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Group training for stress or mixed urinary incontinence in women is as effective as one-on-one training
Question clinique
Can urinary incontinence training be provided in groups?
L’Essentiel
Structured pelvic floor muscle training given by physical therapists in classes over 12 weeks is similarly effective for women with stress or mixed incontinence whether provided individually or in small groups. 2b
Référence
Plan de l'etude: Randomized controlled trial (single-blinded)
Financement: Government
Cadre: Outpatient (any)
Sommaire
These investigators enrolled 362 women, 60 years or older, with at least 3 episodes of stress or mixed urinary incontinence symptoms per week. The women had longstanding incontinence (average 10 years). The women were randomized, using concealed allocation, to receive 12 weeks of pelvic floor muscle training via individual or group sessions following a single one-on-one session to learn pelvic floor muscle contraction. Analyzing the 319 women (88%) who completed the training and were available at one year, the median percentage reduction in urinary incontinence episodes was similar in both groups: 70% with individual training vs 74% with group-based training. Results were also similar between the groups regarding nocturia, quality of life, and overall symptom scores.
Reviewer
Allen F. Shaughnessy, PharmD, MMedEd
Professor of Family Medicine
Tufts University
Boston, MA
Commentaires
Group Stress Incontinence Pelvic floor training
This is interesting and takes me back to the "Old Days" when we used to have group OT and Physio classes for various disorders.
They also seemed to do well .
group training
a common problem can respond to common solution.
Urinary incontinence
We already do group visits for diabetes and hypertension.. this could be done by a family health team.
group physiology for urinary incontinence.
No groups with a pandemic still going, but something to discuss with our local physiotherapists when it's over - we only have one or two who do incontinence training.
Common issue
Good review
urinary incontinence in women
pelvic floor exercises ? biofeedback, can help with urinary incontinence even when women are in groups