A Comparative Study of Whole Body Vibration Training and Pelvic Floor Muscle Training on Women's Stress Urinary Incontinence: Three- Month Follow- Up
,
Abstract
Objective: To determine whether Whole Body Vibration Training (WBVT) is effective at improving pelvic floor muscles strength in women with Stress Urinary Incontinence (SUI).
Materials and methods: The study was designed as a randomized clinical trial. 43 women with SUI were randomly assigned in two groups; WBVT and Pelvic Floor Muscle Training (PFMT) and received interventions for four weeks. Pelvic floor muscle (PFM) strength, quality of life and incontinence intensity were evaluated. All measurements were conducted pre and post intervention and also after 3 months in all participants. The ANOVA and the independent sample t test were applied respectively to determine the differences in each group and between the groups.
Results: This study showed the WBVT protocol in this study was effective in pelvic floor muscles strength similar to PFMT, and also in reducing the severity of incontinence and increasing I-QOL questionnaire score. We found significant differences in each group pre and post intervention (p = 0.0001); but no significant difference in comparison of two groups' outcomes. Also after three-month follow up, there was no significant difference between groups.
Conclusion: The findings of this study showed the beneficial effects of WBVT in improving pelvic floor muscles strength and quality of life in patients with urinary incontinence in four-week treatment period and after three months follow up.
Viktrup L, Koke S, Burgio KL, Ouslander JG. Stress urinary incontinence in active elderly women. Southern medical journal 2005;98:79-89.
Kashanian M, Ali SS, Nazemi M, Bahasadri S. Evaluation of the effect of pelvic floor muscle training (PFMT or Kegel exercise) and assisted pelvic floor muscle training (APFMT) by a resistance device (Kegelmaster device) on the urinary incontinence in women “comparison between them: a randomized trial”. European Journal of Obstetrics & Gynecology and Reproductive Biology 2011;159:218-23.
Cammu H, Van Nylen M, Amy J. A 10‐year follow‐up after Kegel pelvic floor muscle exercises for genuine stress incontinence. BJU international 2000;85:655-8.
Dumoulin C, Hay-Smith J. Pelvic floor muscle training versus no treatment for urinary incontinence in women. A Cochrane systematic review. European journal of physical and rehabilitation medicine 2008;44:47-63.
Lo TS, Tseng LH, Lin YH, Liang CC, Lu CY, Pue LB. Effect of extracorporeal magnetic energy stimulation on bothersome lower urinary tract symptoms and quality of life in female patients with stress urinary incontinence and overactive bladder. Journal of Obstetrics and Gynaecology Research 2013;39:1526-32.
Swanson JG, Skelly J, Hutchison B, Kaczorowski J. Urinary incontinence in Canada. National survey of family physicians' knowledge, attitudes, and practices. Canadian family physician 2002;48:86-92.
Ahmadi B, Alimohammadian M, Golestan B, Mahjubi B, Janani L, Mirzaei R. The hidden epidemic of urinary incontinence in women: a population-based study with emphasis on preventive strategies. International Urogynecology Journal 2010;21:453-9.
Bø K. Pelvic floor muscle training is effective in
treatment of female stress urinary incontinence, but how does it work? Int Urogynecol J Pelvic Floor Dysfunct2004;15:76-84.
Nordlund M, Thorstensson A. Strength training effects of whole‐body vibration? Scandinavian journal of medicine & science in sports 2007;17:12-7.
Hopkins J, Fredericks D, Guyon P, Parker S, Gage M, Feland J, et al. Whole body vibration does not potentiate the stretch reflex. International journal of sports medicine 2008; 30: 124-9.
Xie L, Rubin C, Judex S. Enhancement of the adolescent murine musculoskeletal system using low-level mechanical vibrations. Journal of Applied Physiology 2008;104:1056-62.
Moezy A, Olyaei G, Hadian M, Razi M, Faghihzadeh S. A comparative study of whole body vibration training and conventional training on knee proprioception and postural stability after anterior cruciate ligament reconstruction. British journal of sports Medicine 2008;42:373-85.
Aaboe J, Henriksen M, Christensen R, Bliddal H, Lund H. Effect of whole body vibration exercise on muscle strength and proprioception in females with knee osteoarthritis. Knee 2009;16:256-61.
