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Critical Reviews™ in Physical and Rehabilitation Medicine

年間 4 号発行

ISSN 印刷: 0896-2960

ISSN オンライン: 2162-6553

SJR: 0.141 SNIP: 0.129 CiteScore™:: 0.6 H-Index: 18

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Effectiveness of Therapeutic Interventions for Women with Urinary Incontinence: A Systematic Review

巻 32, 発行 1, 2020, pp. 1-22
DOI: 10.1615/CritRevPhysRehabilMed.2020031380
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要約

Background: Urinary incontinence is a common condition that reduces the quality of life of women specifically. To reduce this problem, it is necessary to identify the best possible therapeutic options.
Purpose: To synthesize the evidence on effective therapeutic options for women with urinary incontinence.
Data Sources: We extracted relevant papers from the Hinari, PubMed, Cochrane, Science Direct, Embase, PEDro, and Cinahl databases. Several studies were searched comprehensively.
Study Selection: We integrated data from 17 randomized controlled trials related to therapeutic interventions for the management of urinary incontinence in women.
Data Extraction: The PEDro scale was used to grade the level of evidence. The contents and outcomes of different therapeutic interventions for various types of urinary incontinence were explored.
Data Synthesis: The comparative effectiveness of the interventions was analyzed based on intervention and control groups, long-term follow-up, adequate sample size, and intention to treat analyses. The primary outcomes of the studies considered reduced severity of urinary incontinence and secondary outcomes such as satisfaction, improved self-esteem, sexual function, and quality of life.
Conclusions: Our findings suggest that pelvic-floor muscle exercise, behavioral training, electrical stimulation, vaginal cones, whole-body vibration treatment, and modified Pilates are significantly effective at reducing urinary incontinence. Nevertheless, persisting with one of these intervention procedures is difficult. Therefore, we recommend further study for long-term follow-up.

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