Abstract:
Objective To investigate the efficacy of vaginal dumbbell training combined with pelvic floor muscle biofeedback in the treatment of stress urinary incontinence in elderly women.
Methods A total of 78 elderly female patients with stress urinary incontinence admitted to gansu Rehabilitation Center Hospital from October 2018 to April 2020 were selected. Among them, 39 patients were given routine pelvic floor muscle training (control group), and the remaining 39 were given vaginal dumbbell training combined with pelvic floor muscle biofeedback therapy (combined group) on the basis of control group. The pelvic floor muscle contractility, urodynamic status, clinical efficacy and quality of life of two groups were compared before and after treatment. T test was used for comparison of measurement data between groups, and χ2 test was used for comparison of count data.
Results The total effective rate of combined group was significantly higher than that of control group (87.17%, 51.28%; χ2=11.796, P < 0.05). The I-QOL scores of the two groups after treatment were significantly higher than those before treatment (t=23.516, 12.164, P < 0.05), and the difference of I-QOL score between two groups after treatment was statistically significant (t=8.790, P < 0.05). After treatment, the muscle strength of slow muscle/fast muscle fiber in the combined group was significantly higher than that in the control group (t=17.711, 11.988; P < 0.05), and the fatigue degree of slow muscle/fast muscle fiber was significantly lower than that in the control group, with statistical significance (t=31.549, 26.113; P < 0.05). After treatment, the maximum urinary bladder volume, bladder compliance, maximum urethral closure pressure, maximum measured urethral pressure, abdominal pressure leak point pressure and functional urethral length in the combined group were significantly higher than those in the control group (t=2.362, 2.331, 2.573, 2.999, 2.777, 2.806; P < 0.05).
Conclusion Vaginal dumbbell training combined with pelvic floor muscle biofeedback has obvious efficacy in the treatment of elderly women with stress urinary incontinence, which can improve pelvic floor muscle contraction ability and urine control, thus improving patients' quality of life.
Key words:
Pelvic floor muscle,
Stress urinary incontinence,
Vaginal dumbbell training,
Biofeedback,
Urodynamics,
Aged
Xiaoxia Yang, Huijin Yu, Jundi Sun, Xun Yang, Jiansheng Niu, Ting Da, Tengjiao Zhao, Yan Zhang. The efficacy of vaginal dumbbell training combined with pelvic floor muscle biofeedback in the treatment of stress urinary incontinence in elderly women[J]. Chinese Journal of Geriatrics Research(Electronic Edition), 2021, 08(03): 30-33.