【論文摘要】Effects of A Multimodal Exercise Program on Pelvic Floor Muscle Function and Symptom in Postmenopausal Women With Urinary Incontinence

【論文摘要】多模式運動對患有尿失禁之停經後婦女骨盆底肌功能與症狀的影響

李依庭(Yi-Ting Li) ； 歐穎謙(Yin-Chien Ou) ； 高耀臨(Yao-Lin Kao) ； 蔡一如(Yi-Ju Tsai) ； 王儷穎(Li-Ying Wang) ； 林冠吟(Kuan-Yin Lin)

《物理治療》 46卷2期 (2021/06) Pp. 113-114

https://doi.org/10.6215/FJPT.202106.O23

摘要

Background and Purpose: Menopause is a risk factor of urinary incontinence, and many women tend to have a more sedentary lifestyle after menopausal transition. Previous studies have shown that regular physical activity exerts a protective effect in preventing urinary incontinence; however the optimal type, duration, and intensity of physical exercise for postmenopausal women with urinary incontinence remain unknown. Therefore, the aim of this preliminary study was to explore the effects of a multimodal exercise program incorporating pelvic floor muscle training, aerobic exercise, and resistance training on pelvic floor muscle function and symptom severity in postmenopausal women with urinary incontinence. Methods: Seven postmenopausal women with urinary incontinence (age: 63.6 ± 8.4 years old, body mass index [BMI]: 26.0 ± 6.8 kg/m2) were recruited. Participants received supervised, moderate-vigorous intensity, multimodal exercise training sessions twice weekly for 8 weeks. The outcome measures included pelvic floor muscle function assessed using manometry and through digital palpation (scored using the modified Oxford Grading Scale: no contraction, flicker, weak, moderate, good, and strong), and symptom severity assessed using International Consultation on Incontinence Questionnaire-Urinary Incontinence Short Form. Assessments were conducted at baseline and after 8-week intervention. Results: After the exercise program, the number of women with moderate to strong pelvic floor muscle strength as assessed by digital palpation increased by 42.9%, and the muscle endurance (in seconds [s]) also increased (mean difference: 18.57 s, 95% confidence interval [CI]: 7.42 to 29.72). However, the manometry result showed a slight decrease in pelvic floor muscle strength (mean difference: -0.93 cmH_2O, 95% CI: -7.77 to 5.91) and endurance (mean difference: -4.57 s, 95% CI: -32.78 to 23.64). The symptom severity of urinary incontinence was decreased after training (mean difference: -1.29, 95% CI: -2.56 to -0.01). Conclusion: An 8-week multimodal exercise program may have a positive effect on reducing symptom severity in postmenopausal women with urinary incontinence. Clinical Relevance: Our results provide preliminary data to suggest that a multimodal exercise program may have a role in reducing symptom severity in postmenopausal women with urinary incontinence. Future studies with large sample size and a control group are needed to confirm the effects of a multimodal exercise program on pelvic floor muscle function in this population.