Urinary incontinence in women treated by ischemic compression over the bladder area: a pilot study.
OBJECTIVE
The purpose of this study was to determine if ischemic compression therapy over the bladder area results in clinically important changes among female patients with stress and mixed (stress and urge) incontinence.


METHODS
One group of patients (n = 24) received ischemic compression therapy directed over the bladder area (experimental group). The control group (n = 9) received ischemic compression therapy directed toward structures of the hip joint. Changes in urinary incontinence symptoms were monitored using a 2-part questionnaire: the urogenital distress inventory and the incontinence impact questionnaire. Patients' perceived amelioration (improvement) was quantified using a scale divided from 0% to 100%.


RESULTS
Mean scores for the first questionnaire (urogenital distress inventory + incontinence impact questionnaire, 19 questions) were 23.3 vs 25.3 at baseline and 10.2 vs 22.2 after 15 treatments for the experimental and control group, respectively. The experimental group scores were 6.9 at 30 days after the last treatment and 11.3 at the 6-month follow-up. The perceived percentages of amelioration after 15 treatments were 69% vs 32% for the experimental and control group, respectively. The experimental group scores were 73% at 30 days after the last treatment and 60% at the 6-month follow-up.


CONCLUSIONS
In this study, ischemic compression directed toward elicited trigger points over bladder area was found to be an effective treatment of patients presenting symptoms of urinary incontinence. Improvement in symptoms was still present in follow-up at 6 months.
Hains
Guy
G
Private practice, Trois-Rivières, Québec, Canada G8Z 3Y8.
Hains
François
F
Descarreaux
Martin
M
Bussières
André
A
Curr Pain Headache Rep. 2004 Dec;8(6):468-75
15509461
Obstet Gynecol. 1987 Sep;70(3 Pt 1):378-81
3627585
J Manipulative Physiol Ther. 1998 Jun;21(5):363-7
9627868
Md Med J. 1995 Jan;44(1):31-5
7869865
J Int Coll Surg. 1956 Apr;25(4 Part 1):487-99
13307037
J Manipulative Physiol Ther. 1990 Nov-Dec;13(9):539-49
2273335
Curr Pain Headache Rep. 2004 Dec;8(6):445-51
15509457
Eur Urol. 1997;32 Suppl 2:3-12
9248806
J Manipulative Physiol Ther. 2000 May;23(4):225-30
10820294
J Urol. 1998 Aug;160(2):368-71
9679879
J Manipulative Physiol Ther. 1988 Aug;11(4):300-8
3049892
J Manipulative Physiol Ther. 2001 Jun;24(5):362-6
11416828
Clin Obstet Gynecol. 1998 Sep;41(3):786-93
9742374
Obstet Gynecol. 1998 Oct;92(4 Pt 1):619-21
9764639
Arch Dis Child. 1977 Aug;52(8):651-7
921313
Lancet. 1995 Jul 8;346(8967):94-9
7603221
Qual Life Res. 1994 Oct;3(5):291-306
7841963