Comparing the efficacy of the Knack maneuver on pelvic floor muscle function and urinary symptoms using different teaching methods: A prospective, nonrandomized study

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dc.authorid0000-0002-2522-6474en_US
dc.authorid0000-0002-2732-983_en_US
dc.authorid0000-0002-8929-6973en_US
dc.contributor.authorYeşilyurt, Seda Yakıt
dc.contributor.authorÖzengin, Nuriye
dc.contributor.authorTopçuoğlu, Mehmet Ata
dc.date.accessioned2023-09-01T06:01:06Z
dc.date.available2023-09-01T06:01:06Z
dc.date.issued2022en_US
dc.departmentBAİBÜ, Sağlık Bilimleri Fakültesi, Fizyoterapi ve Rehabilitasyon Bölümüen_US
dc.description.abstractIntroduction and hypothesis This study was aimed at comparing the efficacy of Knack maneuver training taught using different techniques on pelvic floor muscle (PFM) function, urinary symptoms, and perception of improvement in women with stress urinary incontinence (SUI). Methods We conducted a prospective nonrandomized study of 46 women with SUI. Assessments included: PFM functions (secondary outcome, SO) using a Myomed 932 EMG biofeedback device, urinary incontinence symptoms using the International Consultation on Incontinence Questionnaire Urinary Incontinence-Short Form (ICIQ-SF; primary outcome), the Urogenital Distress Inventory-6 (UDI-6; SO), and the Incontinence Severity Index (ISI; SO), and perception of improvement using the Global Perceived Impact scale. The women were divided into three groups according to their preference: group 1 (Knack maneuver training with electromyography biofeedback), group 2 (Knack maneuver training with verbal instruction), and group 3 (Knack maneuver training with vaginal palpation). An education program was also given to all women individually. The training program was 1 day per week for 4 weeks. Results There was an improvement in UDI-6, ICIQ-SF, and ISI scores in all groups (p<0.05). The maximum voluntary contraction (MVC) of the PFMs increased in group 2 (p=0.002), whereas both the MVC of PFMs and PFM contraction during Valsalva increased in group 3 (p=0.011 and p=0.042). Conclusions Regardless of the teaching methods, the Knack maneuver and education programs were effective on urinary symptoms in women with mild to moderate SUI. The Knack maneuver training with vaginal palpation and verbal instruction improved MVC of PFMs. All three different teaching methods might be used in SUI treatment programs.en_US
dc.identifier.citationYakıt Yeşilyurt, S., Özengin, N., & Topçuoğlu, M. A. (2022). Comparing the efficacy of the Knack maneuver on pelvic floor muscle function and urinary symptoms using different teaching methods: a prospective, nonrandomized study. International Urogynecology Journal, 33(10), 2895-2903.en_US
dc.identifier.doi10.1007/s00192-022-05213-6
dc.identifier.endpage2903en_US
dc.identifier.issn0937-3462
dc.identifier.issn1433-3023
dc.identifier.issue10en_US
dc.identifier.pmid35501571en_US
dc.identifier.scopus2-s2.0-85129330072en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage2895en_US
dc.identifier.urihttp://dx.doi.org/10.1007/s00192-022-05213-6
dc.identifier.urihttps://hdl.handle.net/20.500.12491/11630
dc.identifier.volume33en_US
dc.identifier.wosWOS:000789759600002en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.institutionauthorÖzengin, Nuriye
dc.institutionauthorTopçuoğlu, Mehmet Ata
dc.language.isoenen_US
dc.publisherSPRINGER LONDON LTDen_US
dc.relation.ispartofInternational Urogynecology Journalen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectKnack Maneuveren_US
dc.subjectPatient Educationen_US
dc.subjectStress Urinary Incontinenceen_US
dc.subjectValsalva Maneuveren_US
dc.subjectContractionen_US
dc.subjectStressen_US
dc.titleComparing the efficacy of the Knack maneuver on pelvic floor muscle function and urinary symptoms using different teaching methods: A prospective, nonrandomized studyen_US
dc.typeArticleen_US

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