Physiotherapy for persistent postnatal stress urinary incontinence : a randomized controlled trial
dc.contributor.author | Dumoulin, Chantal | |
dc.contributor.author | Lemieux, Marie-Claude | |
dc.contributor.author | Bourbonnais, Daniel | |
dc.contributor.author | Gravel, Denis | |
dc.contributor.author | Bravo, Gina | |
dc.contributor.author | Morin, Mélanie | |
dc.date.accessioned | 2016-09-28T14:04:16Z | |
dc.date.available | NO_RESTRICTION | fr |
dc.date.available | 2016-09-28T14:04:16Z | |
dc.date.issued | 2004-09 | |
dc.identifier.uri | http://hdl.handle.net/1866/15837 | |
dc.title | Physiotherapy for persistent postnatal stress urinary incontinence : a randomized controlled trial | fr |
dc.type | Article | fr |
dc.contributor.affiliation | Université de Montréal. Faculté de médecine. École de réadaptation | fr |
UdeM.statut | Professeur(e) / Professor | fr |
dc.identifier.doi | 10.1097/01.AOG.0000135274.92416.62 | |
dcterms.abstract | OBJECTIVE: The aim of this study was to compare the effectiveness of multimodal supervised physiotherapy programs with the absence of treatment among women with persistent postnatal stress urinary incontinence. METHODS: This was a single-blind randomized controlled trial. Sixty-four women with stress urinary incontinence were randomly assigned to 8 weeks of either multimodal pelvic floor rehabilitation (n = 21), multimodal pelvic floor rehabilitation with abdominal muscle training (n = 23), or control non–pelvic floor rehabilitation (n = 20). The primary outcome measure consisted of a modified 20-minute pad test. The secondary outcome measures included a Visual Analog Scale describing the perceived burden of incontinence, the Urogenital Distress Inventory, the Incontinence Impact Questionnaire, and pelvic floor muscle function measurements. RESULTS: Two patients dropped out, leaving 62 for analysis. At follow-up, more than 70% of the women in the treatment groups (14/20 in the pelvic floor and 17/23 in the pelvic floor plus abdominal group) were continent on pad testing compared with 0% of women in the control group. Scores on the pad test, Visual Analog Scale, Urogenital Distress Inventory, and Incontinence Impact Questionnaire improved significantly in both treatment groups (all P < .002), whereas no changes were observed in the control group. Pelvic floor muscle function, however, did not improve significantly in either active group. CONCLUSION: Multimodal supervised pelvic floor physiotherapy is an effective treatment for persistent postnatal stress urinary incontinence. | fr |
dcterms.isPartOf | urn:ISSN:0029-7844 | |
dcterms.language | eng | fr |
UdeM.VersionRioxx | Version acceptée / Accepted Manuscript | |
oaire.citationTitle | Obstetrics and gynecology | |
oaire.citationVolume | 104 | |
oaire.citationIssue | 3 | |
oaire.citationStartPage | 504 | |
oaire.citationEndPage | 510 |
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