Nuriye ÖZENGİN, Hatice ÇANKAYA, Yeşim BAKAR, Mehmet Ata TOPÇUOĞLU, Handan ANKARALI

Stres Üriner İnkontinanslı Kadınlarda Pelvik Taban Kas Eğitimine Ek Olarak Uygulanan Elektromyografik Biofeedback Eğitiminin Etkinliğinin İncelenmesi

Amaç: Stres üriner inkontinanslı kadınlarda pelvik taban kas eğitimine ek olarak uygulanan elektromyografik biofeedback eğitiminin yaşam kalitesi, idrar kaçırma miktarı ve pelvik taban kas kuvveti üzerine etkisinin araştırılması amaçlandı. Gereç ve Yöntemler: Çalışmaya stres üriner inkontinanslı 52 kadın hasta dâhil edildi. Hastalar pelvik taban kas eğitimi (n=27) ve pelvik taban kas eğitimiyle birlikte elektromyografik biofeedback eğitimi (n=25) alanlar olarak iki gruba ayrıldı. Hastaların algılanan yaşam kalitesi ve algılanan kuruluk hissi için bir vizüel analog skala kullanıldı. Pelvik taban kas kuvveti, vajinal basınç manometresi ile; idrar kaçırma miktarı ise 1 saatlik ped testi ile değerlendirildi. Değerlendirmeler, tedavi öncesi ve 8 haftalık tedavi sonrasında yapıldı. Bulgular: Pelvik taban kas eğitimi ve pelvik taban kas eğitimine ek olarak uygulanan elektromyografik biofeedback eğitimleri grup içi analizlerinde, tedavi öncesi ve sonrası algılanan kuruluk hissi, algılanan yaşam kalitesi, pelvik taban kas kuvveti ve idrar kaçırma miktarında iyileşme olduğu saptandı (p<0.05). Gruplar arası değerlendirmelerde fark saptanmadı (p>0.05). Tartışma ve Sonuç: Stres üriner inkontinanslı kadınların tedavisinde pelvik taban kas eğitimine ek olarak uygulanan elektromyografik biofeedback eğitiminin ilave bir iyileştirici etkisi olmadığı saptandı.nce.

Anahtar Kelimeler:

Üriner inkontinans, pelvik taban kas eğitimi, biyogeribildirim

An Investigation of the Effectiveness of Electromyographic Biofeedback Applied In Addition To Pelvic Floor Muscle Training in Women with Stress Urinary Incontinence

Aim: The aim was to investigate the effects of electromyography biofeedback training applied in addition to pelvic floor muscle training on the quality of life, amount of urine leakage and pelvic floor muscle strength in women with stress urinary incontinence. Materials and Methods: 52 women with stress urinary incontinence included in the study. The patients were divided into two groups. First group received pelvic floor muscle training (n= 27) and the other group received electromyography biofeedback training in addition to pelvic floor muscle training (n= 25). The perceived quality of life and dryness sensation of the women were assessed by using a visual analog scale. The pelvic floor muscle strength was evaluated by a vaginal pressure manometer. Their amount of urine leakage was evaluated by a 1-hour pad test. The evaluations were performed before the treatment and after an 8 weeks treatment. Results: Pelvic floor muscle training and electromyographic biofeedback training in addition to pelvic floor muscle training showed improvement in dryness sensation, perceived quality of life, pelvic floor muscle strength and amount of urine leakage before and after treatment in intra-group analyzes (p<0.05). The assessments showed that there was no difference between the groups (p>0.05). Discussion and Conclusion: The electromyography biofeedback training in addition to pelvic floor muscle training did not show an additional healing effect in the treatment of women with stress urinary incontinence.

Keywords:

Urinary incontinence, pelvic floor muscle training, biofeedback,

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