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Integrated Rehabilitation Approach with Manual and Mechanic-Acoustic Vibration Therapies for Urinary Incontinence

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Advancements and Innovations in Health Sciences

Part of the book series: Advances in Experimental Medicine and Biology ((CLEXBI,volume 1211))

Abstract

This study aims to verify whether an integrated rehabilitation protocol comprising neuromuscular manual therapy and focused mechanical-acoustic vibrations can significantly reduce pelvic floor dysfunctions in women affected by stress, urge, or mixed urinary incontinence. Sixty-two women were treated with a combination of neuromuscular manual therapy and mechanical-acoustic vibrations at the level of superficial pelvic floor muscle groups. The results were analyzed before the beginning and after the end of the study protocol with the myometric measuring device MyotonPRO, the Pelvic Floor Disability Index (PFDI-20), and the Pelvic Floor Impact Questionnaire (PFIQ-7). Two patients withdrew from the study after the first visit. The 60 remaining patients showed significant improvements of myometric parameters, with the percentage variations ranging from +8.5% to +20.7% for the muscle logarithmic decrement, from −11.2 to −13.9% for muscle frequency, and from −4.8% to −12.3% for muscle stiffness. There has been a reduction of 56% in the perceived disability induced by urinary incontinence, measured with the PFDI-20, and 43% reduction in the impact of the problem on daily living, measured with the PFIQ-7. We conclude that a combination of neuromuscular manual therapy and mechanical-acoustic vibrations effectively reduces pelvic symptoms in patients affected by urinary incontinence, with minimal invasiveness.

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Conflicts of Interest

The authors declare no conflicts interest in relation to this article.

Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed Consent

Written informed consent was obtained from all individual participants included in the study.

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Authors and Affiliations

  1. Department of Medical and Oral Sciences and Biotechnologies, “Gabriele D’Annunzio” University, Chieti, Italy

    Giovanni Barassi, Piera A. Di Felice, Marco Supplizi, Tommaso Palermo & Raoul Saggini

  2. Department of Biomolecular Sciences, “Carlo Bo” University, Urbino, Italy

    Rosa G. Bellomo

  3. Maternal-Infant Department, Obstetrics and Gynecology Clinic, “SS. Annunziata” University Hospital, Chieti, Italy

    Franco Frondaroli & Alessandro Santarelli

  4. Gynecology Operation Unit, “Floraspe Renzetti” Hospital, Lanciano, Italy

    Serena Frondaroli

Authors
  1. Giovanni Barassi
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  2. Rosa G. Bellomo
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  3. Franco Frondaroli
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  4. Serena Frondaroli
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  5. Alessandro Santarelli
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  6. Piera A. Di Felice
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  7. Marco Supplizi
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  8. Tommaso Palermo
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  9. Raoul Saggini
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Corresponding author

Correspondence to Giovanni Barassi .

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Editors and Affiliations

  1. Opole Medical School, Opole, Poland

    Mieczyslaw Pokorski

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Barassi, G. et al. (2019). Integrated Rehabilitation Approach with Manual and Mechanic-Acoustic Vibration Therapies for Urinary Incontinence. In: Pokorski, M. (eds) Advancements and Innovations in Health Sciences. Advances in Experimental Medicine and Biology(), vol 1211. Springer, Cham. https://doi.org/10.1007/5584_2019_436

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