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Effect of photobiomodulation associated with strengthening pelvic floor muscles in volunteers with urinary incontinence: a randomized, double-blinded, and placebo-controlled clinical trial
The dysfunctions of the female pelvic floor have a great influence on the quality of life of women, in all areas, social, psychological, and sexual. Stress urinary incontinence is the clinical condition in which the woman involuntarily loses urine to efforts, such as coughing and sneezing, causing g...
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| Published in: | Lasers in medical science 2023-11, Vol.38 (1), p.278-278, Article 278 |
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| creator | da Silva, Aline Lanziloti Lopes-Martins, Rodrigo Alvaro B. dos Santos Oliveira, Aissa França, Paula Denise Leite Pereira, Maria Fernanda Franco Lima, Mário Oliveira Lima, Fernanda Pupio Silva |
| description | The dysfunctions of the female pelvic floor have a great influence on the quality of life of women, in all areas, social, psychological, and sexual. Stress urinary incontinence is the clinical condition in which the woman involuntarily loses urine to efforts, such as coughing and sneezing, causing great embarrassment and affecting her quality of life. The physiotherapeutic treatments include muscle strengthening; however, muscle fatigue is present when performing the exercises. Here we investigate the effects of photobiomodulation to prevent muscle fatigue in the pelvic floor in the treatment of stress urinary incontinence, associated with a muscle strengthening exercise protocol. We used an infrared laser (808 nm, 100 mW) and 3 J/point and fluence of 107.1 J/cm
2
. The application was performed at 3 points on the vaginal introits and at another 3 points inside the vaginal canal cavity for the treatment of stress urinary incontinence associated with strengthening exercises with vaginal cones. Twenty-two volunteers participated in the study, divided into two groups: group 1 (laser therapy + strengthening) and group 2 (placebo laser + strengthening). In the group 1 quality of life score, the assessment (11.63 ± 4.33) was the highest score at 17 and in the reevaluation (7.81 ± 5.14) the lowest was 0 (
p
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| doi_str_mv | 10.1007/s10103-023-03919-7 |
| format | article |
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2
. The application was performed at 3 points on the vaginal introits and at another 3 points inside the vaginal canal cavity for the treatment of stress urinary incontinence associated with strengthening exercises with vaginal cones. Twenty-two volunteers participated in the study, divided into two groups: group 1 (laser therapy + strengthening) and group 2 (placebo laser + strengthening). In the group 1 quality of life score, the assessment (11.63 ± 4.33) was the highest score at 17 and in the reevaluation (7.81 ± 5.14) the lowest was 0 (
p
< 0.05). The muscular strength increased considerably (
p
< 0.05) for group 1, where the vast majority of patients gained more than twice the strength in the pelvic apparatus (8.36 ± 6.65 before X 13.81 ± 8.92 after). The volunteers acquired an increase in the contraction of the muscles of the pelvic apparatus (
p
< 0.05) (3.45 ± 1.07); after laser application, this number increased considerably (4.27 ± 0.61). Endurance had an increase of almost 50% compared to placebo, demonstrating the resistance gain in the perineal muscles (3.90 ± 2.35 X 5 ± 1.90). We concluded that photobiomodulation treatment showed significant efficacy in relation to muscle fatigue in the pelvic apparatus right after a strengthening program in women with stress urinary incontinence.</description><identifier>ISSN: 1435-604X</identifier><identifier>ISSN: 0268-8921</identifier><identifier>EISSN: 1435-604X</identifier><identifier>DOI: 10.1007/s10103-023-03919-7</identifier><identifier>PMID: 38017192</identifier><language>eng</language><publisher>London: Springer London</publisher><subject>Clinical trials ; Dentistry ; Exercise Therapy - methods ; Fatigue ; Female ; Fluence ; Humans ; Infrared lasers ; Laser applications ; Lasers ; Light therapy ; Medicine ; Medicine & Public Health ; Muscle contraction ; Muscle fatigue ; Muscle strength ; Muscles ; Muscular fatigue ; Optical Devices ; Optics ; Original Article ; Pelvic Floor ; Pelvis ; Perineum ; Photonics ; Placebos ; Quality of Life ; Quantum Optics ; Sneezing ; Social interactions ; Strengthening ; Treatment Outcome ; Urinary Incontinence ; Urinary Incontinence, Stress - radiotherapy ; Vagina</subject><ispartof>Lasers in medical science, 2023-11, Vol.38 (1), p.278-278, Article 278</ispartof><rights>The Author(s), under exclusive licence to Springer-Verlag London Ltd., part of Springer Nature 2023. