Evidence – Based Physical Therapy For The Pelvic Floor – Kari Bo (1)

decrease ES from 5 (0–14) to 0 (0–1) Max. perineometer in sham ES median (range) pre/post-treatment from 3.5 (1–5) to 5 (3–13), ES 1 (0–8) to 5 (2–16) No side-effect of (sham) ES reported IEF 0 in 6/7 ES, 1/6 in sham ES Questionnaire after 6 mts: ES no ES 4; sham ES further treatment needed Author Bø et al 1999 Design 4-arm RCT: PFMT, ES, VC, no treatment Sample size (age range 122 women GSI, mean (range) age 49.5 (24–70) or mean age, SD, years) Diagnosis Urodynamics, urofl owmetry, cystometry, pad test with standard.

bladder volume Training protocol PFMT: 8–12 VPFMC 3×/day at home; 1×/week offi ce ES: vaginal intermittent stim, 50 Hz 30 min/day VC: 20 min/day Drop outs 15/122 (12%) primary analysis & ITT analysis of all Adherence Mean (SE) adherence PFMT vs ES or VC sign. better, ES vs VC NS Results Sign.

imp. pre-/post-treament all treatment groups: PFMT vs no treatment sign. diff., p < 0.01) PFMT: 44% cured; no treatment 6.7% Change in PFM strength sign. greater in PFMT (p = 0.03), not in ES or VC ITT analysis same results PFMT vs no treatment sign. change in pad test after 6 mts, IEF (p < 0.01), Social Activity Index (p < 0.01) and Leakage Index (p < 0.01) No urodynamic parameters changed in any group pre-/ post-treatment Table 9.3 Randomized controlled trials on electrical stimulation to treat stress urinary incontinence—cont’d Author Brubaker et al 1997 Design 2-arm RCT: ES, sham ES Sample size (age range 148 women, subgroup GSI 60 women mean age 57 (SD 12) or mean age, SD, years) Diagnosis Urodynamics, micturition diary Training protocol ES: transvaginal, 20 Hz, 2/4 s work/rest, pulse width 0.1 μs, bipolar square wave, I 0–100 mA Sham ES same parameters, no I, both groups 8 weeks’ treatment Drop outs 18% Adherence ES vs sham ES mean compliance 87% vs 81% at 4 and 8 treatment weeks Results ES vs sham ES 6-week 24-h frequency NS 6-week no. of accidents/24 h (average) NS Adequate subj.

imp.

© 2007, Elsevier Ltd No part of this publication may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, photocopying, recording or otherwise, without the prior permission of the Publishers. Permissions may be sought directly from Elsevier’s Health Sciences Rights Department, 1600 John F. Kennedy Boulevard, Suite 1800, Philadelphia, PA 19103-2899, USA: phone: (+1) 215 239 3804; fax: (+1) 215 239 3805; or, e-mail: [email protected].

You may also complete your request on-line via the Elsevier homepage (http://www.elsevier.com), by selecting ‘Support and contact’ and then ‘Copyright and Permission’. ISBN 9780443101465 British Library Cataloguing in Publication Data A catalogue record for this book is available from the British Library. Library of Congress Cataloging in Publication Data A catalog record for this book is available from the Library of Congress. Note Neither the Publisher nor the Authors assume any responsibility for any loss or injury and/or damage to persons or property arising out of or related to any use of the material contained in this book.

It is the responsibility of the treating practitioner, relying on independent expertise and knowledge of the patient, to determine the best treatment and method of application for the patient. Working together to grow libraries in developing countries www.elsevier.com | www.bookaid.org | www.sabre.org The publisher’s policy is to use paper manufactured from sustainable forests Printed in China vii Contributors Espen Berner md Department of Surgery, Hamar Hospital, Hamar, Norway Kari Bø pt, msc, phd Professor, Department of Sports Medicine, Exercise Scientist, Norwegian School of Sports Sciences, Oslo, Norway Richard C.

Bump md Senior Medical Fellow, Lilly Research Laboratories and Clinical Professor of Obstetrics and Gynecology, Indiana University, Indiana, USA Wendy Bower bappsc, phd Associate Professor, Department of Surgery, The Chinese University of Hong Kong, Hong Kong Pauline Chiarelli dip physio, grad dip, h soc sc, m med sc, phd Senior Lecturer, School of Health Sciences, University of Newcastle, New South Wales, Australia Jacques Corcos phd Department of Urology, McGill University, Montreal, Quebec, Canada Rob de Bie phd, msc, pt Professor of Physical Therapy Research, Department of Epidemiology and Center of Evidence Based Physiotherapy (CEBP) Maastricht, Maastricht University, Maastricht, The Netherlands Paul Abrams md, frcs Professor of Urology, Bristol Urological Institute, Bristol, UK Dianne Alewijnse msc, phd Patient Education Communication Advisor, Gelre Hospitals, Apeldoorn and Zutphen, The Netherlands Arve Aschehoug msc sports science Department of Sports Medicine, Norwegian School of Sport Sciences, Oslo, Norway James A.

This is a short excerpt from the opening of “” by Unknown, quoted for review and introduction purposes. All rights belong to the copyright holders.

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