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Cited by 59Pelvic floor disorders treatmentsMobile Health and mHealth ApplicationsUrinary Bladder and Prostate Research

The Adherence of Home Pelvic Floor Muscles Training Using a Mobile Device Application for Women With Urinary Incontinence: A Randomized Controlled Trial

Araujo, Camila C., Marques, Andrea de A., Juliato, Cassia R.T.·2020·Female Pelvic Medicine & Reconstructive Surgery
DOI 10.1097/spv.0000000000000670
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Abstract

Objectives: The objective of this study was to evaluate the use of a mobile device application (app) for the treatment of urinary incontinence through adherence to home pelvic floor muscle training (PFMT) and its impact on urinary symptoms. Methods: This prospective randomized study included women with stress urinary incontinence. They were randomized into 2 groups: the app group , which used an app developed using the same visual component of electromyography as a guide for PFMT and followed exercises shown on the screen, and the control group , which received written instructions with the same protocol as the app group but without the dynamic sequence of PFMT images. Exercises were done twice a day. Reevaluation was repeated at 1, 2, and 3 months after the initial evaluation. Changes in urinary and vaginal symptoms were evaluated using questionnaires, and the Oxford Modified Scale was determined through digital palpation. Results: Twenty-one women were included in the study (app group, n = 12; control group, n = 09). Adherence (number of repetitions) was higher in the app group at 2 and 3 months after PFMT ( P < 0.001), but adherence decrease, especially in the control group, at 1, 2, and 3 months. Vaginal symptoms ( P < 0.001), quality of life ( P = 0.003), urinary symptoms ( P < 0.001), and stress urinary symptoms ( P < 0.001) showed improvement comparing baseline and during treatment, but there was no difference between the app and control groups ( P values, 0.887, 0.817, 0.573, and 0.825, respectively). Conclusions: Using the app increased adherence to PFMT in women with urinary incontinence symptoms and improved subjective perception.

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  • Smartphone and internet-based programs may boost adherence to pelvic floor muscle training relative to written or verbal instructions, and better adherence may improve urinary incontinence outcomes.

    “Studies have already suggested that smartphone app and internet-based interventions may improve compliance with pelvic floor muscle strengthening programs compared with traditional written or verbal instruction and this increase in compliance may result in improved outcomes for patients with urinary incontinence.”

    From Evidence for the Appropriate Use of Telemedicine in Female Pelvic Medicine and Reconstructive Surgery (2021) · cites this paper as [14]

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Authors
Araujo, C. C., Marques, A. D. A., & Juliato, C. R. T.
Affiliations
  • School of Medicine, University of Campinas (UNICAMP)
  • Women's Hospital (CAISM), Campinas, São Paulo, Brazil.
ORCID
Marques, Andrea de A.
Venue
Female Pelvic Medicine & Reconstructive Surgery
Publisher
Ovid Technologies (Wolters Kluwer Health)
Published
2019-01-08
Volume
26
Issue
11
Pages
697-703
ISSN
  • 2151-8378 (ISSN-L)
  • 2154-4212
DOI
10.1097/spv.0000000000000670
OpenAlex
W2910793149
Cited by
59
References
30
Citations by year
2026: 8 · 2025: 5 · 2024: 12 · 2023: 8 · 2022: 11 · 2021: 8 · 2020: 6 · 2019: 1
FWCI
4.93
Type
journal article
Language
en
Open access
closed
Locations
  • Urogynecology (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Rheumatology › Pelvic floor disorders treatments
  • Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
  • Health Sciences › Medicine › Urology › Urinary Bladder and Prostate Research
Keywords
stress urinary incontinence, pelvic floor muscle training, mobile health apps, medication adherence, EMG biofeedback, women, quality of life, vaginal symptoms
MeSH terms
Conservative Treatment, Adult, Exercise Therapy, Humans, Middle Aged, Patient Compliance, Prospective Studies, Surveys and Questionnaires, Urinary Incontinence, Stress, Pelvic Floor, Mobile Applications

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