Effect of increasing awareness of pelvic floor muscle function on pelvic floor dysfunction: a randomized controlled trial

详细信息    查看全文

• 作者：Kelli Berzuk ; Barbara Shay
• 关键词：Awareness ; Education ; Incontinence ; Pelvic floor dysfunction ; Pelvic floor health knowledge ; Pelvic floor muscle
• 刊名：International Urogynecology Journal
• 出版年：2015
• 出版时间：June 2015
• 年：2015
• 卷：26
• 期：6
• 页码：837-844
• 全文大小：511 KB
• 参考文献：1.Voorham-van der Zalm PJ1, Stiggelbout AM, Aardoom I, Deckers S, Greve IG, Nijeholt GA, Pelger RC (2008) Development and validation of the pelvic floor inventories Leiden (PelFIs). Neurourol Urodyn 27(4):301-05
  2.International Continence Society (2003) Stress urinary incontinence and women: discovering the truth. Wirthlin Worldwide
  3.Wu J, Kawasaki A, Hundley AF, Dieter AA, Myers ER, Sung VW (2010) Predicting the number of incontinence and prolapse surgeries in U.S. women from 2010 to 2050 (abstract). Presented at the 31st Annual Meeting of the American Urogynecologic Society, 29 Sep to 2 Oct 2010, Long Beach, California. Female Pelvic Med Reconstr Surg 16(5 Suppl 2):S54
  4.Voorham-van der Zalm PJ1, Lycklama A Nijeholt GA, Elzevier HW, Putter H, Pelger RC (2008) “Diagnostic investigation of the pelvic floor- a helpful tool in the approach in patients with complaints of micturition, defecation, and/or sexual dysfunction. J Sex Med 5:864-71
  5.Ashton-Miller JA, DeLancey JO (2007) Functional anatomy of the female pelvic floor. Ann N Y Acad Sci 1101:266-96View Article PubMed
  6.Wallner C, van Wissen J, Mass CP, Dabhoiwala NF, DeRuiter MC, Lamers WH (2008) The contribution of the levator ani nerve and the pudendal nerve to the innervation of the levator ani muscles; a study in human fetuses. Eur Urol 54(5):1136-142View Article PubMed
  7.Unger CA, Weinstein MM, Pretorius DH (2011) Pelvic floor imaging. Obstet Gynecol Clin N Am 38:23-3View Article
  8.Hodges PW, Sapsford R, Pengel LH (2007) Postural and respiratory functions of the pelvic floor muscles. Neurourol Urodyn 26(3):362-71View Article PubMed
  9.Morin M, Bourbonnais D, Gravel D, Dumoulin C, Lemieux M-C (2004) Pelvic floor muscle function in continent and stress urinary incontinent women using dynamometric measurements. Neurourol Urodyn 23(7):668-74View Article PubMed
  10.Shah AD, Massagli MP, Kohli N, Rajan SS, Braaten KP, Hoyte L (2008) A reliable, valid instrument to assess patient knowledge about urinary incontinence and pelvic organ prolapse. Int Urogynecol J 19:1283-289View Article
  11.Good MM, Korbly N, Kassis NC, Richardson ML, Book NM, Yip S, Saguan D et al (2013) Prolapse-related knowledge and attitudes toward the uterus in women with pelvic organ prolapse symptoms. Am J Obstet Gynecol 209(5):481.e1-81.e6View Article
  12.Mandimika CL, Murk W, Muhlhauser McPencow A, Lake A, Wedderburn T, Collier CH, Connell KA et al (2014) Knowledge of pelvic floor disorders in a population of community-dwelling women. Am J Obstet Gynecol 210:165.e1-65.e9View Article
  13.Barber MD, Walters MD, Bump RC (2005) Short forms of two condition-specific quality-of-life questionnaires for women with pelvic floor disorders (PFDI-20 and PFIQ-7). Am J Obstet Gynecol 193:103-13View Article PubMed
  14.Davis K, Kumar D, Stanton SL (2003) Pelvic floor dysfunction: the need for a multidisciplinary team approach. J Pelvic Med Surg 9(1):23-6View Article
  15.Davis K, Kumar D, Wake MC (2010) Pelvic floor dysfunction: a scoping study exploring current service provision in the UK, interprofessional collaboration and future management priorities. Int J Clin Pract 64(12):1661-670View Article PubMed
  16.Liapis A, Bakas P, Liapi S, Sioutis D, Creatsas G (2010) Epidemiology of female urinary incontinence in the Greek population: EURIG study. Int Urogynecol J 21:217-22View Article PubMed
  17.Madombwe JP, Knight S (2010) High prevalence of urinary incontinence and poor knowledge of pelvic floor exercises among women in Ladysmith. SAJOG 16(1):18-4
  18.Hawary A, Sinclair A, Pearce I (2010) The origin of information: are IUGA-specific patient information leaflets the answer? Int Urogynecol J 21:1001-004View Article PubMed
  19.Geoffrion R, Robert M, Ross S, van Heerden D, Neustaedter G, Tang S, Milne J (2009) Evaluating patient learning after an educational program for women with incontinence and pelvic organ prolapse. Int Urogynecol J 20:1243-252View Article
  20.Tannenbaum C, Drali R, Holroyd-Leduc J, Richard L (2010) Lessons learned: impact of a continence promotion activity for older community-dwelling women. Neurourol Urodynam 29:540-44
  
• 作者单位：Kelli Berzuk (1)
  Barbara Shay (2)
  
  1. IPPC Incontinence & Pelvic Floor Clinic, 714 Medical Arts Building, 233 Kennedy Street, Winnipeg, MB, Canada, R3C 3J5
  2. School of Medical Rehabilitation, University of Manitoba, Winnipeg, MB, Canada
  
• 刊物主题：Gynecology; Urology/Andrology;
• 出版者：Springer London
• ISSN：1433-3023

文摘

Introduction and hypothesis This randomized controlled study with blinding allocation evaluated pelvic floor knowledge (PFK) and the presence of pelvic floor dysfunction (PFD) in women office workers. The effects of receiving pelvic floor muscle (PFM) health education on PFK and PFD were also evaluated. Methods Of 161 female volunteers, 145 (90.0?%, age range 18-9?years) responded. They were randomly allocated to three groups (group A 48, group B 48, group C 49). Online surveys were completed by all groups on three occasions using validated tools (Prolapse and Incontinence Knowledge Quiz, PFDI-20, PFIQ-7) and PFM exercise items. On completion of the baseline survey, groups A and B received an education intervention (group C was the control). Following this, all participants completed the second survey. Two months later, to allow time for the PFM exercises to have an effect, group A attended a re-education presentation, followed by the final survey administered to all groups. The results were analyzed using analysis of variance and Tukey’s test. Results Participants receiving both PFM exercise education interventions (group A) and those receiving only the first education intervention (group B) showed highly significant improvements in PFK compared with the control group (both p-lt;-.001). The groups receiving PFM exercise education also showed a highly significant decrease in PFD symptoms (p-lt;-.001), and a significant increase in quality of life (QoL; p-lt;-.05). Conclusions While the results of this study cannot be generalized to all women, low levels of PFK was associated with high a prevalence of PFD, and an increase in knowledge/awareness following education was significantly associated with an increase in QoL and a decrease in PFD symptoms.