Indian Journal of Physiotherapy & Occupational Therapy-An International Journal

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Randomized Controlled trial of Group Versus Individual Physiotherapy Sessions for Genuine Stress Incontinence in Women


Affiliations
1 SPB Physiotherapy College, Surat, India
2 SPB Physiotherapy College, Surat
3 U. N. Mehta Institute of Cardiology & Research Centre, Ahmedabad, India
     

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Background: Pelvic floor muscle exercises are used since 1948 as first-line treatment for management of genuine stress incontinence in women. This pelvic floor muscle exercises can be delivered simultaneously to a group of women or individually on a one to one basis.

Objective: The purpose of this study was to compare the effects of group physiotherapy and individual physiotherapy sessions on the severity of incontinence & quality of life in patients with genuine stress incontinence.

Materials and Methods: 40 women with chronic genuine stress incontinence were randomized into Group A - where women were delivered the pelvic floor muscle exercises in a group of 10 (n=20) & Group B - where pelvic floor muscle exercise on a conventional one to one basis, the individual approach (n=20) were administered. Outcome measures which included VAS for measuring severity of incontinence & King's health questionnaire for assessing quality of life were taken at baseline & at the end of 3 months intervention program.

Results: Both the group A and group B showed improvement in severity of incontinence and quality of life postintervention when compared with preintervention measurement and 't'calculated value for pre-postintervention measures was statistically significant as it was above the 't' tabulated value. Moreover, Mean±SD of pre-post change in VAS for group A was 2.02±0.46 and for group B was 1.94±0.43 and King's Health Questionnaire scores for group A was 30.09±5.3 and for group B was 21.51±6.73. 't'calculated value for pre-post changes was statistically not significant as it was below the 't' tabulated value of 2.576.

Conclusion: Both group and individual physiotherapy pelvic floor muscle exercises for women with genuine stress incontinence are equally effective. One may choose anyone of it to gain benefits.


Keywords

Genuine Stress Incontinence, Pelvic Floor Muscle Exercise, Group Physiotherapy, Individual Physiotherapy
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  • Stress Incontinence – medlineplus. Available at: http://www.nlm.nih.gov/medlineplus/ency/ article/000891.htm

  • Minassian VA, Stewart WF, Wood GC. Urinary incontinence in women: variation in prevalence estimates and risk factors. Obstet Gynecol. 2008 Feb;111:324-31.

  • Hunskaar S, Burgio K, Diokno AC, et al. Epidemiology and natural history of urinary incontinence. Urology October 2003;62(4):16-23.

  • Rehab Ali Mohamed, Ahmed Mahmoud Mostafa – The impact of urinary incontinence on quality of life of women attending family practice center at Fanara village – Ismailia governorate. Available from: http://www.scribd.com/doc/28184727/ Impact-of-Incontinence-on-Quality-of-Life

  • Marianne Gunnarsson, Pia Teleman , Anders Mattiasson , Jonas Lidfeldt , Christina Nerbrand , Göran Samsioe . - Effects of Pelvic Floor Exercises in Middle Aged Women with a History of Naive Urinary Incontinence: A Population Based Study. Eur Urol. 2002 May;41(5):556-61.

  • NICE guidelines for management of women with urinary incontinence (NICE 2006), Journal of the Association of Chartered Physiotherapists in Women’s Health, Autumn 2007;101:37-43.

  • H. Cammu & M. Van Nylen - Pelvic floor muscle exercises in genuine urinary stress incontinence. Int Urogynecol J, September 1997;8(5):297-300.

  • Chantale Dumoulin, Marie-Claude Lemieux – Physiotherapy for persistent postnatal SUI: a randomized controlled trial. American College of Obstetricians & Gynecologists, September 2004;104(3):504-10 .

  • Sara Demain, Jan Fereday Smith, Louise Hiller, Krysia Dziedzic – Comparison of group & individual Physiotherapy for female urinary incontinence in primary care. Physiotherapy, May 2001;87(5):235-42.

