Possibilities of objectivization of pelvic floor muscle exercises in patients with urine leakage after delivery

Czech version

Authors: M. Hagovská ¹; P. Urdzík ²; J. Svihra ³
Authors‘ workplace: Klinika fyziatrie, balneológie a liečebnej rehabilitácie LF UPJŠ a UNLP, Košice,  prednosta doc. MUDr. P. Takáč, PhD., mim. prof. ¹; Gynekologicko-pôrodnícka klinika LF UPJŠ a UNLP, Košice, prednosta doc. MUDr. P. Urdzík, PhD., MPH, mim. prof. ²; Urologická klinika, Jesseniova LF UK a UNM, Martin, prednosta doc. MUDr. J. Ľupták, PhD. ³
Published in: Ceska Gynekol 2020; 85(2): 94-102
Category:

Overview

Background: Examination of pelvic floor muscle function is very important before starting exercises in patients with urine leakage and other pelvic floor dysfunctions. Perineometer and palpation examination is currently being used. A new trend in physiotherapy is the ultrasound examination of pelvic floor muscles. The examination can be performed by abdominal approach or perineal approach. We evaluate 2D and 3/4D images of pelvic floor muscles.

Methods: The International Consultation on Incontinence Questionnaire Urinary Incontinence Short Form (ICIQ-UI SF). OAB-q – overactive bladder questionnaire - short form. The Urinary Incontinence Quality of Life scale (I-QoL) – self-assessment scale for assessing the quality of life of patients with urinary incontinence. Adjusted Oxford scale to assess pelvic floor muscle strength. PERFECT scheme by Laycock and Jerwood. Pelvic floor examination by perineometer (Peritron-Ontario, L4V, Canada). Pelvic floor examination by 2D and 3/4D ultrasound examination (Volunson-i BT 11 Console, VCI volume contrast imaging software, (GE Healthcare Austria GmbH & Co OG, Zipf, Austria, RAB4-8-RS 3D/4D 4–8 MHz probe). High intensity exercise of pelvic floor muscles with stabilization elements.

Conclusion: The effect of pelvic floor muscle training was objectively proved by the above mentioned objectivization methods with subjective improvement of quality of life. There was also a significant effect of education in USG exercise.

Keywords:

high intensity – pelvic floor exercise – stress urinary incontinence – objectivization

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