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Does pre-modulated interferential therapy cure genuine stress incontinence?
Laycock J, Jerwood D
Physiotherapy 1993 Aug;79(8):553-560
clinical trial
4/10 [Eligibility criteria: No; Random allocation: Yes; Concealed allocation: No; Baseline comparability: No; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: Yes; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

This article reports the findings of two independent randomised, prospective, clinical trials specifically designed to investigate the effect of pre-modulated interferential therapy (IFT) on women with genuine stress incontinence (GSI). The first trial (n = 46) compared IFT with pelvic floor exercises (PFE) and cones, and the second (n = 30) compared IFT with placebo treatment. The effectiveness of treatment was assessed objectively with a standard pad test before and after treatment, and subjectively using an ordinal scale. A total of 43.5% of women receiving IFT in the first study were objectively cured of improved, and 73.3% in the second study. Subjectively, 60.9% were classified as cured or improved in the first trial, and 33.3% in the second trial. The long-term effect of treatment was investigated using a postal questionnaire which showed that 30% of patients receiving IFT in study 1 and 20% in study 2 demonstrated a lasting effect of treatment. It is concluded that pre-modulated IFT has a place in the conservative management of GSI.

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