Collaborative Research and Support of Fitzsimmons Army Medical Center and Research Program Projects. Subtitle: Evaluation of the Performance Impact and Treatment of Exercise Induced Urinary Incontinence among Female Soldiers.
Final rept. 1 Feb 95-31 Jul 96,
FACILITATORS OF APPLIED CLINICAL TRIALS SAN ANTONIO TX
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Results of the Incidence survey indicate that about one third of 450 female soldiers experience problematic urinary incontinence during exercise and field training activities. No studies have previously been performed to determine the effectiveness of behavioral treatments, such as Kegel pelvic muscle exercises or vaginal electromyographic biofeedback1 for urinary incontinence within this population. Thirty-nine female soldiers reporting exercise induced urinary incontinence were recruited by means of questionnaires and referrals. All underwent an objective urodynamic assessment UCMG of bladder capacity, urethral closure pressure, and detrusor contraction pressures. They were also given a questionnaire before and after therapy. Subjects were then stratified according to diagnosis of genuine stress incontinence or mixed urgestress incontinence and were then randomized into one of two groups. Group ones 23 participants received pelvic muscle exercises with biofeedback for eight weeks. Group twos 16 participants received only pelvic muscle exercises for eight weeks. Patients reports as well as the post-treatment urodynamic and physical examinations indicated that all subjects improved.
- Medicine and Medical Research