The Science Journal of the American Association for Respiratory Care

2011 OPEN FORUM Abstracts

NON-INVASIVE REHABILITATION PROGRAM IN CYSTIC FIBROSIS PATIENTS WITH URINARY INCONTINENCE.

Monica Don1, Giulia Mamprin1, Milena Bosco2, Anna Soncin2, Liviana Da Dalt3, Mirco Ros1; 1Cystic Fibrosis Centre, Treviso, Italy; 2Department of Physical Therapy, Treviso, Italy; 3Pediatric, Treviso, Italy

INTRODUCTION: Stress urinary incontinence (SUI) is recognised as a frequent problem in CF due to repeated coughing and other factors causing increased pressure of pelvic floor (PF). AIM: To evaluate an educational-rehabilitation method to value the SUI in CF used in young patients (pts). PATIENTS AND METHODS: all CF women outpatients aged ≥ 10 yrs (42 patients, mean age 23,5 years, mean FEV1 78%). SUI's mechanisms were explained by using a comic and a questionnaire was used to identify and quantify the urinary leakage and discomfort. Twenty-six pts had SUI: 8 of them had a significant leakage and underwent a Pelvic floor muscle (PFM) exercises program. 18 pts with mild leakage were included in the study and they underwent an assessment of PFM strength and endurance. This evaluation was performed placing hands on the external region of PF and measuring the number and duration of contractions at the beginning of treatment (T0), 6 weeks (T1) and one month (T2) after treatment. Pts were divided in 2 groups with no statistically significant differences in clinical parameters and muscle's performance: 9 pts, treatment group (TG) followed a non-invasive rehabilitation program (1 session/week for 6 week) and 9 pts was included in control group (CG). RESULTS: Increased strength (3 vs 25 n of contractions, p < 0.001) and endurance (6 vs 28 sec duration of contraction, p < 0.001), reduced discomfort measured with VAS scale (31 vs 6, p < 0.001) and TG pts were found with no leakage at T1 and T2. The symptoms were unchanged in the CG at the same time intervals. CONCLUSIONS: This program improved muscles performance and reduced discomfort in CF young women. Specific assessment of SUI should be part of the routine care of CF pts. Long-term outcomes needs further studies. Sponsored Research - None