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Bio-Physics Approach to Urinary Incontinence Disabilities

Background: The terminology of urinary incontinence (UI) and pelvic floor dysfunctions is complex. It affects quality of life and daily activities in personal, social, and professional fields. Managing UI without pharmacologic therapies is effective with a low risk of adverse effects and a large ben...

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Autores principales: Prosperi, Loris, Barassi, Giovanni, Panunzio, Maurizio, Pellegrino, Raffaello, Marinucci, Celeste, Di Iulio, Antonella, Colombo, Antonio, Licameli, Marco, Moccia, Antonio, Melchionna, Mario
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9564884/
https://www.ncbi.nlm.nih.gov/pubmed/36231912
http://dx.doi.org/10.3390/ijerph191912612
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author Prosperi, Loris
Barassi, Giovanni
Panunzio, Maurizio
Pellegrino, Raffaello
Marinucci, Celeste
Di Iulio, Antonella
Colombo, Antonio
Licameli, Marco
Moccia, Antonio
Melchionna, Mario
author_facet Prosperi, Loris
Barassi, Giovanni
Panunzio, Maurizio
Pellegrino, Raffaello
Marinucci, Celeste
Di Iulio, Antonella
Colombo, Antonio
Licameli, Marco
Moccia, Antonio
Melchionna, Mario
author_sort Prosperi, Loris
collection PubMed
description Background: The terminology of urinary incontinence (UI) and pelvic floor dysfunctions is complex. It affects quality of life and daily activities in personal, social, and professional fields. Managing UI without pharmacologic therapies is effective with a low risk of adverse effects and a large benefit for increasing continence rates. The aim of this preliminary retrospective observational study is to evaluate the effectiveness of the association between manual therapy and focused mechano-acoustic vibrations in women with nonspecific UI. Materials and methods: A group of 15 incontinent women (mean age 59.5 ± 11.4), referred to the Physiotherapy Center, Rehabilitation and Re-education (Ce.Fi.R.R.), located at the University “Gabriele d’Annunzio” of Chieti-Pescara from January 2019 December 2021, were enrolled after medical examination. The women were evaluated at T0 (admission protocol), T1 (after 8 weeks), and T2 (after 12 weeks). All patients received the rehabilitation protocol twice a week for a total of 8 weeks (T1) and were reevaluated after 12 weeks (T2). Outcome measures were: the Pelvic Floor Disability Index, the Pelvic Floor Impact Questionnaire-7, and the MyotonPRO. Results: The analysis of MyotonPRO data showed no significant improvements in all parameters. The PFDI-20 and PFIQ-7 questionnaire results showed a significant reduction in scores between T0 and T2.Results over time of the ANOVA values confirming the significant differences in the PFDI-20 and PFIQ-7 questionnaire results but not in the MyotonPRO variables. Conclusions: Despite limitations and no significant results, this study demonstrated that the integration of manual and focused mechano-acoustic vibrations therapy improved the symptoms of UI and reduced its psychosocial impact. Further experience could be required to establish the place of this integrated approach in achieving long-term improvements in UI.
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spelling pubmed-95648842022-10-15 Bio-Physics Approach to Urinary Incontinence Disabilities Prosperi, Loris Barassi, Giovanni Panunzio, Maurizio Pellegrino, Raffaello Marinucci, Celeste Di Iulio, Antonella Colombo, Antonio Licameli, Marco Moccia, Antonio Melchionna, Mario Int J Environ Res Public Health Article Background: The terminology of urinary incontinence (UI) and pelvic floor dysfunctions is complex. It affects quality of life and daily activities in personal, social, and professional fields. Managing UI without pharmacologic therapies is effective with a low risk of adverse effects and a large benefit for increasing continence rates. The aim of this preliminary retrospective observational study is to evaluate the effectiveness of the association between manual therapy and focused mechano-acoustic vibrations in women with nonspecific UI. Materials and methods: A group of 15 incontinent women (mean age 59.5 ± 11.4), referred to the Physiotherapy Center, Rehabilitation and Re-education (Ce.Fi.R.R.), located at the University “Gabriele d’Annunzio” of Chieti-Pescara from January 2019 December 2021, were enrolled after medical examination. The women were evaluated at T0 (admission protocol), T1 (after 8 weeks), and T2 (after 12 weeks). All patients received the rehabilitation protocol twice a week for a total of 8 weeks (T1) and were reevaluated after 12 weeks (T2). Outcome measures were: the Pelvic Floor Disability Index, the Pelvic Floor Impact Questionnaire-7, and the MyotonPRO. Results: The analysis of MyotonPRO data showed no significant improvements in all parameters. The PFDI-20 and PFIQ-7 questionnaire results showed a significant reduction in scores between T0 and T2.Results over time of the ANOVA values confirming the significant differences in the PFDI-20 and PFIQ-7 questionnaire results but not in the MyotonPRO variables. Conclusions: Despite limitations and no significant results, this study demonstrated that the integration of manual and focused mechano-acoustic vibrations therapy improved the symptoms of UI and reduced its psychosocial impact. Further experience could be required to establish the place of this integrated approach in achieving long-term improvements in UI. MDPI 2022-10-02 /pmc/articles/PMC9564884/ /pubmed/36231912 http://dx.doi.org/10.3390/ijerph191912612 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Prosperi, Loris
Barassi, Giovanni
Panunzio, Maurizio
Pellegrino, Raffaello
Marinucci, Celeste
Di Iulio, Antonella
Colombo, Antonio
Licameli, Marco
Moccia, Antonio
Melchionna, Mario
Bio-Physics Approach to Urinary Incontinence Disabilities
title Bio-Physics Approach to Urinary Incontinence Disabilities
title_full Bio-Physics Approach to Urinary Incontinence Disabilities
title_fullStr Bio-Physics Approach to Urinary Incontinence Disabilities
title_full_unstemmed Bio-Physics Approach to Urinary Incontinence Disabilities
title_short Bio-Physics Approach to Urinary Incontinence Disabilities
title_sort bio-physics approach to urinary incontinence disabilities
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9564884/
https://www.ncbi.nlm.nih.gov/pubmed/36231912
http://dx.doi.org/10.3390/ijerph191912612
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