Online citations, reference lists, and bibliographies.
Please confirm you are human
(Sign Up for free to never see this)
← Back to Search

The Effect Of Home Biofeedback Training On Stress Incontinence.

P. Aukee, P. Immonen, D. Laaksonen, P. Laippala, J. Penttinen, O. Airaksinen
Published 2004 · Medicine

Save to my Library
Download PDF
Analyze on Scholarcy
BACKGROUND To compare the effectiveness of pelvic floor training (PFT) with the aid of a home biofeedback device to PFT alone for urodynamic stress urinary incontinence (SUI) in women after a 1-year follow-up. METHODS A randomized study comparing two conservative interventions was conducted in an outpatient clinic of a university hospital. Thirty-five consecutive women were randomized to either the PFT with home biofeedback group or the PFT alone group. The intensive training period lasted 12 weeks. After 1 year, 33 women could be evaluated according to the protocol. At the 1-year visit pelvic floor muscle activity was measured and the need for surgical intervention was evaluated. Logistic multivariate analysis was used to predict response to the PFT. RESULTS In the home biofeedback training group 11/16 (68.8%) avoided surgery vs. 10/19 (52.6%) in the PFT alone group. The difference was not statistically significant. In the nonoperated home biofeedback group the increase in pelvic floor muscle activity (p = 0.005 in supine, p = 0.005 in standing) and the decrease in leakage index (p = 0.05) was significant after 12 weeks and pelvic floor activity remained constant. By contrast, in the nonoperated PFT group the increase in pelvic floor muscle activity after 12 weeks predicted a good result for conservative treatment. CONCLUSIONS This randomized controlled trial suggests that the home biofeedback method in PFT has a good success rate of 68.8%. The change achieved in leakage index after 12 weeks of training predicted an effective outcome for conservative treatment.

This paper is referenced by
Effect of electromyographic biofeedback as an add‐on to pelvic floor muscle exercises on neuromuscular outcomes and quality of life in postmenopausal women with stress urinary incontinence: A randomized controlled trial
Adriane Bertotto (2017)
Successful treatment for giggle incontinence with biofeedback.
I. Richardson (2009)
Evidence-Based Practice in Biofeedback and Neurofeedback
Steven M. Baskin (2008)
New Advances in Urogynecology
L. Lowenstein (2012)
[Efficacy of training pelvic floor musculature in female urinary incontinence].
B. González Sánchez (2014)
Efficacy of FemiScan Pelvic Floor Therapy for the Treatment of Urinary Incontinence
S. Segal (2016)
Clinical efficacy study of pelvic floor electrical stimulation for idiopathic detrusor overactivity and urodynamic stress incontinence
Huifan Liu (2009)
Conservative Treatment of Stress Urinary Incontinence and Pelvic Floor Defects
Sandra Nađ Škegro (2015)
EMG-Biofeedback Therapy in Knee Rehabilitation: A Review
N. D. P. U. Nakandala (2019)
Electromyographic characteristics of pelvic floor muscles in women with stress urinary incontinence following sEMG-assisted biofeedback training and Pilates exercises
D. Chmielewska (2019)
Transurethral Radiofrequency Collagen Denaturation for Treatment of Female Stress Urinary Incontinence: A Review of the Literature and Clinical Recommendations
J. Lukban (2012)
Complementary and Alternative Medicine for Chronic Prostatitis/Chronic Pelvic Pain Syndrome
J. Capodice (2005)
Augmenting the Senses: A Review on Sensor-Based Learning Support
J. Schneider (2015)
Nonsurgical Outpatient Therapies for the Management of Female Stress Urinary Incontinence: Long-Term Effectiveness and Durability
G. Davila (2011)
Health and Quality of Life Outcomes
S. Fielding (2003)
La rééducation périnéale du post-partum : état des lieux au sein du réseau périnatal Alpes-Isère
Samantha Foerster (2013)
An evidence-based approach to the evaluation and management of stress incontinence in women
Jason P. Gilleran (2005)
Benefits of introducing universal umbilical cord blood gas and lactate analysis into an obstetric unit
C. R. White (2010)
Efficacy of Adding Active Technique as Biofeedback to Pelvic Floor Muscles Training on Cure of Female Stress Urinary Incontinence-A Systematic Review
R. Elhady (2017)
Eficácia do biofeedback para o tratamento da incontinência urinária de esforço: uma revisão sistemática Effectiveness of biofeedback for the treatment of stress urinary incontinence: a systematic review
A. P. Castro (2010)
Effect of Long-term Exercise on Voiding Functions in Obese Elderly Women
I. G. Ko (2013)
A new pelvic muscle trainer for the treatment of urinary incontinence
A. Schmidt (2009)
Examining the Effectiveness of Home-Based Pelvic Floor Muscle Training in Treating Sexual Dysfunction in Women
Ü. Oskay (2015)
Self‐management of stress urinary incontinence via a mobile app: two‐year follow‐up of a randomized controlled trial
Victoria Hoffman (2017)
Evidence-based practice in biofeedback and neurofeedback
C. Yucha (2008)
The Evaluation of Bioelectrical Activity of Pelvic Floor Muscles Depending on Probe Location: A Pilot Study
T. Halski (2013)
Semantic Scholar Logo Some data provided by SemanticScholar