gynecol. 2004;191(1):165-70.
  • 19. Trutnovsky G, Ulrich D, Rojas RG, Mann K, Aigmueller T, Dietz HP. The “bother” of urinary incontinence. Int Urogynecol J. 2014;25(7):947-51.
  • 20. Kaya S, Akbayrak T, Beksaç S. Comparison of different treatment protocols in the treatment of idiopathic detrusor overactivity: a randomized controlled trial. Clin Rehabil. 2011;25(4):327-38.
  • 21. Ferreira CHJ, Bø K. The Pad Test for urinary incontinence in women. J Physiother. 2015;61(2):98.
  • 22. Kaya S, Akbayrak T, Gursen C, Beksac S. Short-term effect of adding pelvic floor muscle training to bladder training for female urinary incontinence: a randomized controlled trial. Int Urogynecol J. 2015;26(2):285-93.
  • 23. Demirturk F, Akbayrak T, Karakaya IC, Yuksel I, Kirdi N, Demirturk F, et al. Interferential current versus biofeedback results in urinary stress incontinence. Swiss Med Wkly. 2008;138(21-22):317-21.
  • 24. Sinclair AJ, Ramsay IN. The psychosocial impact of urinary incontinence in women. The Obstetrician & Gynaecologist. 2011;13(3):143-8.
  • 25. Bø K. Pelvic floor muscle strength and response to pelvic floor muscle training for stress urinary incontinence. Neurourol Urodyn. 2003;22(7):654-8.
  • 26. Dannecker C, Wolf V, Raab R, Hepp H, Anthuber C. EMG-biofeedback assisted pelvic floor muscle training is an effective therapy of stress urinary or mixed incontinence: a 7-year experience with 390 patients. Arch Gynecol Obstet. 2005;273(2):93.
  • 27. Hirakawa T, Suzuki S, Kato K, Gotoh M, Yoshikawa Y. Randomized controlled trial of pelvic floor muscle training with or without biofeedback for urinary incontinence. Int Urogynecol J. 2013;24(8):1347-54.
  • 28. Capelini MV, Riccetto CL, Dambros M, Tamanini JT, Herrmann V, Muller V. Pelvic floor exercises with biofeedback for stress urinary incontinence. Int Braz J Urol. 2006;32(4):462-9.
Konular Sağlık Bilimleri
Dergi Bölümü ORJİNAL MAKALE
Yazarlar

Yazar: Nuriye ÖZENGİN
Kurum: Abant İzzet Baysal Üniversitesi KD Fizik Tedavi ve Rehabilitasyon YO
Ülke: Turkey


Yazar: Hatice ÇANKAYA
Kurum: Abant İzzet Baysal Üniversitesi Sağlık Bilimleri Enstitüsü Fizik Tedavi ve Rehabilitasyon Anabilim Dalı

Yazar: Yeşim BAKAR
Kurum: Abant İzzet Baysal Üniversitesi KD Fizik Tedavi ve Rehabilitasyon YO

Yazar: Mehmet Ata TOPÇUOĞLU
Kurum: Abant İzzet Baysal Üniversitesi Tıp Fakültesi Kadın Hastalıkları ve Doğum Anabilim Dalı

Yazar: Handan ANKARALI
Kurum: Düzce Üniversitesi Tıp Fakültesi Biyoistatistik ve Tıbbi Bilişim Anabilim Dalı

Bibtex @araştırma makalesi { anadoluklin301479, journal = {Anatolian Clinic the Journal of Medical Sciences}, issn = {2149-5254}, eissn = {2458-8849}, address = {Hayat Sağlık ve Sosyal Hizmetler Vakfı}, year = {2017}, volume = {22}, pages = {193 - 199}, doi = {10.21673/anadoluklin.301479}, title = {An Investigation of the Effectiveness of Electromyographic Biofeedback Applied In Addition To Pelvic Floor Muscle Training in Women with Stress Urinary Incontinence}, key = {cite}, author = {BAKAR, Yeşim and ÖZENGİN, Nuriye and TOPÇUOĞLU, Mehmet Ata and ÇANKAYA, Hatice and ANKARALI, Handan} }
APA ÖZENGİN, N , ÇANKAYA, H , BAKAR, Y , TOPÇUOĞLU, M , ANKARALI, H . (2017). An Investigation of the Effectiveness of Electromyographic Biofeedback Applied In Addition To Pelvic Floor Muscle Training in Women with Stress Urinary Incontinence. Anatolian Clinic the Journal of Medical Sciences, 22 (3), 193-199. DOI: 10.21673/anadoluklin.301479
MLA ÖZENGİN, N , ÇANKAYA, H , BAKAR, Y , TOPÇUOĞLU, M , ANKARALI, H . "An Investigation of the Effectiveness of Electromyographic Biofeedback Applied In Addition To Pelvic Floor Muscle Training in Women with Stress Urinary Incontinence". Anatolian Clinic the Journal of Medical Sciences 22 (2017): 193-199 <http://www.dergipark.gov.tr/anadoluklin/issue/31198/301479>
Chicago ÖZENGİN, N , ÇANKAYA, H , BAKAR, Y , TOPÇUOĞLU, M , ANKARALI, H . "An Investigation of the Effectiveness of Electromyographic Biofeedback Applied In Addition To Pelvic Floor Muscle Training in Women with Stress Urinary Incontinence". Anatolian Clinic the Journal of Medical Sciences 22 (2017): 193-199
RIS TY - JOUR T1 - An Investigation of the Effectiveness of Electromyographic Biofeedback Applied In Addition To Pelvic Floor Muscle Training in Women with Stress Urinary Incontinence AU - Nuriye ÖZENGİN , Hatice ÇANKAYA , Yeşim BAKAR , Mehmet Ata TOPÇUOĞLU , Handan ANKARALI Y1 - 2017 PY - 2017 N1 - doi: 10.21673/anadoluklin.301479 DO - 10.21673/anadoluklin.301479 T2 - Anatolian Clinic the Journal of Medical Sciences JF - Journal JO - JOR SP - 193 EP - 199 VL - 22 IS - 3 SN - 2149-5254-2458-8849 M3 - doi: 10.21673/anadoluklin.301479 UR - http://dx.doi.org/10.21673/anadoluklin.301479 Y2 - 2017 ER -
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