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DOI | 10.1097/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 |
ISSN | 2151-8378 |
EISSN | 2154-4212 |
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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