Behavioral treatment of exercise-induced urinary incontinence among female soldiers.
Annual meeting of the Association for Applied Psychophysiology. Albuquerque (USA), 1996/03/20.
One-third of 450 female soldiers surveyed indicated that they experienced problematic urinary incontinence during exercise and field training activities.
The other crucial finding of this survey was probably that 13.3% of the respondents restricted fluids significantly while participating in field exercises.
Although only 5.3% of respondents felt that their urine leakage had a significant impact on their regular duties, it is obvious that many more are sufficiently worried about leakage to put themselves at significant risk for dehydration-related injuries.
This study tested whether behavioral interventions effective among older people could help younger soldiers.
Thirty-nine female soldiers reporting exercise-induced urinary incontinence underwent urodynamic assessments of bladder capacity, urethral closure pressure, and detrusor contraction pressures as well as a symptom questionnaire before and after therapy.
They were stratified by diagnosis of physical stress incontinence or mixed urge/stress incontinence and randomized into two groups.
Twenty-three participants performed pelvic muscle exercises with urethral biofeedback for 8 weeks, and 16 participants performed pelvic muscle exercises alone.
Patient reports as well as the post-treatment examinations indicated that all subjects improved significantly.
Only five subjects in the biofeedback/exercise and three in the exercise-only group desired further treatment. (...)
Mots-clés Pascal : Incontinence urinaire effort, Epidémiologie, Enquête sur terrain, Etiopathogénie, Entraînement physique, Militaire, Conduite à tenir, Femelle, Homme, Evaluation, Etats Unis, Amérique du Nord, Amérique, Appareil urinaire pathologie, Voie urinaire pathologie, Vessie pathologie, Trouble miction, Organisation santé
Mots-clés Pascal anglais : Urinary stress incontinence, Epidemiology, Field inquiry, Etiopathogenesis, Physical training, Military, Clinical management, Female, Human, Evaluation, United States, North America, America, Urinary system disease, Urinary tract disease, Bladder disease, Voiding dysfunction, Public health organization
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Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0020971
Code Inist : 002B14E02. Création : 17/04/1998.