Pelvic Floor Muscle Training With and Without Biofeedback in Women With Stress Urinary Incontinence

Federal University of Rio Grande do Sul

Status: Unknown

Conditions: Urinary Incontinence, Stress; Menopause

Treatments: Other: Eletromyography Biofeedback; Other: Pelvic floor muscle training

Study type: Interventional

Funder types: Other

Identifiers

NCT02275728

02605013.9.0000.5327

14-0233 (Other Identifier)

Details and patient eligibility

About

This study evaluates the action of the pelvic floor muscle training with and without EMG Biofeddback in the treatment of stress urinary incontinence in menopausal, peri and post menopausal women and their quality of life before and after the interventions.

Full description

The Pelvic floor muscle training has been the first line of choice in the treatment of Stress Urinary Incontinence. The goal of this technique is increasing the strength and function of the pelvic floor which aims to support the pelvic viscera, as well as part of their duties, such as locks sphincter muscles.

Risk factors such as advanced age, obesity, multiple pregnancy, can cause a woman to present urinary incontinence (SUI), where the main cause is the dysfunction of the pelvic floor muscles and the lack of awareness of these muscles as well as biomechanical problems.

Some studies describe the use of EMG biofeedback to assess and improve the function of the pelvic floor muscles, however, the studies are not yet conclusive about the action of adding this equipment in the treatment of SUI.

In this regard, the EMG Biofeedback has the ability to physiologically evaluate these disorders and perform a faster treatment for these patients, improving their quality of life. The EMG has the ability to monitor and measure the progression of activation of the pelvic floor muscles, giving feedback to the patient and therapist about the actual condition of muscle function.

Enrollment: 45 patients

Sex: Female

Ages: 50 to 65 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

Will be included in this study:

• all women,
• spontaneous free will,
• have knowledge of research and sign the Instrument of Consent -TCLE.
• Menopausal women,
• pre and post-menopause,
• urinary incontinence with the effort

Exclusion criteria

Will be excluded from the study:

• patients with neurological, cardiovascular, rheumatologic diseases,
• diabetes mellitus,
• chronic lung disease,
• rheumatoid arthritis,
• Enhlers-danlos,
• Sexually Transmitted Diseases (STDs),
• do not submit annual gynecological exams.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Crossover Assignment

Masking: Single Blind

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45 participants in 3 patient groups

Pelvic Floor Muscle Training(PFMT)

Experimental group

Description:

The conducted training by two groups, consisting of phasic contractions (3 sets of 10 repetitions of maximal contraction for two seconds to double or triple rest), endurance (two sets of six repetitions of sustained contractions of 6-10 seconds with the same rest time) and training effort, requesting the anticipated contraction of the abdominal pelvic floor coughing effort. We used the same protocol in the supine position, sitting and standing, as evolution of the patient. Both were treated 2 times per week, 20 minutes, totaling 8 sessions.

Treatment:

Other: Pelvic floor muscle training

EMG Biofeedback treatment

Active Comparator group

Description:

In this group, the same protocol of the TMAP will be held, however, emg biofeedback is used during training for 20 minutes, 2 times a week, 8 sessions.

Treatment:

Other: Eletromyography Biofeedback

Other: Pelvic floor muscle training

no treatment

No Intervention group

Description:

In this group, will be held only the initial assessment, you will not receive treatment for a month and will be reevaluated after being serviced this period.