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.</rights><rights>2023. The Author(s), under exclusive licence to Springer-Verlag London Ltd., part of Springer Nature.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c326t-89ba849affd80e6bb68c24773c64c37c662e6773017172c67fbb12b1ffc2641f3</cites><orcidid>0000-0001-9834-7800</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38017192$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>da Silva, Aline Lanziloti</creatorcontrib><creatorcontrib>Lopes-Martins, Rodrigo Alvaro B.</creatorcontrib><creatorcontrib>dos Santos Oliveira, Aissa</creatorcontrib><creatorcontrib>França, Paula Denise Leite</creatorcontrib><creatorcontrib>Pereira, Maria Fernanda Franco</creatorcontrib><creatorcontrib>Lima, Mário Oliveira</creatorcontrib><creatorcontrib>Lima, Fernanda Pupio Silva</creatorcontrib><title>Effect of photobiomodulation associated with strengthening pelvic floor muscles in volunteers with urinary incontinence: a randomized, double-blinded, and placebo-controlled clinical trial</title><title>Lasers in medical science</title><addtitle>Lasers Med Sci</addtitle><addtitle>Lasers Med Sci</addtitle><description>The dysfunctions of the female pelvic floor have a great influence on the quality of life of women, in all areas, social, psychological, and sexual. Stress urinary incontinence is the clinical condition in which the woman involuntarily loses urine to efforts, such as coughing and sneezing, causing great embarrassment and affecting her quality of life. The physiotherapeutic treatments include muscle strengthening; however, muscle fatigue is present when performing the exercises. Here we investigate the effects of photobiomodulation to prevent muscle fatigue in the pelvic floor in the treatment of stress urinary incontinence, associated with a muscle strengthening exercise protocol. We used an infrared laser (808 nm, 100 mW) and 3 J/point and fluence of 107.1 J/cm
2
. The application was performed at 3 points on the vaginal introits and at another 3 points inside the vaginal canal cavity for the treatment of stress urinary incontinence associated with strengthening exercises with vaginal cones. Twenty-two volunteers participated in the study, divided into two groups: group 1 (laser therapy + strengthening) and group 2 (placebo laser + strengthening). In the group 1 quality of life score, the assessment (11.63 ± 4.33) was the highest score at 17 and in the reevaluation (7.81 ± 5.14) the lowest was 0 (
p
< 0.05). The muscular strength increased considerably (
p
< 0.05) for group 1, where the vast majority of patients gained more than twice the strength in the pelvic apparatus (8.36 ± 6.65 before X 13.81 ± 8.92 after). The volunteers acquired an increase in the contraction of the muscles of the pelvic apparatus (
p
< 0.05) (3.45 ± 1.07); after laser application, this number increased considerably (4.27 ± 0.61). Endurance had an increase of almost 50% compared to placebo, demonstrating the resistance gain in the perineal muscles (3.90 ± 2.35 X 5 ± 1.90). We concluded that photobiomodulation treatment showed significant efficacy in relation to muscle fatigue in the pelvic apparatus right after a strengthening program in women with stress urinary incontinence.</description><subject>Clinical trials</subject><subject>Dentistry</subject><subject>Exercise Therapy - methods</subject><subject>Fatigue</subject><subject>Female</subject><subject>Fluence</subject><subject>Humans</subject><subject>Infrared lasers</subject><subject>Laser applications</subject><subject>Lasers</subject><subject>Light therapy</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Muscle contraction</subject><subject>Muscle fatigue</subject><subject>Muscle strength</subject><subject>Muscles</subject><subject>Muscular fatigue</subject><subject>Optical Devices</subject><subject>Optics</subject><subject>Original Article</subject><subject>Pelvic Floor</subject><subject>Pelvis</subject><subject>Perineum</subject><subject>Photonics</subject><subject>Placebos</subject><subject>Quality of Life</subject><subject>Quantum Optics</subject><subject>Sneezing</subject><subject>Social interactions</subject><subject>Strengthening</subject><subject>Treatment Outcome</subject><subject>Urinary Incontinence</subject><subject>Urinary Incontinence, Stress - 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Academic</collection><jtitle>Lasers in medical science</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>da Silva, Aline Lanziloti</au><au>Lopes-Martins, Rodrigo Alvaro B.