بررسی تأثیر دو نوع روش تمرین درمانی بر روی بهبود بی‌اختیاری ادرار استرسی در زنان

نوع مقاله : مقاله های پژوهشی

نویسندگان

1 دانشجوی کارشناسی ارشد، گروه فیزیوتراپی، دانشکده‌ی توان‌بخشی و کمیته‌ی تحقیقات دانشجویی، دانشگاه علوم پزشکی اصفهان، اصفهان، ایران

2 مربی، گروه فیزیوتراپی، دانشکده‌ی توان‌بخشی، دانشگاه علوم پزشکی اصفهان، اصفهان، ایران

3 دانشیار، گروه اورولوژی، دانشکده‌ی پزشکی، دانشگاه علوم پزشکی اصفهان، اصفهان، ایران

چکیده

مقدمه: بی‌اختیاری ادرار استرسی (SUI یا Stress urinary incontinence) یک مشکل شایع در بین جوامع امروزی به خصوص در زنان می‌باشد. با افزایش سن، تعداد حاملگی و افزایش وزن، شانس ابتلا به این بیماری افزایش می‌یابد. تا کنون درمان‌های غیر جراحی مختلفی برای درمان بی‌اختیاری ادرار استرسی پیشنهاد شده‌اند. هدف از انجام این مطالعه، بررسی تأثیر دو نوع روش تمرین درمانی بر روی بهبود علایم مربوط به بی‌اختیاری ادرار استرسی در زنان بود.روش‌ها: در این کارآزمایی بالینی تصادفی یک سو کور، 41 بیمار مبتلا به بی‌اختیاری ادرار استرسی با دامنه‌ی سنی 65-20 سال انتخاب شدند و به صورت تصادفی در دو گروه Biofeedback و تمرینات شکمی قرار گرفتند. سپس، قبل و بعد از مداخله، کیفیت زندگی افراد با استفاده از پرسش‌نامه‌ی International consultation on incontinence questionnaire (ICIQ)، قدرت عضلات با استفاده از معیار Oxford scale grade (OSG) و شدت بی‌اختیاری با معاینه‌ی بالینی، مورد بررسی و مقایسه قرار گرفت.یافته‌ها: در هر دو گروه، کیفیت زندگی و قدرت عضلات کف لگن، بعد از 12 هفته درمان بهبود یافت (01/0 > P). همچنین، شدت بی‌اختیاری نیز کاهش یافت (01/0 > P)، اما بین دو گروه از نظر آماری تفاوت معنی‌داری بین کیفیت زندگی، قدرت عضلات و شدت بی‌اختیاری مشاهده نشد (05/0 < P).نتیجه‌گیری: به نظر می‌رسد از نظر آماری، اضافه شدن تمرینات شکمی به برنامه‌ی تمرینات کف لگن، تأثیر به‌سزایی روی روند بهبودی بیماران مبتلا به بی‌اختیاری ادرار استرسی ندارد.

کلیدواژه‌ها

عنوان مقاله [English]

The Effect of Two Types of Exercise Therapy on Improvement of Stress Urinary Incontinence in Women

نویسندگان [English]

  • Anahita Torkzadeh 1
  • Abasali Pormomeny 2
  • Mahtab Zargham 3
1 MSc Student, Department of Physical Therapy, School of Rehabilitation Sciences AND Student Research Committee, Isfahan University of Medical Sciences, Isfahan, Iran
2 Instructor, Department of Physical Therapy, School of Rehabilitation Sciences, Isfahan University of Medical Sciences, Isfahan, Iran
3 Associate Professor, Department of Urology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
چکیده [English]

Background: Stress urinary incontinence (SUI) is a common problem among adults living in the community and it is more frequent in women. Its incidence increases with age, the number of pregnancy and body mass index (BMI). So far, several conservative treatments have been proposed for the treatment of stress urinary incontinence. The aim of this study was to evaluate the effect of two types of exercise therapy on symptoms of stress urinary incontinence.Methods: In this single-blinded randomized controlled trial (RCT) study, 41 patients with stress incontinence with age range of 20 to 65 years were recruited and randomly assigned to two groups, biofeedback and abdominal exercises. Quality of life and muscle strength were investigated by international consultation on incontinence (ICIQ) questionnaire and standard oxford scale grade (OSG), respectively before and after the intervention.Findings: After 12 weeks of treatment, quality of life improved in both groups (P < 0.01). Pelvic floor muscle strength was also increased after treatment in both group (P < 0.01), but, there was no statistically significant difference between the quality of life and muscle strength between two groups (P > 0.05).Conclusion: It seems that adding abdominal muscle training to pelvic floor muscle training (PFMT) have no statistically significant impact on the rehabilitation of the women with SUI.

کلیدواژه‌ها [English]

  • Stress Urinary Incontinence
  • Pelvic floor muscle training
  • Biofeedback
  • Abdominal muscle training

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مجله دانشکده پزشکی اصفهان
دوره 34، شماره 378 - شماره پیاپی 378
خرداد و تیر 1395
صفحه 341-346

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سابقه مقاله

  • تاریخ دریافت: 29 شهریور 1394
  • تاریخ بازنگری: 11 آبان 1403
  • تاریخ پذیرش: 17 فروردین 1401

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