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Add-On Effect of Postural Instructions to Abdominopelvic Exercise on Urinary Symptoms and Quality of Life in Climacteric Women with Stress Urinary Incontinence. A Pilot Randomized Controlled Trial

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  • Laura Fuentes-Aparicio

    (Department of Physiotherapy, University of Valencia, Gascó Oliag, 5, 46010 Valencia, Spain
    Physiotherapy in Motion, Multi Speciality Research Group (PTinMOTION), Department of Physiotherapy, University of Valencia, Gascó Oliag, 5, 46010 Valencia, Spain)

  • Mercè Balasch-Bernat

    (Department of Physiotherapy, University of Valencia, Gascó Oliag, 5, 46010 Valencia, Spain
    Physiotherapy in Motion, Multi Speciality Research Group (PTinMOTION), Department of Physiotherapy, University of Valencia, Gascó Oliag, 5, 46010 Valencia, Spain)

  • Laura López-Bueno

    (Department of Physiotherapy, University of Valencia, Gascó Oliag, 5, 46010 Valencia, Spain)

Abstract

The aim of this study was to investigate the add-on effect of postural instructions to an abdominopelvic exercise program on incontinence urinary symptoms (UI symptoms) and quality of life (QoL) in climacteric women with stress urinary incontinence (SUI). A randomized controlled trial was performed with a total of 40 climacteric women with SUI aged between 46 and 75 years old. Participants were randomly assigned to two groups: a group performing an abdominopelvic exercise program (AEP) ( n = 20) and a group performing abdominopelvic exercise with the addition of postural instructions (AEPPI) ( n = 20). Primary outcome measures were UI symptoms, UI impact and QoL related to UI (UI-QoL), measured by 48 h Pad Test and International Consultation on Incontinence Questionnaire Short Form (ICIQ-UI-SF), which were assessed at baseline, post-intervention and 3 months follow-up. Secondary outcome was patient’s satisfaction measured by the 100-point Visual Analogic Scale (VAS) only after the intervention. Between-groups differences were observed in terms of UI-QoL immediately after intervention. Within-groups differences were observed between baseline to 3 months follow-up and between post-intervention to 3 months follow-up in AEPPI group ( p < 0.05) for UI-QoL and UI impact. UI symptoms were improved in both groups between baseline to 3-months follow-up ( p < 0.05). Patient’s satisfaction was higher in the AEPPI group ( p < 0.05). The addition of postural instructions to an abdominopelvic exercise program improves UI impact to QoL and patients’ satisfaction in women with SUI.

Suggested Citation

  • Laura Fuentes-Aparicio & Mercè Balasch-Bernat & Laura López-Bueno, 2021. "Add-On Effect of Postural Instructions to Abdominopelvic Exercise on Urinary Symptoms and Quality of Life in Climacteric Women with Stress Urinary Incontinence. A Pilot Randomized Controlled Trial," IJERPH, MDPI, vol. 18(3), pages 1-12, January.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:3:p:928-:d:484739
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    References listed on IDEAS

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    1. Magdalena Ptak & Agnieszka Brodowska & Sylwester Ciećwież & Iwona Rotter, 2017. "Quality of Life in Women with Stage 1 Stress Urinary Incontinence after Application of Conservative Treatment—A Randomized Trial," IJERPH, MDPI, vol. 14(6), pages 1-10, May.
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    Cited by:

    1. Yuting Tang & Xian Guo & Yi Wang & Zeyao Liu & Guoxia Cao & Yanbing Zhou & Mengmeng Chen & Jingying Liu & Jinhao Mu & Mengjie Yuan, 2022. "Rumba Dance Combined with Breathing Training as an Exercise Intervention in the Management of Stress Urinary Incontinence in Postmenopausal Women: A Randomized Controlled Trial," IJERPH, MDPI, vol. 20(1), pages 1-13, December.

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