Purpose: The purpose of this review was to assess the effectiveness of pelvic floor muscle training (PFMT) in the treatment of urinary incontinence (UI) in women, with a particular focus on the impact of this form of therapy on the patients’ quality of life (QoL). Methods: The following electronic databases were searched: PubMed, Embase, and Cochrane Library (articles only in English, 1990–2017). Search terms were as follows: urinary incontinence, pelvic floor muscle training, pelvic floor exercises, quality of life. Systematic review methods were based on the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) statement. Results: The assessment of the impact of PFMT on the QoL of women with UI was conducted among 2,394 women in 24 selected studies. After the end of treatment, the majority of patients in the experimental groups noted a statistically significant improvement in QoL. Conclusion: The results of this literature review demonstrate that PFMT is an effective treatment for UI in women. PFMT significantly improves the QoL of women with UI, which is an important determinant of their physical, mental, and social functioning.
1 November 2019 in Clinical Interventions in Aging
Purpose: The purpose of this study was to determine the efficacy of pelvic floor muscle training (PFMT) in the treatment of urinary incontinence (UI) in men after radical prostatectomy (RP). Methods: PubMed, ScienceDirect, and Cochrane Library databases were searched for studies published in years 2000–2019. We included randomized controlled trials in English which compare clinic-based vs home-based PFMT, preoperative and postoperative PFMT, supervised vs unsupervised PFMT, and PFMT alone vs no treatment at all. Results: Eight articles were included in the final review. There was a total of 1078 patients aged 45–75 in all study groups. The study participants received radical retropubic prostatectomy or radical prostatectomy. Included studies assessed the following interventions: preoperative and postoperative PFMT, supervised vs home-based PFMT, unsupervised PFMT vs no treatment at all, and PFMT combined with resistance and flexibility exercises vs PFMT alone. Conclusion: PFMT is an effective treatment for urinary incontinence in men after radical prostatectomy. PFMT improves not only physical parameters but also the quality of life of men after RP.
Objective. The purpose of this study is to assess the effectiveness of pelvic floor muscle training and extracorporeal magnetic innervation in treatment of urinary incontinence in women with stress urinary incontinence. Methods. The randomized controlled trial enrolled 128 women with stress urinary incontinence who were randomly allocated to either one out of two experimental groups (EG1 or EG2) or the control group (CG). Subjects in the experimental group 1 (EG1) received 12 sessions of pelvic floor muscle training, whereas subjects in the experimental group 2 (EG2) received 12 sessions of extracorporeal magnetic innervation. Subjects in the control group (CG) did not receive any therapeutic intervention. The following instruments were used to measure results in all study groups at the initial and final assessments: Revised Urinary Incontinence Scale (RUIS), Beck Depression Inventory (BDI‐II), General Self‐Efficacy Scale (GSES), and King’s Health Questionnaire (KHQ). Results. In both experimental groups, a statistically significant decline in depressive symptoms (BDI‐II) and an improvement in urinary incontinence severity (RUIS) and quality of life (KHQ) were found in the following domains: “social limitations,” “emotions,” “severity measures,” and “symptom severity scale.” Moreover, self‐efficacy beliefs (GSES) improved in the experimental group that received ExMI (EG2). No statistically significant differences were found between all measured variables in the control group. Comparative analysis of the three study groups showed statistically significant differences at the final assessment in the quality of life in the following domains: “physical limitations,” “social limitations,” “personal relationships,” and “emotions.” Conclusion. Pelvic floor muscle training and extracorporeal magnetic innervation proved to be effective treatment methods for stress urinary incontinence in women. The authors observed an improvement in both the physical and psychosocial aspects.
1 January 2015 in Menopause Review-Przeglad Menopauzalny
The report of the World Health Organization (WHO) of 2008 defines osteoporosis as a disease characterized by low bone mass and an increased risk of fracture. Postmenopausal osteoporosis is connected to the decrease in estrogens concentration as a result of malfunction of endocrine ovarian...
Proteoglycans are considered integral structural components of tendon and ligament and have been implicated in the resistance of compressive forces, collagen fibrillogenesis, matrix remodelling and cell signalling. Several sequence variants within genes encoding proteoglycans were recently...
Cel pracy: Celem niniejszych badań była analiza, w jaki sposób prężność psychiczna różnicuje stan psychiczny kobiet odbywających karę pozbawienia wolności oraz co stanowi predyktor samopoczucia psychicznego w tej grupie.Metoda: Badaniami objęto kobiety odbywające karę pozbawienia wolności w Oddziale Zewnętrznym Zakładu Karnego w Czersku dla skazanych kobiet młodocianych, odbywających karę po raz pierwszy i recydywistek penitencjarnych. W badaniach wykorzystano: Skalę Pomiaru Prężności – SPP-25 oraz Skalę HADS-M.Wyniki: Wyniki pokazały istotne statystycznie korelacje między wynikami skali prężności a wynikami skali HADS-M. Wykazano również, że predykatorami objawów lęku i depresji w badanej grupie jest poziom kompetencji osobistych do radzenia sobie i tolerancja negatywnych emocji (SPP-25). Dodatkowo dla przewidywania stanu lęku istotna jest ilość lat odbywania kary pozbawienia wolności. Analiza regresji wykazała również, że poziom kompetencji osobistych do radzenia sobie i tolerancja negatywnych emocji (SPP-25) oraz otwartość na nowe doświadczenia i poczucie humoru (SPP-25) są istotnymi predyktorami poziomu agresji.Wnioski: Koncepcja prężności psychicznej (resilience) ma znaczenie dla analizowania różnic w stanie zdrowia psychicznego kobiet odbywających karę pozbawienia wolności i może być wykorzystywana w tworzeniu warunków sprzyjających ograniczaniu negatywnych skutków pobytu w warunkach instytucjonalnego przymusu