in QOL measures over four weeks as follows: severity (25%; P,.001), social limitations (22%; P5.001), emotions (17%; P5.04), and bladder-related symptoms (13%; P,.001). PMFT did not significantly improve QOL in terms of role or physical limitations, personal relationships, and sleep or energy; patients in the control groups reported no statistically significant changes in any of the QOL measurements. This RCT was limited by the lack of blinding of the patient and physiotherapist to the group assignments.In 2014 the American College of Physicians evidence-based clinical practice guideline for the nonsurgical management of urinary incontinence recommended pelvic floor muscle training as first-line treatment for women with SUI (strong recommendation based on high-quality evidence). 3 The guideline was based on a systematic review sponsored by the Agency for Healthcare Research and Quality.
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