Vis enkel innførsel

dc.contributor.authorde Andrade, Roberta Leopoldino
dc.contributor.authorBø, Kari
dc.contributor.authorAntônio, Flávia Ignácio
dc.contributor.authorDriusso, Patricia
dc.contributor.authorMateus-Vasconcelos, Elaine Cristine Lemes
dc.contributor.authorRamos, Salvador
dc.contributor.authorJulio, Monica Pitanguy
dc.contributor.authorFerreira, Cristine Homsi Jorge
dc.date.accessioned2018-05-18T12:10:45Z
dc.date.available2018-05-18T12:10:45Z
dc.date.created2018-04-03T14:37:49Z
dc.date.issued2018
dc.identifier.citationJournal of Physiotherapy. 2018, 64, 91-96.nb_NO
dc.identifier.issn1836-9553
dc.identifier.urihttp://hdl.handle.net/11250/2498578
dc.descriptionThis is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).nb_NO
dc.description.abstractQuestion: Does an educational program with instructions for performing ‘the Knack’ improve voluntary contraction of the pelvic floor muscles, reduce reports of urinary incontinence, improve sexual function, and promote women’s knowledge of the pelvic floor muscles? Design: Randomised, controlled trial with concealed allocation, intention-to-treat analysis and blinded assessors. Participants: Ninety-nine women from the local community. Intervention: The experimental group (n = 50) received one lecture per week for 4 weeks, and instructions for performing ‘the Knack’. The control group (n = 49) received no intervention. Outcome measures: The primary outcome was maximum voluntary contraction of the pelvic floor muscles measured using manometry. Secondary outcomes were: ability to contract the pelvic floor muscles measured using vaginal palpation; severity of urinary incontinence measured by the International Consultation on Incontinence Questionnaire-Short Form (ICIQ-SF) scored from 0 to 21; self-reported sexual function; and knowledge related to the pelvic floor. Outcomes were measured at baseline and after 4 weeks. Results: The intervention did not significantly improve: maximum voluntary contraction (MD 2.7 cmH2O higher in the experimental group, 95% CI –0.5 to 5.9); ability to contract the pelvic floor muscles (RR 2.18, 95% CI 0.49 to 9.65); or self-reported severity of urinary incontinence (MD 1 point greater reduction in the experimental group, 95% CI –3 to 1). Sexual function did not significantly differ between groups, but very few of the women engaged in sexual activity during the study period. The educational program did, however, significantly increase women’s knowledge related to the location, functions and dysfunctions of the pelvic floor muscles, and treatment options. Conclusion: Education and teaching women to perform ‘the Knack’ had no significant effect on voluntary contraction of the pelvic floor muscles, urinary incontinence or sexual function, but it promoted women’s knowledge about the pelvic floor.nb_NO
dc.language.isoengnb_NO
dc.subjectpelvic floornb_NO
dc.subjectphysical therapynb_NO
dc.subjectknowledgenb_NO
dc.subjecthealth educationnb_NO
dc.titleAn education program about pelvic floor muscles improved women’s knowledge but not pelvic floor muscle function, urinary incontinence or sexual function: a randomised trialnb_NO
dc.title.alternativeAn education program about pelvic floor muscles improved women’s knowledge but not pelvic floor muscle function, urinary incontinence or sexual function: a randomised trialnb_NO
dc.typeJournal articlenb_NO
dc.typePeer reviewednb_NO
dc.description.versionpublishedVersionnb_NO
dc.rights.holder© 2018 Australian Physiotherapy Associationnb_NO
dc.source.journalJournal of Physiotherapynb_NO
dc.identifier.doi10.1016/j.jphys.2018.02.010
dc.identifier.cristin1576907
dc.description.localcodeSeksjon for idrettsmedisinske fag / Department of Sport Medicinenb_NO
cristin.unitcode150,34,0,0
cristin.unitnameSeksjon for idrettsmedisinske fag
cristin.ispublishedtrue
cristin.fulltextoriginal
cristin.qualitycode1


Tilhørende fil(er)

Thumbnail

Denne innførselen finnes i følgende samling(er)

Vis enkel innførsel