×
Home Current Archive Editorial board
News Contact
Review paper

Comparison of Kegel exercises and a combination of Kegel exercises with the use of the KegelSmart biofeedback device in the treatment of static urinary incontinence

By
Mirela Begić Orcid logo ,
Mirela Begić
Contact Mirela Begić

Clinic for Physical Medicine and Rehabilitation, University Clinical Centre of Tuzla, Tuzla, Bosnia and Herzegovina

Nedima Kapidžić-Bašić ,
Nedima Kapidžić-Bašić

European University Kallos Tuzla, Tuzla, Bosnia and Herzegovina

Asja Hotić-Hadžiefendić ,
Asja Hotić-Hadžiefendić

Clinic for Physical Medicine and Rehabilitation, University Clinical Centre of Tuzla,

Asmir Konjić ,
Asmir Konjić

Clinic for Physical Medicine and Rehabilitation, University Clinical Centre of Tuzla,

Dragana Bojinović-Rodić ,
Dragana Bojinović-Rodić

Institute for Physical Medicine and Rehabilitation, "Dr Miroslav Zotovic", Banjaluka, Bosnia and Herzegovina

Igor Hudić
Igor Hudić

Clinic for Gynaecology and Obstetrics, University Clinical Centre of Tuzla, Tuzla, Bosnia and Herzegovina

Abstract

Aim
To determine which of the two methods, Kegel exercises or combination of Kegel exercises with the use of the KegelSmart
biofeedback device, has better therapeutic effects on the symptoms of SUI in females.
Methods
Fifty female patients with SUI were randomly divided into two groups: 25 treated with Kegel exercises, and 25 with the
combination of Kegel exercises with the use of the KegelSmart biofeedback device. Patients in both groups performed Kegel exercises 30 minutes daily for 30 days. Patients in the second group, in addition to Kegel exercises, applied the KegelSmart device intravaginally for 20 minutes daily for 30 days. All patients filled out a questionnaire based on 12 questions consisting of an objective and a subjective component.
Results
The basic characteristics of the patients from both groups were not statistically significantly different: age 55.16 vs 54.52
years; number of births 1.80 vs 1.96; body mass index 29.12 vs 28.40. There was a statistically significant reduction in the values of all analysed objective and subjective parameters in the group treated with combination of Kegel exercises with the use of the KegelSmart biofeedback device compared to Kegel exercises group.
Conclusion
Combination of Kegel exercises with the use of the KegelSmart biofeedback device has better therapeutic effects than
Kegel exercises on the objective and subjective symptoms of SUI.