  • WMA Declaration of Helsinki - Ethical Principles for Medical Research Involving Human Subjects. [59th WMA General Assembly Seoul, Korea, Oct 2008]. Available from: http://www.wma.net/en/ 30publications/10policies/b3/

  • C. C. M. Janssen, A. L. M. Lagro-Janssen & A. J. A. Felling – the effects of physiotherapy for female UI individual compared with group treatment. BJU International(2001); 87:201-6.

  • Flávia de Oliveira Camargo, A n d r e a M o u r a R o d r i g u e s , Raquel Martins Arruda, Marair Gracio Ferreira Sartori, Manoel João Batista Castello Girão and Rodrigo Aquino Castro - Pelvic floor muscle training in female stress urinary incontinence: comparison between group training and individual treatment using PERFECT assessment scheme; Int Urogynecol J, December 2009;20(12):1455-62.

  • L. A. Hill, J. Fereday Smith, J. C. Knights, A. J. Williams, S. E. Lamb, J. Pepper, M. Clarke – bladders behaving badly: a randomized controlled trial of group versus individual intervention in management of female urinary incontinence. Journal of the Association of Chartered Physiotherapists in Women’s Health, Autumn 2007;101:30-36.

  • SE Lamb, J Pepper, R Lall, EC Jørstad-Stein, MD Clark, L Hill, and J Fereday-Smith - Group treatments for sensitive health care problems: a randomised controlled trial of group versus individual physiotherapy sessions for female urinary incontinence. BMC Womens Health(2009);9:26.

  • B. Aston & S. Moulder – Is group treatment acceptable in the management of women with pelvic floor dysfunction? Journal of the Association of Chartered Physiotherapists in Women’s Health, Autumn 2007; 101:37-43.

  • Frances Griffiths, Jo Pepper, Ellen C Jorstad- Stein, Jan Fereday Smith, Lesley Hill & Sarah E Lamb - Group versus individual sessions delivered by a physiotherapist for female urinary incontinence: an interview study with women attending group sessions nested within a randomised controlled trial. BMC Women’s Health 2009;9:25.s


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  • Randomized Controlled trial of Group Versus Individual Physiotherapy Sessions for Genuine Stress Incontinence in Women

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Authors

Komal Soni
SPB Physiotherapy College, Surat, India
Harshit Soni
SPB Physiotherapy College, Surat, India
Dhaval Desai
SPB Physiotherapy College, Surat
Chintan Shah
SPB Physiotherapy College, Surat, India
Hasmukh Patel
U. N. Mehta Institute of Cardiology & Research Centre, Ahmedabad, India

Abstract


Background: Pelvic floor muscle exercises are used since 1948 as first-line treatment for management of genuine stress incontinence in women. This pelvic floor muscle exercises can be delivered simultaneously to a group of women or individually on a one to one basis.

Objective: The purpose of this study was to compare the effects of group physiotherapy and individual physiotherapy sessions on the severity of incontinence & quality of life in patients with genuine stress incontinence.

Materials and Methods: 40 women with chronic genuine stress incontinence were randomized into Group A - where women were delivered the pelvic floor muscle exercises in a group of 10 (n=20) & Group B - where pelvic floor muscle exercise on a conventional one to one basis, the individual approach (n=20) were administered. Outcome measures which included VAS for measuring severity of incontinence & King's health questionnaire for assessing quality of life were taken at baseline & at the end of 3 months intervention program.

Results: Both the group A and group B showed improvement in severity of incontinence and quality of life postintervention when compared with preintervention measurement and 't'calculated value for pre-postintervention measures was statistically significant as it was above the 't' tabulated value. Moreover, Mean±SD of pre-post change in VAS for group A was 2.02±0.46 and for group B was 1.94±0.43 and King's Health Questionnaire scores for group A was 30.09±5.3 and for group B was 21.51±6.73. 't'calculated value for pre-post changes was statistically not significant as it was below the 't' tabulated value of 2.576.

Conclusion: Both group and individual physiotherapy pelvic floor muscle exercises for women with genuine stress incontinence are equally effective. One may choose anyone of it to gain benefits.


Keywords


Genuine Stress Incontinence, Pelvic Floor Muscle Exercise, Group Physiotherapy, Individual Physiotherapy

References