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Effects of two nonpharmacological treatments on the sleep quality of women with nocturia: a randomized controlled clinical trial

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Abstract

Introduction and hypothesis

The objective was to check the effects of two nonpharmacological treatments on the sleep quality of women with nocturia.

Methods

A randomized controlled clinical trial in which 40 women with nocturia were randomized into two groups; one was subjected to tibial nerve stimulation (GTNS) and the other received pelvic floor muscle training associated with behavioral therapy (GPFMT). Both groups were followed for 12 weeks, with one session/week; evaluated by the Pittsburgh Sleep Quality Index (PSQI), King’s Heath Questionnaire (KHQ), and Epworth Sleepiness Scale (ESS). The Wilcoxon test was used to compare intra-group data and the Mann–Whitney test for intergroup results. Effect size and confidence interval were calculated, and the level of significance was set at 5%.

Results

Both groups showed improvements in quality of sleep, observed by the PSQI total score (GTNS from 9 ± 0.88 to 7 ± 0.94, p = 0.002; GPFMT from 8 ± 0.80 to 5 ± 0.94, p < 0.001) and the sleep/energy domain of the KHQ (GTNS from 66.66 ± 9.03 to 16.66 ± 7.20, p = 0.002; GPFMT from 66.66 ± 9.30 to 0.00 ± 7.26, p = 0.001).

Conclusions

Both nonpharmacological treatments proposed (TNS or PFMT) were equally able to improve quality of sleep of women with nocturia.

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Funding

Financial support by the São Paulo Research Foundation (FAPESP, grant number 2013/06412–9).

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Authors and Affiliations

  1. Physical Therapy Graduate Program, Federal University of São Carlos, Rodovia Washington Luis, Km 235, São Carlos, SP, 13565-905, Brazil

    Daniele Furtado-Albanezi, Soraia Pilon Jürgensen, Mariana Arias Avila & Patricia Driusso

  2. Physical Therapy Department, Federal University of São Carlos, São Carlos, SP, Brazil

    Mariana Arias Avila & Patricia Driusso

  3. Trairi Health Sciences University, Federal University of Rio Grande do Norte, Santa Cruz, RN, Brazil

    Grasiela Nascimento Correia

Authors
  1. Daniele Furtado-Albanezi
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  2. Soraia Pilon Jürgensen
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  3. Mariana Arias Avila
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  4. Grasiela Nascimento Correia
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  5. Patricia Driusso
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Correspondence to Patricia Driusso.

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Furtado-Albanezi, D., Jürgensen, S.P., Avila, M.A. et al. Effects of two nonpharmacological treatments on the sleep quality of women with nocturia: a randomized controlled clinical trial. Int Urogynecol J 30, 279–286 (2019). https://doi.org/10.1007/s00192-018-3584-8

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  • DOI: https://doi.org/10.1007/s00192-018-3584-8

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