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Titolo:
The effects of physiotherapy for female urinary incontinence: individual compared with group treatment
Autore:
Janssen, CCM; Lagro-Janssen, ALM; Felling, AJA;
Indirizzi:
Univ Nijmegen, Dept Gen Practice, Nijmegen, Netherlands Univ Nijmegen Nijmegen Netherlands Gen Practice, Nijmegen, Netherlands Univ Nijmegen, Dept Methodol, Nijmegen, Netherlands Univ Nijmegen Nijmegen Netherlands Dept Methodol, Nijmegen, Netherlands Univ Nijmegen, Sci Policy & Soc, Nijmegen, Netherlands Univ Nijmegen Nijmegen Netherlands Policy & Soc, Nijmegen, Netherlands
Titolo Testata:
BJU INTERNATIONAL
fascicolo: 3, volume: 87, anno: 2001,
pagine: 201 - 206
SICI:
1464-4096(200102)87:3<201:TEOPFF>2.0.ZU;2-7
Fonte:
ISI
Lingua:
ENG
Soggetto:
PELVIC FLOOR EXERCISES; GENERAL-PRACTICE; STRESS-INCONTINENCE; WOMEN; PREVALENCE;
Keywords:
urinary incontinence; physiotherapy; group therapy; randomized trial; outcome;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
18
Recensione:
Indirizzi per estratti:
Indirizzo: Janssen, CCM Plataanstr 2, NL-6573 XR Ubbergen, Netherlands Plataanstr 2 Ubbergen Netherlands NL-6573 XR n, Netherlands
Citazione:
C.C.M. Janssen et al., "The effects of physiotherapy for female urinary incontinence: individual compared with group treatment", BJU INT, 87(3), 2001, pp. 201-206

Abstract

Objectives To compare, in a randomized trial, the effects of individual and group physiotherapy for urinary incontinence in women referred by their general practitioner (GP). Patients and methods The study included women of all ages (mean 47.8 years) with stress, urge or mixed incontinence; 126 received individual and 404 group treatment. Both groups undertook the same pelvic floor exercises and bladder training, and received the same information. The effects were measured soon after treatment and again 9 months later. The main outcome measures were objective changes in the severity of incontinence, frequency of urine loss and frequency of nocturnal urine loss. The trial was nationwide; 25 physiotherapists and 337 GPs participated. Results There were no significant differences in effect between the groups; after individual treatment the severity of incontinence improved in 60% of the patients and the mean (95% confidence interval, CI) frequency of urine loss decreased, by -8.7 (-6.4 to -11.1) times/week. After group therapy continence improved in 57% and the frequency of urine loss decreased, by -8.4 (-6.8 to -10.0) times/week. For women who had nocturnal urine loss (at baseline), the frequency decreased after individual treatment by -11.2 (4 to -26.4) and after group therapy by -14 (-9.1 to -18.9) times/month. All improvements persisted in full for up to 9 months. Conclusion Individual and group physiotherapy are equally effective for atleast 9 months in improving incontinence in women. Factors should be sought that can predict the effectiveness of therapy, and thus better select those patients most likely to benefit from therapy.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 26/01/20 alle ore 22:13:35