Related Experiment Video
Updated: Jun 5, 2025
07:27
Exergaming in Older People Living with HIV Improves Balance, Mobility and Ameliorates Some Aspects of Frailty
Published on: October 6, 2016
10.2K
The Mobility and Voiding Exercises in Older Women with Urinary Incontinence (MoVEonUp) randomized controlled trial:
Uduak U Andy1, Diane K Newman2, Jean F Wyman3
1Department of Obstetrics and Gynecology, University of Pennsylvania, Philadelphia, USA. uduakumoh.andy@pennmedicine.upenn.edu.
BMC Geriatrics
|December 5, 2024
Summary
This study investigates a home-based program to reduce falls and urinary incontinence in older women. The intervention combines exercise, bladder training, and home safety, aiming to improve quality of life and prevent injuries.
Area of Science:
- Gerontology
- Geriatric Medicine
- Physical Therapy
Background:
- Urgency urinary incontinence (UUI) affects 40% of women over 70 and is a fall risk.
- Multicomponent interventions show promise for reducing falls and urinary symptoms.
- A pilot study informed the design of the MoVEonUp Trial intervention.
Purpose of the Study:
- To assess the efficacy of a home-based multicomponent intervention to decrease falls and urinary incontinence in older women.
- To evaluate the intervention's impact on physical function, mobility, and functional limitations.
Main Methods:
- 314 women aged ≥70 with UUI randomized to intervention or control.
- Intervention: home-based strength/balance training, bladder training, occupational therapist home hazard assessment.
- Control: educational booklet on falls prevention and behavioral treatment for UUI.
Main Results:
- Outcomes measured at 3, 6, 9, and 12 months include falls, UUI, physical function, functional limitations, and mobility.
- The study will determine if the intervention reduces fall risk and improves incontinence.
- Efficacy data will inform the need for home-based interventions in this population.
Conclusions:
- This trial will determine if a home-based multicomponent program reduces falls and improves incontinence in older women with UUI.
- If effective, the intervention addresses a critical need for fall reduction strategies implementable in the home.
- Positive findings could lead to wider adoption of this program for community-dwelling older women.
Related Concept Videos
01:23Urinary Bladder
395
The urinary bladder is a hollow, muscular sac that temporarily stores urine before it is expelled from the body. It can hold approximately 600 mL of urine prior to micturition. The bladder is retroperitoneal and located behind the pubic symphysis in the pelvic floor.
In males, the bladder is situated in front of the rectum, while in females, it is positioned anterior to the vagina and uterus. The bladder floor contains an inverted triangular area called the trigone, defined by the two ureteric...
In males, the bladder is situated in front of the rectum, while in females, it is positioned anterior to the vagina and uterus. The bladder floor contains an inverted triangular area called the trigone, defined by the two ureteric...
395
01:26The Micturition Reflex
431
Urination, or micturition involves the coordination of the bladder's detrusor muscle and two sphincters to ensure controlled bladder emptying.
The process begins with bladder filling, where the bladder wall stretches as urine accumulates. This stretching activates the urine storage reflex, mediated by the sacral spinal segments and the pontine storage center. Efferent sympathetic impulses stimulate the detrusor muscle to relax and the internal urethral sphincter to contract, facilitating...
The process begins with bladder filling, where the bladder wall stretches as urine accumulates. This stretching activates the urine storage reflex, mediated by the sacral spinal segments and the pontine storage center. Efferent sympathetic impulses stimulate the detrusor muscle to relax and the internal urethral sphincter to contract, facilitating...
431
01:26Muscles of the Pelvic Floor and Perineum
1.0K
The muscles of the pelvic floor and perineum are crucial for supporting the pelvic organs, controlling continence, and aiding in sexual function, childbirth, and core stability. They are typically divided into the superficial perineal layer and the deep pelvic floor layer.
Perineal Layer
The perineum is a diamond-shaped area below the pelvic diaphragm, divided into an anterior urogenital triangle that contains the external genitals and a posterior anal triangle housing the anus. The urogenital...
Perineal Layer
The perineum is a diamond-shaped area below the pelvic diaphragm, divided into an anterior urogenital triangle that contains the external genitals and a posterior anal triangle housing the anus. The urogenital...
1.0K