The Intervention Study Of Hip Muscle Exercise On Patients With Stress Urinary Incontinence

Objective: Explore the hip muscle training effect on stress urinary incontinence by observing it in patients with mild to moderate stress urinary incontinence.Provide a new and effective intervention for stress urinary incontinence patients.Methods: Selected 48 patients with stress incontinence from a urology clinic in one of the top 3 hospitals in Hebei province during January to November 2015.Randomly divided them into 24 subjects of the control group,and 24 subjects of the experimental group.Treated both groups of patients with the same basic conventional health education.Additionally,the control group received a 12-week pelvic floor muscle training,i.e.automatic contraction of pubis muscle and coccyx muscle(around the vagina and anus): silently count 1001 1002;contract for 2 seconds;relax for 2 seconds;count 1001 1002 again and repeat the above exercise 20 times,twice a day.Silently count 1001 1002 … 1009 1010;contract for 10 seconds;relax for 10 seconds;silently count 1001 1002 …… 1009 1010 again and repeat the above exercise 20 times,twice a day.Experimental group received a 12-week hip muscle training,including the hip internal rotation and hip external rotation.Hip internal rotation training was assisted with a 9 " inflatable ball: keep toes touching and heels apart;close knees to press the 9" inflatable ball;silently count 1001 1002 1003 1004 1005 and hold for 5 seconds;relax for 5 seconds and silently count 1001 1002 1003 1004 1005 again.Repeat above exercise 20 times,twice a day.Hip external rotation training was assisted with a resistance band(Kylin Sport,anti-resistance 25-70 lbs): keep heels touching and toes pointed outward to form a V-shape;roll knees out against the resistance bands within shoulder width;hold for 5 seconds,relax for 5 seconds.Repeat above exercise 20 times,twice a day.Assessed two groups in week 8 and week 12 separately to evaluate the training effect.Measurements were International Consultation on Incontinence Inventory-Short Form(ICI-Q-SF)scores,1-hour pad test urine loss,urinary incontinence quality of life(I-QOL)scores and patients' exercise compliance.Results:1 Compared the week 8 result with it before intervention.In both groups,urine leakage frequency and ICI-Q-SF scores were significantly lower,the difference was statistically significant(P<0.05).I-QOL total score and the other scores significantly increased,and the difference was statistically significant(P<0.05).Compared the week 12 result with the week 8 results after intervention.In both groups,urine leakage frequency and ICI-Q-SF scores were significantly lower,the difference was statistically significant(P <0.05).I-QOL total score and the other scores significantly increased,the difference was statistically significant(P<0.05).2 In week 8,urine leakage frequency,ICI-Q-SF score,I-QOL limit behavior and the psychological impact of the scores was statistically insignificant(P> 0.05);I-QOL total scores and scores of social barriers in the experimental group was significantly higher,the difference was statistically significant(P<0.05).In week 12,urine leakage frequency,ICI-Q-SF score,I-QOL limit behavior and the psychological impact of the scores was statistically insignificant(P>0.05);I-QOL score and social barriers scores of the experimental group was significantly higher,the difference was statistically significant(P<0.05);I-QOL total scores and scores of social barriers in the experimental group was significantly higher,the difference was statistically significant(P<0.05).3 Patients' exercise compliance of the control group was higher than it of the experimental group,the difference was statistically significant(P<0.05).Conclusion:Pelvic floor muscle and hip muscle training are effective interventions for patients with stress urinary incontinence.Long-term training is better than short-term training.Hip muscle training is better than pelvic floor muscle training in terms of improving the quality of lives of patients.