Relation between changes pelvic floor muscles activity and quality of life in patients with pelvic floor dysfunction

RELATION BETWEEN CHANGES IN PELVIC FLOOR MUSCLES ACTIVITY AND QUALITY OF LIFE IN PATIENTS WITH PELVIC FLOOR DYSFUNCTION Physiotherapy Bachelor's Thesis The Author: Edita Butkutė Academic advisor: Assistant Ligita Aučynienė The aim of research work: Assess relations between changes in pelvic floor muscles activity and quality of life in long term period. Tasks of work: 1. To assess changes in pelvic floor muscles strength in long term period in patients with pelvic floor dysfunction. 2.To evaluate changes of quality of life in patients with pelvic floor dysfunction in long term period. 3. To determine relations between changes in pelvic floor muscles activity and quality of life. Materials and methods: Twenty women with urinary incontinence were evaluated in Vilnius University Hospital Santariškių Klinikos Rehabilitation, Physical and Sports Medicine Centre between March and April 2017. Urinary symptoms were evaluated using Bristol Female Lower Urinary Tract Symptom questionnaire, condition-specific health using King's Health Questionnaire, quality of life using Incontinence Quality of Life Questionnaire (I-QOL). Pelvic floor muscles strength was objectively measured using the device „Myomed 632.“ All statistical analyses were performed using „Microsoft Office Excel 2007“ and „R 3.3.1 for Windows .“ Results: Pelvic floor muscles strength was observed in the second study (7,19 ± 1,30 mm/Hg, p>0,05) but no significant difference was found in long term period. The scores on lower urinary tract symptoms decreased from 42,6 ± 2,9 to 33,7 ± 3,3 (p>0,05). There were no significant differences found in a long term period between the results obtained by the measures used to investigate condition specific health: scores increased from 33,7 ± 3,3 in the first examination to 37,8 ± 4,4 in the second (p>0,05) and quality of life scores increased from 68,0 ± 5,1 to 71,0 ± 4,8 in examinations (p>0,05). There was found moderate correlation (r=0.599) between pelvic floor muscles strength and changes in psychosocial aspects of quality of life (p0,05). Quality of life in incontinence women was measured with specific Incontinence Quality of Life Questionnaire but there was no significant changes in long term period as well as in condition specific King's health questionnaire (p>0,05). There was found statistically significant (p