背景:目前的文献强调了确定咳嗽期间保持节制的最佳教育技术的困难。
目的:描述针对咳嗽引起的尿失禁(UI)女性咳嗽期间中立姿势的教育干预效果。
方法:这项干预性研究设计包括咳嗽诱发UI的女性。我们记录了PFMs表面肌电图(sEMG)峰值活动,并在干预后6周评估症状和生活质量(QoL)。实验情况的影响是使用线性混合模型估计的,咳嗽期间的sEMG测量值根据每种情况进行索引,并调整为静止值,并使用了适度分析。
结果:18名参与者被纳入。测量情况(对照与实验)对咳嗽期间的sEMG峰值活动没有统计学上的显着影响:平均效应[95%CI]3.42[-1.28;7.66]。干预后六周,参与者报告泌尿症状显著减少(P=0.0246),QoL显著改善(P=0.00776).这在与努力活动有关的方面也特别明显(P=0.00162)。
结论:这项研究表明,简短的教育干预侧重于咳嗽期间的中立姿势,如果没有PFM的自愿预收缩,对咳嗽引起的UI女性的PFMs的sEMG峰值活性没有临床显着影响。然而,这种干预可导致6周时泌尿系症状和QoL的显著改善.这些改善似乎与咳嗽期间记录的肌电图PFM峰值活性无关。因此,我们的初步结果为未来的研究铺平了道路。
方法:NP4。
BACKGROUND: Current literature highlights the difficulty in identifying an optimal educational technique for maintaining continence during cough.
OBJECTIVE: To characterize the effects of an educational intervention focusing on neutral posture during cough in women with cough-induced urinary incontinence (UI).
METHODS: This interventional study design included women with cough-induced UI. We recorded PFMs surface electromyographic (sEMG) peak activity, and assessed symptoms and quality of life (QoL) 6 weeks after the intervention. The effect of the experimental situation was estimated using a linear mixed model, sEMG measurements during coughing were indexed to each situation and adjusted to the resting value at, and a moderation analysis was used.
RESULTS: Eighteen participants were included. The measurement situations (control versus experimental) did not have a statistically significant impact on sEMG peak activity during coughing: mean effect [95% CI] 3.42 [-1.28; 7.66]. Six weeks post-intervention, participants reported statistically significant decrease in urinary symptoms (P=0.0246) and significant improvement in QoL (P=0.00776). This was also particularly marked on the dimension related to effort activities (P=0.00162).
CONCLUSIONS: This study suggests that a brief educational intervention focusing on neutral posture during cough, without voluntary pre-contraction of the PFMs, has no clinically significant influence on sEMG peak activity of the PFMs in women with cough-induced UI. However, this intervention can lead to a significant improvement in urinary symptoms and QoL at 6 weeks. These improvements seem to be independent of electromyographic PFMs peak activity recorded during cough. As such, our preliminary results pave the way for future research.
METHODS: NP4.