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The Adherence of Home Pelvic Floor Muscles Training Using a Mobile Device Application for Women With Urinary Incontinence

A Randomized Controlled Trial

Araujo, Camila C. MD*; Marques, Andrea de A. MD, PhD; Juliato, Cassia R.T. MD, PhD*

Female Pelvic Medicine & Reconstructive Surgery: January 8, 2019 - Volume Publish Ahead of Print - Issue - p
doi: 10.1097/SPV.0000000000000670
Original Article: PDF Only
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Objectives The objective of this study was to evaluate the use of a mobile device application (app) for the treatment of urinary incontinence through adherence to home pelvic floor muscle training (PFMT) and its impact on urinary symptoms.

Methods This prospective randomized study included women with stress urinary incontinence. They were randomized into 2 groups: the app group, which used an app developed using the same visual component of electromyography as a guide for PFMT and followed exercises shown on the screen, and the control group, which received written instructions with the same protocol as the app group but without the dynamic sequence of PFMT images. Exercises were done twice a day. Reevaluation was repeated at 1, 2, and 3 months after the initial evaluation. Changes in urinary and vaginal symptoms were evaluated using questionnaires, and the Oxford Modified Scale was determined through digital palpation.

Results Twenty-one women were included in the study (app group, n = 12; control group, n = 09). Adherence (number of repetitions) was higher in the app group at 2 and 3 months after PFMT (P < 0.001), but adherence decrease, especially in the control group, at 1, 2, and 3 months. Vaginal symptoms (P < 0.001), quality of life (P = 0.003), urinary symptoms (P < 0.001), and stress urinary symptoms (P < 0.001) showed improvement comparing baseline and during treatment, but there was no difference between the app and control groups (P values, 0.887, 0.817, 0.573, and 0.825, respectively).

Conclusions Using the app increased adherence to PFMT in women with urinary incontinence symptoms and improved subjective perception.

From the *School of Medicine, University of Campinas (UNICAMP); and

Women's Hospital (CAISM), Campinas, São Paulo, Brazil.

Correspondence: Camila C. Araujo, MD, School of Medicine, University of Campinas (UNICAMP), R. Alexander Fleming, 101, Cidade Universitária Zeferino Vaz, Campinas, São Paulo 13083-881, Brazil. E-mail: araujoc.sm@gmail.com.

The authors have declared they have no conflicts of interest.

Supplemental digital contents are available for this article. Direct URL citations appear in the printed text and are provided in the HTML and PDF versions of this article on the journal's Web site (www.fpmrs.net).

Supplemental digital contents are available for this article. Direct URL citations appear in the printed text and are provided in the HTML and PDF versions of this article on the journal’s Web site (www.fpmrs.net).

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