Pelvic floor muscle training protocol for stress urinary incontinence in women: A systematic review (original) (raw)
Related papers
International Urogynecology Journal, 2009
Introduction and hypothesis Pelvic floor muscle training (PFMT) is a treatment for stress urinary incontinence (SUI) that can be done individually or in a group. The aim of this study was to compare these two types of treatment. Methods Sixty women 30 to 75 years old with SUI were randomly assigned to participate in the two groups. They were evaluated before and after the treatment with the Oxford grading system, pad test, voiding diary, and the King’s Health Questionnaire. Results Both groups experienced significant reductions in urinary leakage as measured by the pad test and bladder diary. A negative pad test was observed in about 50% of patients in both groups. There were statistically significant improvements in both muscle strength and quality of life. When the groups were compared, there were no differences in the results between them. Conclusions Individual treatment and group PFMT appear to be equally effective for improving SUI.
BMC women's health, 2006
Stress urinary incontinence (SUI) is a prevalent and costly condition which may be treated surgically or by physical therapy. The aim of this review was to systematically assess the literature and present the best available evidence for the efficacy and effectiveness of pelvic floor muscle training (PFMT) performed alone and together with adjunctive therapies (eg biofeedback, electrical stimulation, vaginal cones) for the treatment of female SUI. All major electronic sources of relevant information were systematically searched to identify peer-reviewed English language abstracts or papers published between 1995 and 2005. Randomised controlled trials (RCTs) and other study designs eg non-randomised trials, cohort studies, case series, were considered for this review in order to source all the available evidence relevant to clinical practice. Studies of adult women with a urodynamic or clinical diagnosis of SUI were eligible for inclusion. Excluded were studies of women who were pregn...
Urogynaecologia
Pelvic Floor Muscle Training (PFMT) is an effective, non-invasive, and cost-effective treatment for Stress Urinary Incontinence (SUI). However, its success rate varies. We evaluated the factors predicting success in PFMT, such as age, initial urinary leakage, initial pelvic floor muscle contraction strength, urethral hypermobility, and myostatin level. A nested case-control study was conducted at Dr. Cipto Mangunkusumo hospital between February and October 2021. We evaluated demographic characteristics, UDI-6 and IIQ-7 questionnaire scores, physical exam, pad weight test, urethral hypermobility ultrasound, perineometry, myostatin level, and we instructed the subjects in PFMT according to a guidebook. After 12 weeks of PFMT, we evaluated therapy success, defined as less than 3g on the pad weight test. The study involved 58 women: 5 subjects dropped out, 47 subjects reached treatment success, and 6 subjects did not reach treatment success. Following bivariate analysis, we found that i...
https://www.ijhsr.org/IJHSR\_Vol.7\_Issue.10\_Oct2017/IJHSR\_Abstract.019.html, 2017
Background: Urinary Incontinence is widely prevalent in females but poorly diagnosed. Several studies all around the world have already proven the effect of physiotherapy management in females with stress urinary incontinence. In India, since last 10 years the awareness and education regarding physiotherapy in SUI has increased. Still limited evidences in India, and acceptance of this problem by majority of females lead to low level of evidence based practice. The cultural, economic and religious scenario of Indian women is very different than that of western or other developed countries. So there is immense need to work on these areas, define a protocol of exercise for them and to see the efficacy of this protocol on incontinence episodes in women with SUI. Aim: To evaluate the effect of Pelvic Floor Muscle Training (PFMT) based on severity of incontinence on incontinence episodes in women with Stress Urinary Incontinence. Materials and Methods: Total 65 subjects were recruited according to inclusion criteria for an experimental study which was set up at SBB College of Physiotherapy, V.S.General Hospital Campus and Shruti nursing home, Naranpura, Ahmedabad. Each subject received 6 weeks of home based PFMT based on severity of incontinence which was decided by Incontinence Severity Index. Pre and post data were taken and further analysis was done using SPSS 21.0. The outcome measure used was voiding diary (Number of incontinence episodes per week and frequency of micturition per day). Results and Discussion: Level of significance was set at 5%. Wilcoxon test was used to compare the pre and post data for all the subjects. The hypothesis is proven with Z =-5.566 and Z =-6.167 for frequency and number of leakages respectively. p < 0.001 shows highly significant difference between two groups. Conclusions: Six weeks home based PFMT based on severity of incontinence is effective in reducing no. of leakages per week and frequency of micturition per day in female with SUI.
International Urogynecology Journal, 2010
Introduction and hypothesis Pelvic floor muscle training (PFMT) is considered to be the first-line treatment for female stress urinary incontinence (SUI). There are few studies that have tested the efficacy of unsupervised PFMT. The aim of this study was to compare the effectiveness of intensive supervised PFMT to unsupervised PFMT in the treatment of female SUI. Methods Sixty-two women with SUI were randomized to either supervised or unsupervised PFMT after undergoing supervised training sessions. They were evaluated before and after the treatment with the Oxford grading system, pad test, quality of life questionnaire, subjective evaluation, and exercise compliance. Results After treatment, there were no differences between the two groups regarding PFM strength (p=0.20), International Consultation on Incontinence Questionnaire-Short Form score (p=0.76), pad test (p=0.78), weekly exercise compliance (p=0.079), and subjective evaluation of urinary loss (p=0.145). Conclusions Both intensive supervised PFMT and unsupervised PFMT are effective to treat female SUI if training session is provided.
