Surya, Gopalakrishnan (2017) Effects of Acu-TENS, Interferential therapy and exercises on the quality of life in women with mixed urinary incontinence: An Experimental study. Masters thesis, College of Physiotherapy, Sri Ramakrishna Institute of Paramedical Sciences, Coimbatore.
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Abstract
INTRODUCTION : Urinary incontinence is a common problem with widespread human and social implication causing discomfort, shame and loss of self- confidence. It not only affects the quality of life but also has significant cost complications. Urinary incontinence (UI) commonly classified as the stress urinary incontinence (SUI), if there is any involuntary loss of urine when coughing or sneezing; urge urinary incontinence (UUI), if there is an abrupt and sudden urge to urinate that cannot be postponed and mixed urinary incontinence (MUI) if it is associated with both situation mentioned above. The International Urogynecological Association (IUA) and International Continence Society (ICS) defined mixed urinary incontinence as “the complaints of involuntary loss of urine associated with urgency and also with the effort or physical exertion or on sneezing and coughing”. Mixed urinary incontinence has been described urodynamically as “representing both urodynamic stress incontinence and detrusor over activity with or without incontinence”. OBJECTIVE : To determine the effects of Acu-TENS, Interferential therapy and exercises on quality of life in women with mixed urinary incontinence. MATERIALS AND METHODOLOGY : The following materials were used in this study: Assessment Chart, Bladder diary, Exercise Chart, Equipment used- Vectrostim model (Technomed Electronics Private Ltd), Velcro Band and Microspore tape, Cotton and Gel, Covering sheet. METHODOLOGY : STUDY DESIGN : This is a single group prospective experimental study done in the pre-test post-test format. STUDY SETTING : This study was conducted on out patients in the Department of Physiotherapy, Sri Ramakrishna Hospital, Coimbatore 641044, under supervision of staff incharge, College of Physiotherapy, SRIPMS, Coimbatore. Informed consent was obtained from all patients and all were considered for the study after prior referral from the physician incharge. SAMPLING : Seventeen women with mixed urinary incontinence based on the history were selected by convenient sampling. SELECTION CRITERIA : Inclusion Criteria: • Age group between 35-50 years. • Women who had vaginal or caesarean delivery. • Women who were suffering from mixed urinary incontinence for 3 months. • Women who were willing to use modalities. • Women who were able to complete the questionnaire in English. Exclusion Criteria: • Women who were using medication that enhances the urinary incontinence. • Women who were pregnant or within 8 months after delivery. • Women with advanced genital prolapse. • Women who had surgery for urogenital prolapse. • Women with psychiatric and neurological disorders. • Women with previous history of head trauma. • Women having cardiac pacemaker, metal implants. • Women with chronic cardiovascular, respiratory and renal disease. • Women with chronic degenerative disease that affects muscles and nerves. • Women with physical impairment making treatment impossible. RESULT : The mean values, standard deviation and calculated ‘t’ value for the King’s Health Questionnaire (KHQ) domains are shown in table 4.2. The first part of the King’s Health Questionnaire dealt with the perception of general health and the impact of the incontinence. The second part of the King Health Questionnaire explored the limitations (role, physical and social), personal relationship, emotions and sleep/ (role, physical and social), personal relationship, emotions and sleep/energy. Third part dealt with the perception of symptom severity. Higher the score indicates poor quality of life. Lower the score indicates the good quality of life. CONCLUSION : Based on this study, it is recommended that Acu-TENS, Interferential therapy and exercises can be used as an effective conservative management to improve quality of life in women with mixed urinary incontinence.
| Item Type: | Thesis (Masters) |
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| Uncontrolled Keywords: | Acu-TENS, Interferential therapy, exercises, quality of life, women, mixed urinary incontinence. |
| Subjects: | PHYSIOTHERAPY > Physiotherapy in Obstetrics and Gynaecology |
| Depositing User: | Kambaraman B |
| Date Deposited: | 01 Feb 2018 13:12 |
| Last Modified: | 01 Feb 2018 13:12 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/5561 |
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