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Virtual reality rehabilitation as a treatment approach for older women with mixed urinary incontinence: a feasibility study.
Neurourol Urodyn. 2015 Mar; 34(3):236-43.NU

Abstract

BACKGROUND

Motivated patients are more likely to adhere to treatment resulting in better outcomes. Virtual reality rehabilitation (VRR) is a treatment approach that includes video gaming to enhance motivation and functional training.

AIMS

The study objectives were (1) to evaluate the feasibility of using a combination of pelvic floor muscles (PFM) exercises and VRR (PFM/VRR) to treat mixed urinary incontinence (MUI) in older women, (2) to evaluate the effectiveness of the PFM/VRR program on MUI symptoms, quality of life (QoL), and (3) gather quantitative information regarding patient satisfaction with this new combined training program.

METHODS

Women 65 years and older with at least 2 weekly episodes of MUI were recruited. Participants were evaluated two times before and one time after a 12-week PFM/VRR training program. Feasibility was defined as the participants' rate of participation in and completion of both the PFM/VRR training program and the home exercise. Effectiveness was evaluated through a bladder diary, pad test, symptom and QoL questionnaire, and participant's satisfaction through a questionnaire.

RESULTS

Twenty-four women (70.5 ± 3.6 years) participated. The participants complied with the study demands in terms of attendance at the weekly treatment sessions (91%), adherence to home exercise (92%) and completion of the three evaluations (96%). Post-intervention, the frequency and quantity of urine leakage decreased and patient-reported symptoms and QoL improved significantly. Most participants were very satisfied with treatment (91%).

CONCLUSION

A combined PFM/VRR program is an acceptable, efficient, and satisfying functional treatment for older women with MUI and should be explore through further RCTs.

Authors+Show Affiliations

Centre de Recherche, Institut Universitaire de Gériatrie de Montréal (CRIUGM), Montréal, Québec, Canada; School of Rehabilitation, Faculty of Medicine of Université de Montréal, Montréal, Québec, Canada.No affiliation info availableNo affiliation info available

Pub Type(s)

Evaluation Study
Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

24415577

Citation

Elliott, Valérie, et al. "Virtual Reality Rehabilitation as a Treatment Approach for Older Women With Mixed Urinary Incontinence: a Feasibility Study." Neurourology and Urodynamics, vol. 34, no. 3, 2015, pp. 236-43.
Elliott V, de Bruin ED, Dumoulin C. Virtual reality rehabilitation as a treatment approach for older women with mixed urinary incontinence: a feasibility study. Neurourol Urodyn. 2015;34(3):236-43.
Elliott, V., de Bruin, E. D., & Dumoulin, C. (2015). Virtual reality rehabilitation as a treatment approach for older women with mixed urinary incontinence: a feasibility study. Neurourology and Urodynamics, 34(3), 236-43. https://doi.org/10.1002/nau.22553
Elliott V, de Bruin ED, Dumoulin C. Virtual Reality Rehabilitation as a Treatment Approach for Older Women With Mixed Urinary Incontinence: a Feasibility Study. Neurourol Urodyn. 2015;34(3):236-43. PubMed PMID: 24415577.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Virtual reality rehabilitation as a treatment approach for older women with mixed urinary incontinence: a feasibility study. AU - Elliott,Valérie, AU - de Bruin,Eling D, AU - Dumoulin,Chantale, Y1 - 2014/01/10/ PY - 2013/07/31/received PY - 2013/12/05/accepted PY - 2014/1/14/entrez PY - 2014/1/15/pubmed PY - 2015/7/24/medline KW - elderly KW - mixed urinary incontinence KW - pelvic floor muscle KW - virtual reality rehabilitation KW - women SP - 236 EP - 43 JF - Neurourology and urodynamics JO - Neurourol. Urodyn. VL - 34 IS - 3 N2 - BACKGROUND: Motivated patients are more likely to adhere to treatment resulting in better outcomes. Virtual reality rehabilitation (VRR) is a treatment approach that includes video gaming to enhance motivation and functional training. AIMS: The study objectives were (1) to evaluate the feasibility of using a combination of pelvic floor muscles (PFM) exercises and VRR (PFM/VRR) to treat mixed urinary incontinence (MUI) in older women, (2) to evaluate the effectiveness of the PFM/VRR program on MUI symptoms, quality of life (QoL), and (3) gather quantitative information regarding patient satisfaction with this new combined training program. METHODS: Women 65 years and older with at least 2 weekly episodes of MUI were recruited. Participants were evaluated two times before and one time after a 12-week PFM/VRR training program. Feasibility was defined as the participants' rate of participation in and completion of both the PFM/VRR training program and the home exercise. Effectiveness was evaluated through a bladder diary, pad test, symptom and QoL questionnaire, and participant's satisfaction through a questionnaire. RESULTS: Twenty-four women (70.5 ± 3.6 years) participated. The participants complied with the study demands in terms of attendance at the weekly treatment sessions (91%), adherence to home exercise (92%) and completion of the three evaluations (96%). Post-intervention, the frequency and quantity of urine leakage decreased and patient-reported symptoms and QoL improved significantly. Most participants were very satisfied with treatment (91%). CONCLUSION: A combined PFM/VRR program is an acceptable, efficient, and satisfying functional treatment for older women with MUI and should be explore through further RCTs. SN - 1520-6777 UR - https://www.unboundmedicine.com/medline/citation/24415577/Virtual_reality_rehabilitation_as_a_treatment_approach_for_older_women_with_mixed_urinary_incontinence:_a_feasibility_study_ L2 - https://doi.org/10.1002/nau.22553 DB - PRIME DP - Unbound Medicine ER -