Are Mobile Applications Effective on Preventing Urinary Incontinence and Reducing Urinary Incontinence Symptoms?: A Review

Öz

Urinary incontinence (UI) is a condition which frequently occurs among the adult women and emerges as a typical symptom of pelvic floor disorders. Kegel exercise is an effective method for the treatment of urinary incontinence by strengthening the pelvic floor muscles. On the other hand, failure to maintain continuity with exercise is a major problem. New approaches are needed to solve this problem. Today, with the increasing use of mobile technology, the use of mobile health applications has increased. Mobile applications which are being more popular can be an effective treatment option for teaching these exercises to the patients. There are many mobile applications developed in this field, but there is not enough study on the effects of these mobile applications on health. The purpose of this paper is to evaluate the effects of mobile applications involving pelvic floor exercise on the prevention and treatment of urinary incontinence by examining evidence-based research. Recent evidence-based studies have shown that mobile applications of urinary incontinence reduce symptoms, make pelvic floor exercise continue, improve quality of life, speed up healing process, increase self-management and effectiveness in treating patients, and provide convenience access to care. These results suggest that the use of mobile apps of Kegel exercise may be recommended to the patients suffering from urinary incontinence.

Anahtar Kelimeler

• Kegel Exercise,Mobile Application,Pelvic Floor Muscle Training,Urinary Incontinence

Kaynakça

1. Araujo, C., Marques, A., & Juliato, C. (2019). The adherence of home pelvic floor muscles training using a mobile device application for women with urinary incontinence: A randomized controlled trial. Female Pelvic Medicine & Reconstructive Surgery, 1–7. https://doi.org/10.1097/SPV.0000000000000670
2. Asklund, I., Nyström, E., Sjöström, M., Umefjord, G., Stenlund, H., & Samuelsson, E. (2016). Mobile app for treatment of stress urinary incontinence: A randomized controlled trial. Neurourology and Urodynamics, 9999, 1–8. https://doi.org/10.1002/nau.23116
3. Asklund, I., Samuelsson, E., Hamberg, K., Umefjord, G., & Sjöström, M. (2019). User experience of an app-based treatment for stress urinary incontinence: Qualitative interview study. Journal of Medical Internet Research, 21(3), 1–11. https://doi.org/10.2196/11296
4. Bo, K., Frawley, H. C., Haylen, B. T., Abramov, Y., Almeida, F. G., Berghmans, B., … Wells, A. (2017). An International Urogynecological Association (IUGA)/International Continence Society (ICS) joint report on the terminology for the conservative and nonpharmacological management of female pelvic floor dysfunction. Neurourol Urodynam, 36, 221–244. https://doi.org/10.1002/nau.23107
5. Borello-France, D., Burgio, K. L., Goode, P. S., Markland, A. D., Kenton, K., Balasubramanyam, A., & Stoddard, A. M. (2010). Adherence to behavioral interventions for urge incontinence when combined with drug therapy: Adherence rates, barriers, and predictors. Physical Therapy, 90(10), 1493–1505. https://doi.org/10.2522/ptj.20080387
6. Çayan, S., Yaman, Ö., Orhan, İ., Usta, M., Başar, M., Resim, S., … Kadıoğlu, A. (2016). Prevalence of sexual dysfunction and urinary incontinence and associated risk factors in Turkish women. European Journal of Obstetrics & Gynecology and Reproductive Biology, 303–308. https://doi.org/10.1016/j.ejogrb.2016.06.030
7. Hamine, S., Gerth-guyette, E., Faulx, D., Green, B. B., & Sarah, A. (2015). Impact of mHealth chronic disease management on treatment adherence and patient outcomes : A systematic review. Journal Of Medical Internet Research, 17(2), 1–15. https://doi.org/10.2196/jmir.3951
8. Han, M. N., Grisales, T., & Sridhar, A. (2017). Evaluation of a mobile application for pelvic floor exercises. Telemedicine and E-Health, 1–5. https://doi.org/10.1089/tmj.2017.0316

9. Hoffman, V., Söderström, L., & Samuelsson, E. (2017). Self-management of stress urinary incontinence via a mobile app: Two-year follow-up of a randomized controlled trial. Acta Obstetricia et Gynecologica Scandinavica, 96(10), 1180–1187. https://doi.org/10.1111/aogs.13192
10. Latorre, G. F. S., de Fraga, R., Seleme, M. R., Mueller, C. V., & Berghmans, B. (2019). An ideal e-health system for pelvic floor muscle training adherence: Systematic review. Neurourology and Urodynamics, 38, 63–80. https://doi.org/10.1002/nau.23835
11. Leroy, L. da S., Lúcio, A., & Lopes, M. H. B. de M. (2016). Risk factors for postpartum urinary incontinence. Journal of School of Nursing, 50(2), 200–207.
12. Loohuis, A. M. M., Wessels, N. J., Jellema, P., Vermeulen, K. M., Hove, M. C. S., van Gemert-Pijnen, J. E. W. C., … Blanker, M. H. (2018). The impact of a mobile application-based treatment for urinary incontinence in adult women : Design of a mixed-methods randomized controlled trial in a primary care setting. Neurourology and Urodynamics, 37, 2167–2176. https://doi.org/10.1002/nau.23507
13. Milsom, I., & Gyhagen, M. (2019). The prevalence of urinary incontinence. Climacteric, 22(3), 217–222. https://doi.org/10.1080/13697137.2018.1543263
14. Nyström, E., Asklund, I., Sjöström, M., Stenlund, H., & Samuelsson, E. (2017). Treatment of stress urinary incontinence with a mobile app: Factors associated with success. International Urogynecology Journal, 29(9), 1325–1333. https://doi.org/10.1007/s00192-017-3514-1
15. Radzimińska, A., Strączyńska, A., Weber-Rajek, M., Styczyńska, H., Strojek, K., & Piekorz, Z. (2018). The impact of pelvic floor muscle training on the quality of life of women with urinary incontinence: a systematic literature review. Clinical Interventions in Aging, 13, 957–965.
16. Saboia, D. M., Vasconcelos, C. T. M., Oriá, M. O. B., Bezerra, K. D. C., Ananias, J., Neto, V., & Lopes, M. H. B. de M. (2019). Continence app: Construction and validation of a mobile application for postnatal urinary incontinence prevention. European Journal of Obstetrics & Gynecology and Reproductive Biology, 240, 330–335. https://doi.org/10.1016/j.ejogrb.2019.07.026
17. “Digital 2019: Global internet use accelerates”. Access Address: https://wearesocial.com/blog/2019/01/digital-2019-global-internet-use-accelerate (Access November 13, 2019)