Arid
DOI10.1097/SPV.0000000000000255
Impact of Pelvic Floor Physical Therapy on Quality of Life and Function After Obstetric Anal Sphincter Injury: A Randomized Controlled Trial
Oakley, Susan H.; Ghodsi, Vivian C.; Crisp, Catrina C.; Estanol, Maria Victoria; Westermann, Lauren B.; Novicki, Kathleen M.; Kleeman, Steven D.; Pauls, Rachel N.
通讯作者Oakley, Susan H.
会议名称36th Annual Scientific Meeting of the American-Urogynecologic-Society (AUGS) / Pelvic Floor Disorders (PFD) Week
会议日期OCT 13-17, 2015
会议地点Seattle, WA
英文摘要

Objectives: There is no standard of care for women sustaining an obstetric anal sphincter injury (OASIS). We sought to determine whether pelvic floor physical therapy (PFPT) would improve the quality of life and function in women 12 weeks after OASIS.


Methods: This institutional review board-approved randomized trial enrolled primiparous women 2 weeks after delivery complicated by OASIS. After informed consent, all subjects underwent vaginal electromyography and anorectal manometry and completed validated questionnaires; measureswere repeated for all subjects at 12weeks after delivery. The intervention arm completed 4 PFPT sessions. The primary outcome was a change in the Fecal Incontinence Quality of Life.


Results: Three hundred four women were screened; 250 were excluded, and 54 were randomized. After four were lost to follow-up, analysis included 27 in the intervention arm and 23 in the control arm. Overall, mean age was 29.8 +/- 4.7 years, and there were no demographic differences between groups.


Fecal Incontinence Quality of Life domain scores showed improvement for both groups from baseline to 12 weeks for coping (P = 0.006) and depression (P = 0.009); however, there was no difference in domain scores between groups. For the secondary outcome of anorectal manometry, squeezing pressure improved for all subjects (P = 0.035) from baseline to 12 weeks. Vaginal EMG strength (microvolts) increased for all subjects in measures of rest average (P < 0.000), rapid peak (P = 0.006), and work average (P < 0.000), with no difference based on therapeutic arm.


Conclusions: All women showed improvements in quality of life and function at 12 weeks after delivery, regardless of treatment allocation. Further study is needed to determine whether PFPT provides a significant benefit to women having OASIS.


英文关键词OASIS pelvic floor physical therapy anal incontinence
来源出版物FEMALE PELVIC MEDICINE AND RECONSTRUCTIVE SURGERY
ISSN2151-8378
EISSN2154-4212
出版年2016
卷号22
期号4
页码205-213
出版者LIPPINCOTT WILLIAMS & WILKINS
类型Article;Proceedings Paper
语种英语
国家USA
收录类别SCI-E ; CPCI-S
WOS记录号WOS:000378713200006
WOS关键词FEMALE SEXUAL FUNCTION ; FECAL INCONTINENCE ; URINARY-INCONTINENCE ; PRIMIPAROUS WOMEN ; VAGINAL DELIVERY ; PRIMARY REPAIR ; RISK-FACTORS ; INDEX FSFI ; BIOFEEDBACK ; POSTPARTUM
WOS类目Obstetrics & Gynecology
WOS研究方向Obstetrics & Gynecology
资源类型会议论文
条目标识符http://119.78.100.177/qdio/handle/2XILL650/304928
作者单位St Elizabeth Phys, Div Female Pelv Med & Reconstruct Surg, 1400 N Grand Ave, Fort Thomas, KY 41017 USA
推荐引用方式
GB/T 7714
Oakley, Susan H.,Ghodsi, Vivian C.,Crisp, Catrina C.,et al. Impact of Pelvic Floor Physical Therapy on Quality of Life and Function After Obstetric Anal Sphincter Injury: A Randomized Controlled Trial[C]:LIPPINCOTT WILLIAMS & WILKINS,2016:205-213.
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