</au><au>dos Santos Oliveira, Aissa</au><au>França, Paula Denise Leite</au><au>Pereira, Maria Fernanda Franco</au><au>Lima, Mário Oliveira</au><au>Lima, Fernanda Pupio Silva</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Effect of photobiomodulation associated with strengthening pelvic floor muscles in volunteers with urinary incontinence: a randomized, double-blinded, and placebo-controlled clinical trial</atitle><jtitle>Lasers in medical science</jtitle><stitle>Lasers Med Sci</stitle><addtitle>Lasers Med Sci</addtitle><date>2023-11-29</date><risdate>2023</risdate><volume>38</volume><issue>1</issue><spage>278</spage><epage>278</epage><pages>278-278</pages><artnum>278</artnum><issn>1435-604X</issn><issn>0268-8921</issn><eissn>1435-604X</eissn><abstract>The dysfunctions of the female pelvic floor have a great influence on the quality of life of women, in all areas, social, psychological, and sexual. Stress urinary incontinence is the clinical condition in which the woman involuntarily loses urine to efforts, such as coughing and sneezing, causing great embarrassment and affecting her quality of life. The physiotherapeutic treatments include muscle strengthening; however, muscle fatigue is present when performing the exercises. Here we investigate the effects of photobiomodulation to prevent muscle fatigue in the pelvic floor in the treatment of stress urinary incontinence, associated with a muscle strengthening exercise protocol. We used an infrared laser (808 nm, 100 mW) and 3 J/point and fluence of 107.1 J/cm
2
. The application was performed at 3 points on the vaginal introits and at another 3 points inside the vaginal canal cavity for the treatment of stress urinary incontinence associated with strengthening exercises with vaginal cones. Twenty-two volunteers participated in the study, divided into two groups: group 1 (laser therapy + strengthening) and group 2 (placebo laser + strengthening). In the group 1 quality of life score, the assessment (11.63 ± 4.33) was the highest score at 17 and in the reevaluation (7.81 ± 5.14) the lowest was 0 (
p
< 0.05). The muscular strength increased considerably (
p
< 0.05) for group 1, where the vast majority of patients gained more than twice the strength in the pelvic apparatus (8.36 ± 6.65 before X 13.81 ± 8.92 after). The volunteers acquired an increase in the contraction of the muscles of the pelvic apparatus (
p
< 0.05) (3.45 ± 1.07); after laser application, this number increased considerably (4.27 ± 0.61). Endurance had an increase of almost 50% compared to placebo, demonstrating the resistance gain in the perineal muscles (3.90 ± 2.35 X 5 ± 1.90). We concluded that photobiomodulation treatment showed significant efficacy in relation to muscle fatigue in the pelvic apparatus right after a strengthening program in women with stress urinary incontinence.</abstract><cop>London</cop><pub>Springer London</pub><pmid>38017192</pmid><doi>10.1007/s10103-023-03919-7</doi><tpages>1</tpages><orcidid>https://orcid.org/0000-0001-9834-7800</orcidid></addata></record> |
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| ispartof | Lasers in medical science, 2023-11, Vol.38 (1), p.278-278, Article 278 |
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| source | Springer Link |
| subjects | Clinical trials Dentistry Exercise Therapy - methods Fatigue Female Fluence Humans Infrared lasers Laser applications Lasers Light therapy Medicine Medicine & Public Health Muscle contraction Muscle fatigue Muscle strength Muscles Muscular fatigue Optical Devices Optics Original Article Pelvic Floor Pelvis Perineum Photonics Placebos Quality of Life Quantum Optics Sneezing Social interactions Strengthening Treatment Outcome Urinary Incontinence Urinary Incontinence, Stress - radiotherapy Vagina |
| title | Effect of photobiomodulation associated with strengthening pelvic floor muscles in volunteers with urinary incontinence: a randomized, double-blinded, and placebo-controlled clinical trial |
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