The leakage index developed by Bo can be used to evaluate what physical activities can serve as a trigger for urinary leakage in a woman with urinary stress incontinence. The study was conducted in Oslo, Norway.
The woman is asked which of these physical exertions are associated with urine leakage:
(1) laughing
(2) coughing
(3) sneezing
(4) rising from a lying to a sitting position
(5) rising from a sitting to a standing position
(6) walking on the level
(7) walking uphill
(8) walking downhill
(9) jumping with legs together
(10) jumping with legs in subsequent ab- and adduction
(11) running
(12) lifting
(13) sudden and rapid movements
Occurrence of Urine Leakage
Points
never
1
seldom
2
sometimes
3
often
4
always
5
total score =
= SUM(points for all 13 activities)
leakage index =
= (total score) / 13 =
= MEAN(total score)
Interpretation:
• minimum total score: 13
• maximum total score: 65
• minimum index: 1
• maximum index: 5
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