References

1.
Milsom I, Gyhagen M. The prevalence of urinary incontinence. Climacteric. 2019;22:217–22.
2.
Caruso S, Brescia R, Matarazzo MG, Giunta G, Rapisarda AMC, Cianci A. Effects of urinary incontinence subtypes on women’s sexual function and quality of life. Urology. 2017;108:59–64.
3.
Dumoulin C, Morin M, Danieli C, Cacciari L, Mayrand M, Tousignant M, et al. Urinary Incontinence and Aging Study Group. Group-based vs. individual pelvic floor muscle training to treat urinary incontinence in older women: a randomized clinical trial. JAMA. 2020;180:1284–93.
4.
Kegel AH. Progressive resistance exercise in the functional restoration of the perineal muscles. Am J Obstet Gynecol. 1948;56:238–48.
5.
Wagg A, Chowdhury Z, Galarneau J, Haque R, Kabir F, MacDonald D, et al. Exercise intervention in the management of urinary incontinence in older women in villages in Bangladesh: a cluster randomised trial. Lancet Glob Health. 2019;7:23–31.
6.
Fitz FF, Stüpp L, Costa TF, Bortolini MAT, Girăo MJBC, Castro RA. Outpatient biofeedback in addition to home pelvic floor muscle training for stress urinary incontinence: a randomized controlled trial. Neurourol Urodyn. 2017;36:2034–43.
7.
Gumussoy S, Kavlak O, Yeniel A. Effects of biofeedback-guided pelvic floor muscle training with and without extracorporeal magnetic innervation therapy on stress incontinence: a randomized controlled trial. J Wound Ostomy Cont Nurs. 2021;48:153–61.
8.
Özlü A, Yıldız N, Öztekin Ö. Comparison of the efficacy of perineal and intravaginal biofeedback assisted pelvic floor muscle exercises in women with urodynamic stress urinary incontinence. Neurourol Urodyn. 2017;36:2132–41.
9.
Bertotto A, Schvartzman R, Uchôa S, Wender MCO. Effect of electromyographic biofeedback as an addon to pelvic floor muscle exercises on neuromuscular outcomes and quality of life in postmenopausal women with stress urinary incontinence: a randomized controlled trial. Neurourol Urodyn. 2017;36:2142–7.
10.
Ptak M. The impact of pelvic floor muscle exercises with and without synergistic muscles on the quality of life of women with stress urinary incontinence. Pomeranian J Life Sci. 2017;63:49–55.
11.
Fitz F, Stüpp L, Costa T, Bortolini M, Girão M, Castro R. Outpatient biofeedback in addition to home pelvic floor muscle training for stress urinary incontinence: a randomized controlled trial. Neurology and Urodynamics. 2017;36:2034–43.
12.
Nie XF, Ouyang YQ, Wang L, Redding. A meta-analysis of pelvic floor muscle training for the treatment of urinary incontinence. Int J Gynaecol Obstet. 2017;138:250–5.
13.
Radziminska A, Straczynska A, Weber-Rajek M, Styczynska H, Strojek K, Piekorz Z. The impact of pelvic floor muscle training on the quality of life of women with urinary incontinence: A systematic literature review. Clin Interv Aging. 2018;13:957–65.
14.
Bech S, Villadsen D, Laursen H, Toft A, Reinau H, Raasted T, et al. The effect of group or individualised pelvic floor exercises with or without ultrasonography guidance for urinary incontinence in elderly women-A pilot study. J Bodyw Mov Ther. 2021;28:34–41.
15.
Gazewski JB, Schurch B, Hamid R, Averbeck M, Sakakibara R, Finalli Agro E. An International Continence Society (ICS) Report on the Terminology for Adult Neurogenic Lower Urinary Tract Dysfunction (ANLUTD. Neurourol Urodyn. 2017;37:1152–61.
16.
Hagovska M, Svihra J, Bukova A. The impact of physical activity measured by the international physical activity questionnaire on the prevalence of stress urinary incontinence in young women. Eur J Obstet Gynecol Reprod Biol. 2018;228:308–12.
17.
Berghmans L, Hendriks H, Bo K. Conservative treatment of stress urinary incontinence in women: a systematic review of randomized clinical trials. Br J Urol. 1998;82:181–91.
18.
Weatherall M. Biofeedback or pelvic floor muscle exercises for female genuine stress incontinence: a meta-analysis of trials identified in a systematic review. BJU. 1999;83:1015–26.
19.
Wu X, Xiu Zheng X, Yi X, Lai P, Lan Y. Electromyographic biofeedback for stress urinary incontinence or pelvic floor dysfunction in women: a systematic review and meta-analysis. Adv Ther. 2021;38:4163–77.
20.
Marsden N, Becker A. Survey of Biofeedback Interfaces for Pelvic Floor Muscle Training. J Biomed Inform. 2016;42:347–55.

Citation

Authors retain copyright. This work is licensed under a Creative Commons Attribution 4.0 International License. Creative Commons License

 

Article metrics

Google scholar: See link

The statements, opinions and data contained in the journal are solely those of the individual authors and contributors and not of the publisher and the editor(s). We stay neutral with regard to jurisdictional claims in published maps and institutional affiliations.