Stres Üriner İnkontinanslı Kadınlarda Pelvik Taban Kas Eğitimine Ek Olarak Uygulanan Elektromyografik Biofeedback Eğitiminin Etkinliğinin İncelenmesi

Yıl 2017, Cilt: 22 Sayı: 3, 193 - 199, 19.04.2017

Nuriye Özengin Hatice Çankaya Yeşim Bakar Mehmet Ata Topçuoğlu Handan Ankaralı

https://doi.org/10.21673/anadoluklin.301479

Öz

Amaç:
Stres
üriner inkontinanslı kadınlarda pelvik taban kas eğitimine ek olarak uygulanan
elektromyografik biofeedback eğitiminin yaşam kalitesi, idrar kaçırma miktarı
ve pelvik taban kas kuvveti üzerine etkisinin araştırılması amaçlandı.

Gereç
ve Yöntemler: Çalışmaya stres üriner inkontinanslı 52
kadın hasta dâhil edildi. Hastalar pelvik taban kas eğitimi (n=27) ve pelvik
taban kas eğitimiyle birlikte elektromyografik biofeedback eğitimi (n=25) alanlar
olarak iki gruba ayrıldı. Hastaların algılanan yaşam
kalitesi ve algılanan kuruluk hissi için bir vizüel analog skala kullanıldı. Pelvik
taban kas kuvveti, vajinal basınç manometresi ile; idrar kaçırma miktarı ise 1
saatlik ped testi ile değerlendirildi. Değerlendirmeler, tedavi öncesi ve 8
haftalık tedavi sonrasında yapıldı.

Bulgular: Pelvik taban kas eğitimi
ve pelvik taban kas
eğitimine ek olarak uygulanan elektromyografik biofeedback eğitimleri grup içi analizlerinde, tedavi öncesi ve sonrası algılanan
kuruluk hissi, algılanan yaşam kalitesi, pelvik taban kas kuvveti ve idrar
kaçırma miktarında iyileşme olduğu saptandı (p<0.05). Gruplar arası değerlendirmelerde
fark saptanmadı (p>0.05).

Tartışma ve Sonuç: Stres
üriner inkontinanslı kadınların tedavisinde pelvik taban kas eğitimine ek
olarak uygulanan elektromyografik biofeedback eğitiminin ilave bir iyileştirici
etkisi olmadığı saptandı.nce. 

Anahtar Kelimeler

Üriner inkontinans, pelvik taban kas eğitimi, biyogeribildirim

An Investigation of the Effectiveness of Electromyographic Biofeedback Applied In Addition To Pelvic Floor Muscle Training in Women with Stress Urinary Incontinence

Öz

Aim: The aim was to investigate the effects of
electromyography biofeedback training applied in addition to pelvic floor
muscle training on the quality of life, amount of urine leakage and pelvic
floor muscle strength in women with stress urinary incontinence.

Materials and Methods: 52 women with stress urinary incontinence included in
the study. The patients were divided into two groups.  First group received pelvic floor muscle
training (n= 27) and the other group received electromyography biofeedback
training in addition to pelvic floor muscle training (n= 25). The perceived
quality of life and dryness sensation of the women were assessed by using a
visual analog scale. The pelvic floor muscle strength was evaluated by a
vaginal pressure manometer. Their amount of urine leakage was evaluated by a
1-hour pad test. The evaluations were performed before the treatment and after
an 8 weeks treatment. 

Results: Pelvic floor muscle training and
electromyographic biofeedback training in addition to pelvic floor muscle
training showed improvement in dryness sensation, perceived quality of life,
pelvic floor muscle strength and amount
of urine leakage before and after treatment in
intra-group analyzes (p<0.05). The assessments showed that there was
no difference between the groups (p>0.05). 

Discussion and
Conclusion: The
electromyography biofeedback training in addition to pelvic floor muscle
training did not show an additional healing effect in the treatment of women
with stress urinary incontinence. 

Anahtar Kelimeler

Urinary incontinence, pelvic floor muscle training, biofeedback

Kaynakça

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