Influence of game therapy on urinary incontinence patients: a systematic review

Anita Bellotto Leme Nagib; Cassio Ricceto; Natália Miguel Martinho; Luiz Renato Paranhos; Cauane Blumenberg; Angelo Santiago Pião; Wender Batista de Souza; Simone  Botelho

doi:10.14393/BJ-v40n0a2024-70925

Autores

Anita Bellotto Leme Nagib Universidade Estadual de Campinas https://orcid.org/0000-0002-6323-7860
Cassio Ricceto Universidade Estadual de Campinas
Natália Miguel Martinho Universidade Estadual de Campinas https://orcid.org/0000-0001-8733-7922
Luiz Renato Paranhos Universidade Federal de Uberlândia https://orcid.org/0000-0002-7599-0120
Cauane Blumenberg Universidade Federal de Pelotas https://orcid.org/0000-0002-4580-3849
Angelo Santiago Pião Universidade Federal de Uberlândia
Wender Batista de Souza Universidade Federal de Uberlândia https://orcid.org/0000-0002-7842-4159
Simone Botelho Universidade Federal de Alfenas https://orcid.org/0000-0001-7638-0845

DOI:

https://doi.org/10.14393/BJ-v40n0a2024-70925

Palavras-chave:

Pelvic floor, Rehabilitation, Urinary incontinence, Virtual reality, Virtual reality exposure therapy.

Resumo

This study performed a systematic review of game therapy effects on urinary incontinence patients. Eleven databases (PubMed, SCOPUS, SciELO, LILACS, Web of Science, EMBASE, Cochrane library, LIVIVO, OpenGrey, OpenThesis, and OATD) were used as research sources. The search was conducted in January 2021 with the following keywords: urinary incontinence, urinary stress incontinence, pelvic floor muscle, pelvic floor training, virtual reality, game therapy, virtual reality exposure, and virtual reality therapy. The review included only clinical studies using game therapy for treating urinary incontinence in women without restrictions on language, year, and publication status. Only three studies fulfilled the eligibility criteria. The extracted data comprised sample characteristics (the number of patients in each study and average age) and treatment characteristics (game type, associated therapies, treatment duration, evaluated objectives, and result-measuring methods). The methodological quality of the articles showed a low risk of bias. One-hour pad test values decreased in all studies, and ICIQ-SF scores reduced in two articles. One study reported treatment adherence (92%), and another showed neuropsychological index improvements. The reduction of urinary symptoms was similar between the group associating game therapy with treatment and the group using only conventional pelvic floor muscle training. Game therapy, as a resource of pelvic floor muscle training, seems beneficial to urinary incontinence, including decreased urinary symptoms, lower one-hour pad test scores, and neuropsychological index improvements.

Downloads

Não há dados estatísticos.

Referências

ABRAMS, P. et al. The standardisation of terminology in lower urinary tract function: report from the standardisation sub-committee of the International Continence Society. Urology. 2003; 61 (1), 37-49. https://doi.org/10.1016/s0090-4295(02)02243-4.

ABRAMS, P. et al. 6th International Consultation on Incontinence. Bristol UK: ICI-ICS. International Continence Society, 2017. ISBN: 978-0956960733.

ALBUQUERQUE, M. T. et al. Correlation between complaints of stress urinary incontinence and the one-hour pad test in postmenopausal women. Revista Brasileira de Ginecologia e Obstetrícia. 2011; 33, 70-74. https://doi.org/10.1590/S0100-%2072032011000200003.

ALEWIJNSE, D. et al. Predictors of intention to adhere to physiotherapy among women with urinary incontinence. Health Education Research. 2001; 16 (2), 173-86. https://doi.org/10.1093/her/16.2.173.

AROMATIS, E., MUNN, Z (Editors). JBI Manual for Evidence Synthesis. JBI, 2020. Available from https://synthesismanual.jbi.global. https://doi.org/10.46658/JBIMES-20-01

BARDSLEY, A. An Overview of Urinary Incontinence. British Journal of Nursing. 2016; 25 (18), S14-S21. https://doi.org/10.12968/bjon.2016.25.18.S14.

