A comparison of effectiveness of biofeedback and pelvic muscle exercise treatment of stress incontinence in older community-dwelling women
A randomized clinical trial of 135 older women was used to compare biofeedback to pelvic muscle exercise as a treatment for sphincteric incontinence (SI). Assessment during eight weeks of treatment, three months later and six months later revealed that both methods reduced the number of incontinent episodes regardless of initial severity, and improvement was maintained during the post-treatment period for all subjects with greater than mild symptoms. Pelvic muscle contraction scores (EMG) were significantly higher in subjects using biofeedback, and EMG was correlated to a decrease in incontinent episodes.
Publication Name: Journals of Gerontology
The association of urinary incontinence with poor self-rated health
Many elderly people with urinary incontinence rate their health as poor. This was the conclusion of a survey of 3,485 elderly Medicare beneficiaries participating in the National Survey of Self-Care and Aging. Among whites, those with moderate incontinence and no impairment in activities of daily living were twice as likely to rate their health as poor and those with severe incontinence were four times as likely. This association was not seen in non-white patients.
Publication Name: Journal of the American Geriatrics Society
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