Effect of Kegel Exercise and Interfrential Current in Treatment Women with Stress Urinary Incontinence

Document Type : Original Article

Authors

1 Department, Nursing and Midwifery Faculty.

2 Department of Physical Therapy, Faculty of PT, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.

Abstract

Background and Objective: Urinary stress incontinence has been defined as any involuntary leakage of urine on effort or exertion or on sneezing or coughing. Physical treatment and rehabilitation have an important role in the treatment of stress urinary incontinence.
Subjects and Methods: In this clinical trial study, forty five women with urinary stress incontinence were included .Diagnosis was made according to the detailed history, physical examinations and urinary tests. All cases were randomly divided into three groups. Fifteen cases underwent kegel exercises, fifteen other cases underwent interferential current and both treatment (kegel exercise and interferential current) were applied the remaining cases. Number of leakages in three days and amount of leakage were evaluated pre and post treatment and the values of these data were compared in each group and among groups.
Results: All of the parameters improved after treatment in each group (p<0/05). Kegel exercise and interferential current seemed to have similar effects on the number of leakages in three days before and after test. Treatment with kegel exercise and interferential current together was more effective on decreasing the number of leakages in three days than each one alone (p<0/05).
Conclusions: Physical therapy modalities used in this trial are easy and non invasive. Treatment with kegel exercise and interferential current together can be more effective in patients with urinary stress incontinence.
      Sci Med J 2011;10(5):527-34

Keywords

References

 
 1-Bal R, Saha S, Krisnamurthy P. Postpartum urinary stress incontinence its relation with the mode of delivery. J Obstet Gynecol India. 2006; 56:4.
2-Willson PD, Herbison RM, Herbison GP. Obstetric practice and the prevalence of urinary incontinence three months after delivery. Br J Obstet Gynecol. 1996; 103(2): 154-61. [PMID: 8616133]
3-Rosenzweig BA, Hischke D, Thomas S, Nelson AL, Bhatia NN. Stress incontinence in women: Psychological status before and after treatment. J Repord Med. 1991: 36(12): 835-8. [PMID: 1816393]
4-Malekzadegan A, Khangari S, Yadavar M. Tasire estefade az makhruthaye mohbali bar bi ekhtiari esteresi edrari.faslname parastari iran zemestane. 1381; bahare 1382: 32- 3.(in persian)
 5-Charlotte C, Veena K, Staurt L. Antenatal prediction of postpartum urinary and fecal incontinence. Obstet Gynecol. 1999; 94: 689-696.
6-Ryan KJ, Berkowitz S, Barbieri L. Kistners gynecology womens Health. Ghazijahani B, Ghotbi R, translator. Golban medical publications: 2006; 688-90, 668, 679.
7-National institutes of health. Urinary incontinence in adults. Washington, DC: Medical applications of research. National institutes of  health. 1988; 7: 1-11.
8-Morkved S, Bo K. Prevalence and treatment of post partum urinary incontinence. Norsk Epidemiologi. 1997; 7(1): 123-7.
9-Dumolin C, Hay-SMIT J. Pelvic floor muscle training versus no treatment, or inactive control treatments, for urinary incontinence in women. Cochrane Database Syst Rev. 2010; 20(1): CD005654. [PMID: 20091581]
10-Plevnics S, Janez J. Maximal electrical stimulation for urinary incontinence. Urology. 1979: 14(6): 838-45. [PMID: 316213]
11-Arruda RM, Castro RA, Sartori MG, Takano CC, Baracat EC, Rodrigues Lima G, et al. Clinical and urodynamic evaluation of women with detrusor insability before and after functional pelvic floor electrostimulation. Clin Exp Obstet Gynecol. 2003; 30(4): 220-2. [PMID: 14664417]
12-BO K, Talseth T, Holme I. Single blind, randomized controlled trial of pelvic floor exercises,electrical stimulation,vaginal cones, and no treatment in management of genuine stress incontinence in womwn. BMJ. 1999; 318(7182): 487-93. [PMID: 10024253]
13-Kazemi B, Ebrahimian M, Manahatchi F. Barrasi tasire garyanhaye tadakholi dar darmane bi ekhtiari esteresy edrary. Article of medical college,  Gilan medical sciences university: 7 ; 27- 28.
14-Morkved S, Bo K. Effect of postpurtum pelvic floor muscle training in prevention and treatment of urinary incontinence: a one-year follow up. BJOG. 2000; 107(8): 1022-8. [PMID: 10955436]
15-Demirtürk F, Akbayrak T, Karakaya IC, Yüksel I, Kirdi N, Demirtürk F, et al. Interfrential current versus biofeedback  results in urinary stress incontinence. Swiss Med Wkly. 2008; 138(21-22): 317-21. [PMID: 18516753]
16- Scott RS, Hsueh GS. A clinical study of the effects of galvanic vaginal muscle stimulation in urinary stress incontinence and sexual dysfunction. Am J Obstet Gynecol. 1979; 135(5): 663-5. [PMID: 315712]
17-Baud D, Meyer S, Vial Y, Hohlfeld P, Achtari C. Pelvic floor dysfunction 6 years post-anal sphincter tear at the time of vaginal delivery. Int Urogynecol J. 2011; 22(9): 1127-34. [PMID: 21512827]
18-Turkan A, Inci Y, Fazli D. The short- term effect of physical therapy in different intensities of urodynamic stress incontinence. Gynecol Obstet Invest. 2005; 59(1): 43-8. [PMID: 15459518]
19-Dumoulin C, Seaborne DE, Quirion-DeGirardi C, Sullivan SJ. Pelvic-floor rehabilitation, part 2: pelvic floor re-education with interferential currents and exercise in the treatment of genuine stress incontinence in postpartum women: acohort study. Phys Ther. 1995; 75(12): 1075-81. [PMID: 7501710]
Jundishapur Scientific Medical Journal
Volume 10, Issue 5 - Serial Number 74
January and February 2011
Pages 527-534

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History

  • Receive Date: 10 February 2010
  • Revise Date: 30 July 2011
  • Accept Date: 27 September 2011

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