BARKER, T. H. et al. The revised JBI critical appraisal tool for the assessment of risk of bias for randomized controlled trials. JBI Evidence Synthesis. 2023; 21 (3), 494-506.

BEZERRA, L.O. Avaliação comparativa da eficácia do treinamento da musculatura do assoalho pélvico e da gameterapia no tratamento da incontinência urinária mista: Ensaio clínico randomizado [Dissertation]. Natal: Universidade Federal do Rio Grande do Norte; 2018. Available from: https://repositorio.ufrn.br/handle/123456789/25532. Accessed in 2021.

BØ, K. and SHERBURN, M. Evaluation of female pelvic-floor muscle function and strength. Physical Therapy. 2005; 85 (3), 269-82.

CHEN, H. Y. et al. Efficacy of pelvic floor rehabilitation for treatment of genuine stress incontinence. Journal of the Formosan Medical Association. 1999; 98 (4), 271-6.

CHOI, Y.H. and PAIK, N.J. Mobile Game-based Virtual Reality Program for Upper Extremity Stroke Rehabilitation. J. Vis. Exp. 2018; (133), e56241. https://doi.org/10.3791/56241.

DE BRUIN, E. D. et al. Use of virtual reality technique for the training of motor control in the elderly. Some theoretical considerations. Zeitschrift für Gerontologie und Geriatrie. 2010; 43 (4), 229–34. https://doi.org/10.1007/s00391-010-0124- 7.

DOCKX, K. et al. Virtual reality for rehabilitation in Parkinson's disease. Cochrane Database Syst Rev. 2016; 12 (12), CD010760. https://doi.org/10.0.3.234/14651858.CD010760.pub2.

EICKMEYER, S.M. Anatomy and Physiology of the Pelvic Floor. Physical Medicine and Rehabilitation Clinics of North America. 2017; 28 (3), 455-60. https://doi.org/10.1016/j.pmr.2017.03.003.

ELLIOTT, V., DE BRUIN, E. D. and DUMOULIN, C. Virtual reality rehabilitation as a treatment approach for older women with mixed urinary incontinence: a feasibility study. Neurourology and Urodynamics. 2015; 34 (3), 236–43. https://doi.org/10.1002/nau.22553.

FELDE, G., EBBESEN, M. H. and HUNSKAAR S. Anxiety and depression associated with urinary incontinence. A 10-year follow-up study from the Norwegian HUNT Study (EPINCONT). Neurourology and Urodynamics. 2017; 36 (2), 322-8. https://doi.org/10.1002/nau.22921.

FRASER, S. A. et al. The Effects of Combining Videogame Dancing and Pelvic Floor Training to Improve Dual-Task Gait and Cognition in Women with Mixed-Urinary Incontinence. Games for Health Journal. 2014; 3 (3), 172-8. https://doi.org/10.1089/g4h.2013.0095.

HIGGINS, J. P. T. et al. Cochrane Handbook for Systematic Reviews of Interventions version 6.0 (updated July 2019). Cochrane 2019. www.training.cochrane.org/handbook

HUNG, H. C. et al. An alternative intervention for urinary incontinence: retraining diaphragmatic, deep abdominal and pelvic floor muscle coordinated function. Manual Therapy. 2010; 15 (3), 273-9. https://doi.org/10.1016/j.math.2010.01.008.

IRWIN, G. M. Urinary Incontinence. Primary Care. 2019; 46 (2), 233-42. https://doi.org/10.1016/j.pop.2019.02.004.

JUNGINGER, B. et al. Effect of abdominal and pelvic floor tasks on muscle activity, abdominal pressure and bladder neck. International Urogynecology Journal. 2010; 21 (1), 69-77. https://doi.org/10.1007/s00192-009-0981-z.

KIM, H., YOSHIDA, H. and SUZUKI, T. The effects of multidimensional exercise on functional decline, urinary incontinence, and fear of falling in community dwelling elderly women with multiple symptoms of geriatric syndrome: a randomized controlled and 6-month follow-up trial. Archives of Gerontology and Geriatrics. 2011; 52 (1), 99–105. https://doi.org/10.1016/j.archger.2010.02.008.

