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Open AccessArticle

Add-On Effect of Postural Instructions to Abdominopelvic Exercise on Urinary Symptoms and Quality of Life in Climacteric Women with Stress Urinary Incontinence. A Pilot Randomized Controlled Trial

1
Department of Physiotherapy, University of Valencia, Gascó Oliag, 5, 46010 Valencia, Spain
2
Physiotherapy in Motion, Multi Speciality Research Group (PTinMOTION), Department of Physiotherapy, University of Valencia, Gascó Oliag, 5, 46010 Valencia, Spain
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2021, 18(3), 928; https://doi.org/10.3390/ijerph18030928
Received: 6 December 2020 / Revised: 16 January 2021 / Accepted: 18 January 2021 / Published: 21 January 2021
(This article belongs to the Special Issue Feature Papers in Women's Health)
The aim of this study was to investigate the add-on effect of postural instructions to an abdominopelvic exercise program on incontinence urinary symptoms (UI symptoms) and quality of life (QoL) in climacteric women with stress urinary incontinence (SUI). A randomized controlled trial was performed with a total of 40 climacteric women with SUI aged between 46 and 75 years old. Participants were randomly assigned to two groups: a group performing an abdominopelvic exercise program (AEP) (n = 20) and a group performing abdominopelvic exercise with the addition of postural instructions (AEPPI) (n = 20). Primary outcome measures were UI symptoms, UI impact and QoL related to UI (UI-QoL), measured by 48 h Pad Test and International Consultation on Incontinence Questionnaire Short Form (ICIQ-UI-SF), which were assessed at baseline, post-intervention and 3 months follow-up. Secondary outcome was patient’s satisfaction measured by the 100-point Visual Analogic Scale (VAS) only after the intervention. Between-groups differences were observed in terms of UI-QoL immediately after intervention. Within-groups differences were observed between baseline to 3 months follow-up and between post-intervention to 3 months follow-up in AEPPI group (p < 0.05) for UI-QoL and UI impact. UI symptoms were improved in both groups between baseline to 3-months follow-up (p < 0.05). Patient’s satisfaction was higher in the AEPPI group (p < 0.05). The addition of postural instructions to an abdominopelvic exercise program improves UI impact to QoL and patients’ satisfaction in women with SUI. View Full-Text
Keywords: abdominal muscles; pelvic floor muscles; postural control; stress urinary incontinence; urinary symptoms; quality of life abdominal muscles; pelvic floor muscles; postural control; stress urinary incontinence; urinary symptoms; quality of life
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MDPI and ACS Style

Fuentes-Aparicio, L.; Balasch-Bernat, M.; López-Bueno, L. Add-On Effect of Postural Instructions to Abdominopelvic Exercise on Urinary Symptoms and Quality of Life in Climacteric Women with Stress Urinary Incontinence. A Pilot Randomized Controlled Trial. Int. J. Environ. Res. Public Health 2021, 18, 928. https://doi.org/10.3390/ijerph18030928

AMA Style

Fuentes-Aparicio L, Balasch-Bernat M, López-Bueno L. Add-On Effect of Postural Instructions to Abdominopelvic Exercise on Urinary Symptoms and Quality of Life in Climacteric Women with Stress Urinary Incontinence. A Pilot Randomized Controlled Trial. International Journal of Environmental Research and Public Health. 2021; 18(3):928. https://doi.org/10.3390/ijerph18030928

Chicago/Turabian Style

Fuentes-Aparicio, Laura; Balasch-Bernat, Mercè; López-Bueno, Laura. 2021. "Add-On Effect of Postural Instructions to Abdominopelvic Exercise on Urinary Symptoms and Quality of Life in Climacteric Women with Stress Urinary Incontinence. A Pilot Randomized Controlled Trial" Int. J. Environ. Res. Public Health 18, no. 3: 928. https://doi.org/10.3390/ijerph18030928

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