Pelvic Floor Muscle Training With and Without Biofeedback in Women With Stress Urinary Incontinence
- Conditions
- MenopauseUrinary Incontinence, Stress
- Interventions
- Other: Pelvic floor muscle trainingOther: Eletromyography Biofeedback
- Registration Number
- NCT02275728
- Lead Sponsor
- Federal University of Rio Grande do Sul
- Brief Summary
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.
- Detailed 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.
Recruitment & Eligibility
- Status
- UNKNOWN
- Sex
- Female
- Target Recruitment
- 45
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
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.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- CROSSOVER
- Arm && Interventions
Group Intervention Description EMG Biofeedback treatment Pelvic floor muscle training 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. Pelvic Floor Muscle Training(PFMT) Pelvic floor muscle training 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. EMG Biofeedback treatment Eletromyography Biofeedback 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.
- Primary Outcome Measures
Name Time Method Evaluation of pelvic floor muscle strength with "Oxford Scale" 1 month The evaluation consists in bidigital intravaginal test which evaluates the pelvic floor muscle strength using the following 0-5 scale, where 0 = no contraction and 5 = maximal contraction with support against gravity The graduates range from 0 - 5 = 0 has no muscle contraction, 1 = outline of muscle contraction, 2 = contracts without support against gravity, 3 = contracts and holds little against gravity, 4 = contracts and holds up to 6 seconds against gravity and 5 = contracts and holds more than 6 seconds against gravity ntravaginal bidigital test that evaluates scale of pelvic floor muscle strength.
The graduates range from 0 - 5 = 0 has no muscle contraction, 1 = outline of muscle contraction, 2 = contracts without support against gravity, 3 = contracts and holds little against gravity, 4 = contracts and holds up to 6 seconds against gravity and 5 = contracts and holds more than 6 seconds against gravity
- Secondary Outcome Measures
Name Time Method The myoelectric activity evaluation of the pelvic floor 1month The myoelectric activity evaluation of the pelvic floor \[Time Frame: 1month\] \[Safety Issue: No\] assessment of myoelectric record by EMG biofeedback through an intra-cavity disposable electrode which evaluates the initial and final rest in 60 seconds, the average of three maximal voluntary contractions, time of sustained contraction, number of peaks of contraction in 10 seconds and the test effort requesting cough