Tele-rehabilitation in women with stress urinary incontinence: a feasibility study

Document Type : Original Article

Authors

1 Women’s Health outpatient clinic, Kasr Al-Ainy, Ministry of Health, Egypt

2 Department of Physical Therapy for Women’s Health, Faculty of Physical Therapy, Cairo University, Cairo, Egypt

10.21608/iptccu.2024.457161

Abstract

Background: Stress urinary incontinence is a serious widely spread condition that affects large number of women. After Covid -19 pandemic, health associations worldwide have released recommendations about care from distance using tools of communication and information technologies such as telehealth, and tele-rehabilitation. Purpose: This study aimed at investigating the feasibility of assessing stress urinary incontinence through tele-rehabilitation. Methods:  A total of 124 women were selected from Kasr Al-Ainy women’s health outpatient clinic with ages between 20 to 60 years, and a body mass index of 20.5 to 41.53 kg/m2. Stress urinary incontinence was evaluated by Urogenital Distress Inventory Short Form (UDI-6), an online- administered questionnaire and by in-person objective measuring of pelvic floor muscles’ strength using the perineometer. Results: Regarding scores of UDI-6 questionnaire, the median (IQR) scores value was 11.5 (8 – 14). For the measurements of the perineometer examination, they ranged from 0 to 18 mmHg with a mean value (± SD) of 5.71 (± 3.02) mmHg. Results indicated a statistically significant negative correlation between the UDI-6 scores and pelvic floor muscle strength (P<0.001). Conclusions: Tele-rehabilitation can replace face to face assessment of pelvic floor muscle strength in women with SUI.

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