Effect of physical training on urinary incontinence: a randomized parallel group trial in nursing homes

Anne G Vinsnes1, Jorunn L Helbostad2, Signe Nyrønning3, Gene E Harkless1,4, Randi Granbo5, Arnfinn Seim61Faculty of Nursing, Sør-Trøndelag University College, 2Department of Neuroscience, Norwegian University of Science and Technology, 3Søbstad Community H...

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Autores principales:	Vinsnes AG, Helbostad JL, Nyrønning S, Harkless GE, Granbo R, Seim A
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2012
Materias:	Effect study nursing homes residents physical training program urinary incontinence Geriatrics RC952-954.6
Acceso en línea:	https://doaj.org/article/0f7d89a05dda4c7ebaa52769940f1080
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spelling	oai:doaj.org-article:0f7d89a05dda4c7ebaa52769940f10802021-12-02T02:59:40ZEffect of physical training on urinary incontinence: a randomized parallel group trial in nursing homes1178-1998https://doaj.org/article/0f7d89a05dda4c7ebaa52769940f10802012-02-01T00:00:00Zhttps://www.dovepress.com/effect-of-physical-training-on-urinary-incontinence-a-randomized-paral-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Anne G Vinsnes1, Jorunn L Helbostad2, Signe Nyrønning3, Gene E Harkless1,4, Randi Granbo5, Arnfinn Seim61Faculty of Nursing, Sør-Trøndelag University College, 2Department of Neuroscience, Norwegian University of Science and Technology, 3Søbstad Community Hospital and Teaching Nursing Home, Trondheim, Norway; 4University of New Hampshire, College of Health and Social Services, Nursing Faculty, Durham, New Hampshire, USA; 5Department of Physiotherapy, Sør-Trøndelag University College, 6Department of Public Health and General Practice, Norwegian University of Science and Technology, Trondheim, NorwayBackground: Residents in nursing homes (NHs) are often frail older persons who have impaired physical activity. Urinary incontinence (UI) is a common complaint for residents in NHs. Reduced functional ability and residence in NHs are documented to be risk factors for UI.Objective: To investigate if an individualized training program designed to improve activity of daily living (ADL) and physical capacity among residents in nursing homes has any impact on UI.Materials and methods: This randomized controlled trial was a substudy of a Nordic multicenter study. Participants had to be >65 years, have stayed in the NH for more than 3 months and in need of assistance in at least one ADL. A total of 98 residents were randomly allocated to either a training group (n = 48) or a control group (n = 50) after baseline registrations. The training program lasted for 3 months and included accommodated physical activity and ADL training. Personal treatment goals were elicited for each subject. The control group received their usual care. The main outcome measure was UI as measured by a 24-hour pad-weighing test. There was no statistically significant difference between the groups on this measure at baseline (P = 0.15). Changes were calculated from baseline to 3 months after the end of the intervention.Results: Altogether, 68 participants were included in the analysis, 35 in the intervention group and 33 in the control group. The average age was 84.3 years. The 3 months' postintervention adjusted mean difference between groups according to amount of leakage was 191 g (P = 0.03). This result was statistically significant after adjusting for baseline level, age, sex, and functional status. The leakage increased in residents not receiving the experimental intervention, while UI in the training group showed improvement.Conclusion: The intervention group had significant better results compared with the control group after an individualized training program designed to improve ADL and physical capacity. Further studies are needed to evaluate the effect of a goal-oriented physical training program toward NH residents UI complaints.Keywords: effect study, nursing homes, residents, physical training program, urinary incontinenceVinsnes AGHelbostad JLNyrønning SHarkless GEGranbo RSeim ADove Medical PressarticleEffect studynursing homesresidentsphysical training programurinary incontinenceGeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 7, Pp 45-50 (2012)
institution	DOAJ
collection	DOAJ
language	EN
topic	Effect study nursing homes residents physical training program urinary incontinence Geriatrics RC952-954.6
spellingShingle	Effect study nursing homes residents physical training program urinary incontinence Geriatrics RC952-954.6 Vinsnes AG Helbostad JL Nyrønning S Harkless GE Granbo R Seim A Effect of physical training on urinary incontinence: a randomized parallel group trial in nursing homes
description	Anne G Vinsnes1, Jorunn L Helbostad2, Signe Nyrønning3, Gene E Harkless1,4, Randi Granbo5, Arnfinn Seim61Faculty of Nursing, Sør-Trøndelag University College, 2Department of Neuroscience, Norwegian University of Science and Technology, 3Søbstad Community Hospital and Teaching Nursing Home, Trondheim, Norway; 4University of New Hampshire, College of Health and Social Services, Nursing Faculty, Durham, New Hampshire, USA; 5Department of Physiotherapy, Sør-Trøndelag University College, 6Department of Public Health and General Practice, Norwegian University of Science and Technology, Trondheim, NorwayBackground: Residents in nursing homes (NHs) are often frail older persons who have impaired physical activity. Urinary incontinence (UI) is a common complaint for residents in NHs. Reduced functional ability and residence in NHs are documented to be risk factors for UI.Objective: To investigate if an individualized training program designed to improve activity of daily living (ADL) and physical capacity among residents in nursing homes has any impact on UI.Materials and methods: This randomized controlled trial was a substudy of a Nordic multicenter study. Participants had to be >65 years, have stayed in the NH for more than 3 months and in need of assistance in at least one ADL. A total of 98 residents were randomly allocated to either a training group (n = 48) or a control group (n = 50) after baseline registrations. The training program lasted for 3 months and included accommodated physical activity and ADL training. Personal treatment goals were elicited for each subject. The control group received their usual care. The main outcome measure was UI as measured by a 24-hour pad-weighing test. There was no statistically significant difference between the groups on this measure at baseline (P = 0.15). Changes were calculated from baseline to 3 months after the end of the intervention.Results: Altogether, 68 participants were included in the analysis, 35 in the intervention group and 33 in the control group. The average age was 84.3 years. The 3 months' postintervention adjusted mean difference between groups according to amount of leakage was 191 g (P = 0.03). This result was statistically significant after adjusting for baseline level, age, sex, and functional status. The leakage increased in residents not receiving the experimental intervention, while UI in the training group showed improvement.Conclusion: The intervention group had significant better results compared with the control group after an individualized training program designed to improve ADL and physical capacity. Further studies are needed to evaluate the effect of a goal-oriented physical training program toward NH residents UI complaints.Keywords: effect study, nursing homes, residents, physical training program, urinary incontinence
format	article
author	Vinsnes AG Helbostad JL Nyrønning S Harkless GE Granbo R Seim A
author_facet	Vinsnes AG Helbostad JL Nyrønning S Harkless GE Granbo R Seim A
author_sort	Vinsnes AG
title	Effect of physical training on urinary incontinence: a randomized parallel group trial in nursing homes
title_short	Effect of physical training on urinary incontinence: a randomized parallel group trial in nursing homes
title_full	Effect of physical training on urinary incontinence: a randomized parallel group trial in nursing homes
title_fullStr	Effect of physical training on urinary incontinence: a randomized parallel group trial in nursing homes
title_full_unstemmed	Effect of physical training on urinary incontinence: a randomized parallel group trial in nursing homes
title_sort	effect of physical training on urinary incontinence: a randomized parallel group trial in nursing homes
publisher	Dove Medical Press
publishDate	2012
url	https://doaj.org/article/0f7d89a05dda4c7ebaa52769940f1080
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Effect of physical training on urinary incontinence: a randomized parallel group trial in nursing homes

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