Pang MY. Whole body vibration therapy in fracture prevention among adults with chronic disease. World journal of orthopedics 2010; 1: 20-5.
Wunderer K, Schabrun SM, Chipchase LS. Effects of whole body vibration on strength and functional mobility in multiple sclerosis. Physiotherapy Theory and Practice 2010;26:374-84.
Roth J, Wust M, Rawer R, Schnabel D, Armbrecht G, Beller G, et al. Whole body vibration in cystic fibrosis–a pilot study. J Musculoskelet Neuronal Interact 2008;8:179-87.
Rietschel E, van Koningsbruggen S, Fricke O, Semler O, Schoenau E. Whole body vibration: a new therapeutic approach to improve muscle function in cystic fibrosis? International Journal of Rehabilitation Research 2008;31:253-6.
Bruyere O, Wuidart M-A, Di Palma E, Gourlay M, Ethgen O, Richy F, et al. Controlled whole body vibration to decrease fall risk and improve health-related quality of life of nursing home residents. Archives of physical medicine and rehabilitation 2005;86:303-7.
Stach-Lempinen B, Kirkinen P, Laippala P, Metsänoja R, Kujansuu E. Do objective urodynamic or clinical findings determine impact of urinary incontinence or its treatment on quality of life? Urology 2004;63:67-71.
Nojomi M, Baharvand P, Moradi lakeh M, Patrick DL. Incontinence quality of life questionnaire (I-QOL): translation and validation study of the Iranian version. Int UrogynecolJ Pelvic Floor Dysfunct 2009;20:575-9.
Pollock RD, Woledge RC, Mills KR, Martin FC, Newham DJ. Muscle activity and acceleration during whole body vibration: effect of frequency and amplitude. Clinical Biomechanics 2010;25:840-6.
Cochrane DJ, Stannard SR, Sargeant AJ, Rittweger J. The rate of muscle temperature increase during acute whole-body vibration exercise. European journal of applied physiology 2008;103:441-8.
Cochrane DJ, Stannard SR, Firth EC, Rittweger J. Acute whole-body vibration elicits post-activation potentiation. European journal of applied physiology 2010;108:311-9.
Cardinale M, Wakeling J. Whole body vibration exercise: are vibrations good for you? British journal of sports Medicine 2005;39:585-9.
Bogaerts A, Delecluse C, Claessens AL, Coudyzer W, Boonen S, Verschueren SM. Impact of whole-body vibration training versus fitness training on muscle strength and muscle mass in older men: a 1-year randomized controlled trial. J Gerontol A Biol Sci Med: 2007;62:630-5.
Cronin JB, Oliver M, McNair PJ. Muscle stiffness and injury effects of whole body vibration. Physical Therapy in Sport 2004;5:68-74.
Kim H, Yoshida H, Suzuki T. The effects of multidimensional exercise treatment on community-dwelling elderly Japanese women with stress, urge, and mixed urinary incontinence: A randomized controlled trial. International Journal of Nursing Studies 2011;48:1165-72.
Balmforth JR, Mantle J, Bidmead J, Cardozo L. A prospective observational trial of pelvic floor muscle training for female stress urinary incontinence. BJU international 2006;98:811-7.
Zanetti MR, Castro RA, Rotta AL, Santos PD, Sartori M, Girão MJ. Impact of supervised physiotherapeutic pelvic floor exercises for treating female stress urinary incontinence. Sao Paulo Medical Journal 2007;125:265-9.
Abdulaziz K, Hasan T. Role Of Pelvic Floor Muscle Therapy In Obese Perimenopausal Females With Stress Incontinence: A Randomized Control Trial. The Internet Journal of Gynecology and Obstetrics 2012;16.
Ghoniem GM, Van Leeuwen JS, Elser DM, Freeman RM, Zhao YD, Yalcin I, et al. A randomized controlled trial of duloxetine alone, pelvic floor muscle training alone, combined treatment and no active treatment in omen with stress urinary incontinence. The Journal of urology 2005;173:1647-53.
| Files | ||
| Issue | Vol 9, No 4 (December 2015) | |
| Section | Original Articles | |
| Keywords | ||
| Pelvic Floor Muscle Training Stress Urinary Incontinence Whole Body Vibration Training RCT | ||
| Rights and permissions | |
|
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
