par Rejano-Campo, M;Bakker, Els;Bertuit, Jeanne 
Référence 10th Interdisciplinary World Congress on Low Back & Pelvic Girdle Pain (10: 28 - 31 octobre 2019: Anvers (Be))
Publication Non publié, 2019-10-31
Référence 10th Interdisciplinary World Congress on Low Back & Pelvic Girdle Pain (10: 28 - 31 octobre 2019: Anvers (Be))
Publication Non publié, 2019-10-31
Communication à un colloque
| Résumé : | Introduction: Urinary incontinence (UI) is a common condition among general population. It is described as “the complaint of any involuntary leakage of urine”. The prevalence of UI increases with age, for young adults the prevalence is reported to be 20–30% and around middle age 30–40%. UI is classified in 3 types: stress urinary incontinence (SUI), urge urinary incontinence (UUI) and mixed urinary incontinence (MUI). Recent research suggests that urogenital symptoms are strongly correlated with other conditions as back pain (BP) and pelvic girdle pain. Similarities in underlying mechanisms of UI and lumbopelvic pain have been found: both populations have shown an impaired activation of the trunk and pelvic floor muscles (PFM) in response to challenges in postural control in the lumbopelvic region. More specifically, PFM dysfunction has been associated with the development of LBP. The literature confirms the correlation between back pain and UI, nevertheless it seems necessary to compare and analyse systematically the studies to provide a global vision of both conditions. Purpose/Aim: To evaluate the relationship between urinary incontinence and back pain with a systematic review design in adult population. Materials and Methods: A systematic review was conducted. This study was prospectively registered in the PROSPERO database (2019: CRD42019120047). The search strategy, methods of analysis, and inclusion criteria were established a prior in accordance with PRISMA. Studies evaluating the link between urinary incontinence and back pain were sought in the electronic databases MEDLINE, EMBASE, the Physiotherapy Evidence database (PEDRO) from the earliest date available to March 2019. The acronym PICO was used to assess eligibility of studies. Searched were limited to full articles written in English, French, or Spanish. The study design was limited at observational or correlational studies. Two independent reviewers applied the selection criteria to titles and abstracts of the studies retrieved. The methodological quality of the articles included was assessed using the Critical Review Form for quantitatives studies (Mc Master University). Results: The literature search identified a total of 2055 abstracts. Sixty-seven full text papers were evaluated by the reviewers. Finally, 19 studies remained for inclusion in the systematic review. All the studies had a cohort, case control or a cross-sectional dessin. Most of the studies included a population exclusively of women (n=14), three studies included a mixed population and two papers evaluated a sample of men exclusively. Most of studies evaluated LBP (n=10), five evaluated general back pain and the rest lumbopelvic or pelvic girdle pain. Prevalence, odd rations and risk ratio enable to illustrate an association between the presence of back problem and UI in adults. Conclusion: Clinicians should aware of the relation between back pain et urinary incontinence for healthcare. Keywords: urinary incontinence, back pain, pelvic girdle pain, low back pain |