Comparisons of approaches to pelvic floor muscle training for urinary incontinence in women
Cochrane Database of Systematic Reviews, 2011
Secondary outcomes of interest were: 1. number of leakage episodes; 2. measures of leakage severity (for example, pad usage); 3. micturition frequency; 4. symptom impact (that is, measures of symptom impact or distress other than those measured with validated incontinencespecific quality of life instruments); 5. measures of pelvic floor muscle function (for example, electromyography, vaginal squeeze pressure); 6. other health status or quality of life measures (for example, Short Form-36); 7. formal economic analysis (for example, cost-effectiveness, cost utility). Other outcomes of interest were: 8. treatment adherence; 9. any of the primary or secondary outcomes in the longer term (that is 12 months or more); 10. adverse events; 11. any other outcome not pre-specified, but judged important when performing the review. Search methods for identification of studies We did not impose any restrictions, for example language or publication status, on the searches. Electronic searches This review drew on the search strategy developed for the Cochrane Incontinence Group. We identified relevant trials from the Cochrane Incontinence Group Specialised Trials Register. For more details of the search methods used to build the Specialised Register please see the Group's module in The Cochrane Library. The register contains trials identified from the Cochrane Central Register of Controlled Trials (CENTRAL), MEDLINE and CINAHL, and handsearching of journals and conference proceedings. The trials in the Cochrane Incontinence Group Specialised Register are also contained in CENTRAL. The date of the last search was: 17 May 2011. The terms used to search the Incontinence Group Specialised Register are given below: (({DESIGN.CCT*} OR {DESIGN.RCT*}) AND ({INTVENT.PHYS.PFMT*} OR {INTVENT.PHYS.BIOFEED*}) AND {TOPIC.URINE.INCON*}) (All searches were of the keyword field of Reference Manager 12, Thomson Reuters). Searching other resources We searched the references lists of relevant articles. Data collection and analysis 5 Comparisons of approaches to pelvic floor muscle training for urinary incontinence in women (Review)
Neurourology and Urodynamics, 2011
Pelvic floor muscle (PFM) training has received Level-A evidence rating in the treatment of stress urinary incontinence (SUI) in women, based on meta-analysis of numerous randomized control trials (RCTs) and is recommended in many published guidelines. However, the actual regimen of PFM training used varies widely in these RCTs. Hence, to date, the optimal PFM training regimen for achieving continence remains unknown and the following questions persist: how often should women attend PFM training sessions and how many contractions should they perform for maximal effect? Is a regimen of strengthening exercises better than a motor control strategy or functional retraining? Is it better to administer a PFM training regimen to an individual or are group sessions equally effective, or better? Which is better, PFM training by itself or in combination with biofeedback, neuromuscular electrical stimulation, and/or vaginal cones? Should we use improvement or cure as the ultimate outcome to determine which regimen is the best? The questions are endless. As a starting point in our endeavour to identify optimal PFM training regimens, the aim of this study is (a) to review the present evidence in terms of the effectiveness of different PFM training regimens in women with SUI and (b) to discuss the current literature on PFM dysfunction in SUI women, including the up-to-date evidence on skeletal muscle training theory and other factors known to impact on women's participation in and adherence to PFM training.
The Cochrane database of systematic reviews, 2018
BACKGROUND Pelvic floor muscle training (PFMT) is the most commonly used physical therapy treatment for women with stress urinary incontinence (SUI). It is sometimes also recommended for mixed urinary incontinence (MUI) and, less commonly, urgency urinary incontinence (UUI).This is an update of a Cochrane Review first published in 2001 and last updated in 2014. OBJECTIVES To assess the effects of PFMT for women with urinary incontinence (UI) in comparison to no treatment, placebo or sham treatments, or other inactive control treatments; and summarise the findings of relevant economic evaluations. SEARCH METHODS We searched the Cochrane Incontinence Specialised Register (searched 12 February 2018), which contains trials identified from CENTRAL, MEDLINE, MEDLINE In-Process, MEDLINE Epub Ahead of Print, ClinicalTrials.gov, WHO ICTRP, handsearching of journals and conference proceedings, and the reference lists of relevant articles. SELECTION CRITERIA Randomised or quasi-randomised cont...
Pelvic Floor Muscle Training Versus No Treatment for Urinary Incontinence in Women
2015
Pelvic floor muscle training is the most commonly used physical therapy treatment for women with urinary incontinence (UI). According to the World Health Organization bladder problems affect more than 200milion people worldwide. Urinary incontinence is a disorder that affects women far more frequently than men; 85% of people suffering from urinary incontinence are women. According to existing studies and literature few women go to consult a therapist who specializes in urinary incontinence in our country. Talking about UI, it is a taboo for most women, especially for women living in small cities or rural area. The purpose of the study was to determine the effects of pelvic floor muscle training for women with urinary incontinence in comparison to no treatment. This is a randomized control trial and to gather information was used a questionnaire( ICIQ-SF), and personal contact with patients. The patients were randomly allocated into two groups, the control group and the experimental ...
Effectiveness of Pelvic Floor Muscle Training for Urinary Incontinence
Journal of Wound, Ostomy and Continence Nursing
To compare the effects of three different pelvic floor muscle training (PFMT) in stress urinary incontinence (SUI) women. Material and Method: Sixty-eight eligible SUI women who could perform pelvic floor muscle contraction correctly were randomly allocated to the three different PFMT protocols, exercise every day (G1), exercise three days per week (G2), and exercise plus abdominal training three days per week (G3). The primary outcome was pad test. The secondary outcomes were pelvic floor muscle strength, and treatment satisfaction. The outcomes were evaluated before and after a 12-week of exercise.