MARTINHO, N. M. et al. The effects of training by virtual reality or gym ball on pelvic floor muscle strength in postmenopausal women: a randomized controlled trial. Brazilian Journal of Physical Therapy. 2016; 20 (3), 248-57. https://doi.org/10.1590/bjpt-rbf.2014.0148.

MELDRUM, D. et al. Effectiveness of Conventional Versus Virtual Reality-Based Balance Exercises in Vestibular Rehabilitation for Unilateral Peripheral Vestibular Loss: Results of a Randomized Controlled Trial. Archive of Physical Medicine and Rehabilitation. 2015; 96(7), 1319-1328. https://doi.org/10.1016/j.apmr.2015.02.032.

MERIANS, A.S. et al. Virtual reality-augmented rehabilitation for patients following stroke. Physical Therapy. 2002; 82(9), 898-15.

MESSELINK, B. et al. Standardization of terminology of pelvic floor muscle function and dysfunction: report from the pelvic floor clinical assessment group of the International Continence Society. Neurourology and Urodynamics. 2005, 24(4), 374-80. https://doi.org/10.1002/nau.20144.

MOOLA, S. et al. Systematic reviews of etiology and risk. In: Aromataris, E., Munn, Z., eds. JBI Manual for Evidence Synthesis. 2020. Available from https://synthesismanual.jbi.global

PAGE, M.J. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. Syst Rev. 2021; 10(89). https://doi.org/10.1186/s13643-021-01626-4

PAGE, M. J. et al. The PRISMA 2020 statement: An updated guideline for reporting systematic reviews. PLoS Medicine. 2021; 18(3), e1003583. https://doi.org/10.1371/journal.pmed.1003583

PEREZ-MARCOS, D. et al. Increasing upper limb training intensity in chronic stroke using embodied virtual reality: a pilot study. Journal of NeuroEngineering and Rehabilitation. 2017; 14 (1), 119. https://doi.org/10.1186/s12984-017-0328-9.

RAGHAV, K. et al. Efficacy of virtual reality exposure therapy for treatment of dental phobia: a randomized control trial. BMC Oral Health. 2016; 16:25. https://doi.org/10.1186/s12903-016-0186-z.

SILVA, V. R. Comportamento dos músculos do assoalho pélvico e transverso do abdômen/oblíquo interno frente a dois programas de treinamento abdominopélvico em mulheres jovens nulíparas, continentes: estudo controlado, randomizado [Dissertation]. Campinas: Universidade Estadual de Campinas; 2015. Available from: http://repositorio.unicamp.br/handle/REPOSIP/313089.

SILVA, V. R. et al. Training through gametherapy promotes coactivation of the pelvic floor and abdominal muscles in young women, nulliparous and continents. International Brazilian Journal of Urology. 2016; 42 (4), 779-86. https://doi.org/10.1590/S1677-5538.IBJU.2014.0580.

STEENSTRUP, B. et al. Evaluation of the electromyography activity of pelvic floor muscle during postural exercises using the Wii Fit PlusTM. Analysis and perspectives in rehabilitation. Progrès en Urologie. 2014; 24 (17), 1099-105. https://doi.org/10.1016/j.purol.2014.09.046.

TYRALA-SEWERYN, K., SEWERYN, M. and KRYSTA, K. Analysis of Urinary Incontinence and Depression Among Young Women. Psychiatria Danubina. 2017; 29 (Suppl 3), 565-567.

VILLOT, A. et al. Influence of cognitive rehabilitation on pelvic floor muscle contraction: A randomized controlled trial. Neurourology and Urodynamics. 2017; 36 (6), 1636-1644. https://doi.org/10.1002/nau.23169.

WU, J.M. et al. Prevalence and trends of symptomatic pelvic floor disorders in U. S. women. Obstetrics & Gynecology. 2014; 123 (1), 141-148. https://doi.org/10.1097/AOG.0000000000000057.