PDF(Pubmed)
Abstract：
OBJECTIVE: The present study aims to investigate the effects of external neuromuscular electrical stimulation (NMES) on urinary symptoms, pelvic floor muscle strength (PFMS), quality of life (QoL), sexual function, perception of subjective improvement (PSI), and satisfaction in urgency urinary incontinence (UUI).
METHODS: The randomized sham-controlled study design was employed in this study. Women aged 18-65 years, who were diagnosed with UUI, were randomly allocated into the NMES (external NMES + lifestyle advice, n = 15) and sham groups (sham NMES + lifestyle advice, n = 15). Both groups performed the application for 30 min, three days a week for eight weeks. Urinary symptoms were evaluated by using the International Incontinence Consultation Questionnaire-Short Form (ICIQ-SF) and a 3-day bladder diary. PFMS was assessed using the Modified Oxford Scale (MOS), QoL using the King\'s Health Questionnaire (KHQ), and sexual function using the Pelvic Organ Prolapse/Urinary Incontinence Sexual Function Questionnaire (PISQ-12). The PSI and satisfaction were questioned.
RESULTS: There was a higher level of decrease in the ICIQ-SF score, the mean number of voids/night and UI, all scores related to the KHQ (excluding interpersonal relationships), and a higher level of increase in maximum voiding volume, MOS scores, PISQ-12-emotional, PISQ-12-physical, and PISQ-12-total scores in the NMES group when compared to the sham group (p < 0.05). PSI and satisfaction were at higher levels in the NMES group than in the sham group (p < 0.05).
CONCLUSIONS: External NMES was an effective and complementary method in reducing urinary symptoms and improving PFMS, QoL, sexual function, PSI, and satisfaction level in women with UUI.
BACKGROUND: NCT04727983.
METHODS: The randomized sham-controlled study design was employed in this study. Women aged 18-65 years, who were diagnosed with UUI, were randomly allocated into the NMES (external NMES + lifestyle advice, n = 15) and sham groups (sham NMES + lifestyle advice, n = 15). Both groups performed the application for 30 min, three days a week for eight weeks. Urinary symptoms were evaluated by using the International Incontinence Consultation Questionnaire-Short Form (ICIQ-SF) and a 3-day bladder diary. PFMS was assessed using the Modified Oxford Scale (MOS), QoL using the King\'s Health Questionnaire (KHQ), and sexual function using the Pelvic Organ Prolapse/Urinary Incontinence Sexual Function Questionnaire (PISQ-12). The PSI and satisfaction were questioned.
RESULTS: There was a higher level of decrease in the ICIQ-SF score, the mean number of voids/night and UI, all scores related to the KHQ (excluding interpersonal relationships), and a higher level of increase in maximum voiding volume, MOS scores, PISQ-12-emotional, PISQ-12-physical, and PISQ-12-total scores in the NMES group when compared to the sham group (p < 0.05). PSI and satisfaction were at higher levels in the NMES group than in the sham group (p < 0.05).
CONCLUSIONS: External NMES was an effective and complementary method in reducing urinary symptoms and improving PFMS, QoL, sexual function, PSI, and satisfaction level in women with UUI.
BACKGROUND: NCT04727983.
摘要：
目的：本研究旨在研究外部神经肌肉电刺激（NMES）对泌尿症状的影响，盆底肌力(PFMS),生活质量（QoL），性功能,主观改善感知(PSI)，对急迫性尿失禁（UUI）的满意度。
方法：本研究采用随机假对照研究设计。18-65岁的女性，被诊断患有UUI，被随机分配到NMES(外部NMES+生活方式建议，n=15)和假组别(假NMES+生活方式建议，n=15)。两组均进行了30分钟的应用，一周三天，八个星期。通过使用国际失禁咨询问卷简表（ICIQ-SF）和3天的膀胱日记来评估尿液症状。使用改良牛津量表(MOS)评估PFMS，使用国王健康问卷(KHQ)的QoL，和性功能使用盆腔器官脱垂/尿失禁性功能问卷（PISQ-12）。PSI和满意度受到质疑。
结果：ICIQ-SF评分下降的程度更高，空隙/夜晚和UI的平均数量，与KHQ相关的所有分数(不包括人际关系)，以及最大排尿量的更高水平的增加，MOS分数,PISQ-12-情感，PISQ-12-physical,与假手术组相比,NMES组的PISQ-12总分(p<0.05)。NMES组的PSI和满意度高于假手术组（p<0.05）。
结论：外部NMES是一种有效和补充的方法，可以减轻泌尿系统症状和改善PFMS，QoL,性功能,PSI,以及女性对UUI的满意度。
背景：NCT04727983。
方法：本研究采用随机假对照研究设计。18-65岁的女性，被诊断患有UUI，被随机分配到NMES(外部NMES+生活方式建议，n=15)和假组别(假NMES+生活方式建议，n=15)。两组均进行了30分钟的应用，一周三天，八个星期。通过使用国际失禁咨询问卷简表（ICIQ-SF）和3天的膀胱日记来评估尿液症状。使用改良牛津量表(MOS)评估PFMS，使用国王健康问卷(KHQ)的QoL，和性功能使用盆腔器官脱垂/尿失禁性功能问卷（PISQ-12）。PSI和满意度受到质疑。
结果：ICIQ-SF评分下降的程度更高，空隙/夜晚和UI的平均数量，与KHQ相关的所有分数(不包括人际关系)，以及最大排尿量的更高水平的增加，MOS分数,PISQ-12-情感，PISQ-12-physical,与假手术组相比,NMES组的PISQ-12总分(p<0.05)。NMES组的PSI和满意度高于假手术组（p<0.05）。
结论：外部NMES是一种有效和补充的方法，可以减轻泌尿系统症状和改善PFMS，QoL,性功能,PSI,以及女性对UUI的满意度。
背景：NCT04727983。
