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The effect of pelvic floor muscle exercises on genuine stress incontinence among Korean women - Focusing on its effects on the quality of life

Title
The effect of pelvic floor muscle exercises on genuine stress incontinence among Korean women - Focusing on its effects on the quality of life
Authors
Sung, MSChoi, YHBack, SHHong, JYYoon, H
Ewha Authors
최영희윤하나
SCOPUS Author ID
최영희scopus; 윤하나scopus
Issue Date
2000
Journal Title
YONSEI MEDICAL JOURNAL
ISSN
0513-5796JCR Link
Citation
vol. 41, no. 2, pp. 237 - 251
Keywords
female stress urinary incontinencepelvic floor muscle exercisebiofeedback
Publisher
YONSEI UNIV COLLEGE MEDICINE
Indexed
SCI; SCIE; SCOPUS; KCI WOS
Abstract
This study's purpose was to compare the treatment efficacy and the effects on the patients' quality of life of the pelvic floor muscle (PFM) exercise and the functional electrical stimulation (FES)-biofeedback method. Ninety female incontinence patients were randomly selected and evenly divided into three groups: control, intensive PFM exercise, and FES-biofeedback groups. They were treated for 6 weeks. The subjective changes in the severity of incontinence and discomfort in daily and social life were measured using a translated version of Jackson's Bristol female urinary symptom questionnaire. Objective changes of pelvic muscle contraction force were measured by perineometer. Pre and post-treatment maximal pelvic floor muscle contractile pressure (PMC pressure) among the three groups showed statistically significant differences (p<0.001). Especially the FES-biofeedback group showed significant ly increased maximal PMC pressure compared with other groups (p<0.001). From the questionnaire, pre and post-treatment changes in the severity of urinary incontinence and discomfort due to incontinence showed significant differences among the three groups (p < 0.001). The level of discomfort in daily life, social activity, physical activity, personal relations and discomfort due to urinary symptoms had largely changed and the FES-biofeedback group, in particular, showed a significant decrease after treatment. In conclusion. when PFM exercise and FES-biofeedback were compared in terms of their effects on the patients' quality of life, FES-biofeedback proved to be more effective than verbal explanation or simple PFM exercise.
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간호대학 > 간호학전공 > Journal papers
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