Bladder training compared to bladder training associated with pelvic floor muscle training for overactive bladder symptoms in women: A randomized clinical trial

医学 夜尿症 膀胱过度活动 盆底肌 随机对照试验 尿失禁 泌尿科 物理疗法 膀胱 泌尿系统 内科学 替代医学 病理
作者
Sílvia Correia Monteiro,Anna Karoline Lopes Rocha,Lilian Valim,Sílvia Lanziotti Azevedo da Silva,Cássio Riccetto,Simone Botelho
出处
期刊:Neurourology and Urodynamics [Wiley]
卷期号:42 (8): 1802-1811
标识
DOI:10.1002/nau.25285
摘要

Abstract Aims To compare the effects of bladder training (BT) versus BT with pelvic floor muscle training (PFMT) in women with overactive bladder (OAB) symptoms. Methods Randomized controlled clinical trial including women with OAB symptoms, randomized into two groups: BT versus BT + PFMT. For 12 consecutive weeks, the women received home BT. The BT + PFMT performed supervised PFMT, once/week, associated at home PFMT protocol. Primary outcomes were urinary urgency, daytime voiding frequency, nocturia and urgency urinary incontinence assisted by both 3‐day bladder diary and International Consultation on Incontinence OAB (ICIQ‐OAB) questionnaire. Secondary outcomes were 24‐h pad test and Patient Global Impression of Improvement. T ‐test, analysis of variance, Mann–Whitney (SPSS 20.0) and power/effect size (G‐power) were applied in data analyses. Results Sixty‐three women were included ( B = 31; BT + PFMT = 32). There was no significant statistical difference between groups in terms of urinary symptoms: daytime frequency (BT: pre: 11.59 [±5.80], post: 9.10 [±4.05]; BT + PFMT: pre: 10.67 [±3.73], post: 8.08 [±3.38]) p = 0.75; nocturia: (BT: pre: 1.46 [±0.91], post: 0.82 [±0.82]; BT + PFMT: pre: 1.80 [±2.26], post: 0.82 [±1.15]) p = 0.70; urinary urgency (BT: pre: 3.22 [±4.70], post: 4.49 [±4.32]; BT + PFMT: pre: 6.87 [±5.60], post: 6.15 [±4.52]) p = 0.10; ICIQ‐OAB total score: (BT: pre: 9.16 [±2.55], post: 6.32 [±3.77]; (BT + PFMT: pre: 9.75 [±2.06], post: 5.06 [±3.44] p = 0.30. Conclusions Supervised PFMT added to BT did not provide further improvements than isolated BT in women with OAB symptoms.
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