Comprehensive reporting of pelvic floor muscle training for urinary incontinence: CERT-PFMT

Slade, Susan C; Morris, Meg E.; Frawley, Helena; Hay‐Smith, Jean

doi:10.1016/j.physio.2021.03.001

Cited by 10 publications

(7 citation statements)

References 48 publications

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“…Several templates have been developed to assist in improving the reporting of exercise interventions. These include condition-specific tools (eg, CERT-PFMT64) for pelvic floor muscle training and more general templates 13–16. We chose to use CERT and TIDieR for this overview of systematic reviews as they are valid and reliable14 65 and focus on key intervention variables such as how, how much and how well, among others 13 14.…”

Section: Discussionmentioning

confidence: 99%

If exercise is medicine, why don’t we know the dose? An overview of systematic reviews assessing reporting quality of exercise interventions in health and disease

et al. 2022

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ObjectiveTo determine how well exercise interventions are reported in trials in health and disease.DesignOverview of systematic reviews.Data sourcesPubMed, EMBASE, CINAHL, SPORTDiscus and PsycINFO from inception until June 2021.Eligibility criteriaReviews of any health condition were included if they primarily assessed quality of exercise intervention reporting using the Consensus on Exercise Reporting Template (CERT) or the Template for Intervention Description and Replication (TIDieR). We assessed review quality using a modified version of A MeaSurement Tool to Assess systematic Reviews.ResultsWe identified 7804 studies and included 28 systematic reviews. The median (IQR) percentage of CERT and TIDieR items appropriately reported was 24% (19%) and 49% (33%), respectively. TIDieR items 1, Brief name (median=100%, IQR 4) and 2, Why (median=98%, IQR 6), as well as CERT item 4, Supervision and delivery (median=68%, IQR 89), were the best reported. For replication of exercise interventions, TIDieR item 8, When and how much, was moderately well reported (median=62%, IQR 68) although CERT item 8, Description of each exercise to enable replication (median=23%, IQR 44) and item 13, Detailed description of the exercise intervention (median=24%, IQR 66) were poorly reported. Quality of systematic reviews ranged from moderate to critically low quality.ConclusionExercise interventions are poorly reported across a range of health conditions. If exercise is medicine, then how it is prescribed and delivered is unclear, potentially limiting its translation from research to practice.PROSPERO registration numberCRD42021261285; Open Science Framework: osf.io/my3ec/.

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Section: Discussionmentioning

confidence: 99%

If exercise is medicine, why don’t we know the dose? An overview of systematic reviews assessing reporting quality of exercise interventions in health and disease

et al. 2022

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“…This study is reported according to the Standard Protocol Items: Recommendations for Interventional Trials (SPIRIT) statement [ 13 ], and the Consensus on Exercise Reporting Template (CERT)-PFMT variation [ 14 ]. Ethics approval was obtained from Human Research Ethics Committee (ID: 2021-22456-23099-5).…”

Section: Methodsmentioning

confidence: 99%

The feasibility of pelvic floor training to treat urinary incontinence in women with breast cancer: a telehealth intervention trial

et al. 2022

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Purpose To investigate the feasibility of recruiting into a pelvic floor muscle training (PFMT) program delivered via telehealth to treat urinary incontinence (UI) in women with breast cancer on aromatase inhibitors. Methods We conducted a pre-post single cohort clinical trial with 54 women with breast cancer. Participants underwent a 12-week PFMT program using an intra-vaginal pressure biofeedback device: femfit®. The intervention included eight supervised individual PFMT sessions over Zoom™ and a 12-week home exercise program. The primary outcome of this study was feasibility, specifically consent rate. Secondary outcomes which included prevalence and burden of UI measured using the International Consultation on Incontinence Questionnaire–Urinary Incontinence Short Form (ICIQ-UI SF), and pelvic floor muscle (PFM) strength measured as intravaginal squeeze pressure were compared using McNemar’s and paired t tests. Results The mean age of participants was 50 years (SD ± 7.3). All women who were eligible to participate in this study consented (n = 55/55, 100%). All participants reported that the program was beneficial and tailored to their needs. The results showed a statistically significant decline in the prevalence (percentage difference 42%, 95% CI 28, 57%) and burden (ICIQ-UI SF score mean change 9.4, 95% CI 8.5, 10.4) of UI post intervention. A significant increase in PFM strength was observed post-intervention (mean change 4.8 mmHg, 95% CI 3.9, 5.5). Conclusion This study indicated that PFMT delivered via telehealth may be feasible and potentially beneficial in treating stress UI in women with breast cancer. Further studies such as randomized controlled trials are required to confirm these results.

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“…In order that the study could monitor compliance with home exercise programmes, the participants were offered the opportunity to download the 'SqueezyCX' app. Use of a smartphone app to measure adherence to a protocol has been recommended [25]. While all those interviewed reported completing and saving their exercises regularly, the adherence levels recordings did not support this.…”

Section: Discussionmentioning

confidence: 98%

Management of urinary incontinence in athletic women: the POsITIve feasibility study

et al. 2022

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Comprehensive reporting of pelvic floor muscle training for urinary incontinence: CERT-PFMT

Cited by 10 publications

References 48 publications

If exercise is medicine, why don’t we know the dose? An overview of systematic reviews assessing reporting quality of exercise interventions in health and disease

If exercise is medicine, why don’t we know the dose? An overview of systematic reviews assessing reporting quality of exercise interventions in health and disease

The feasibility of pelvic floor training to treat urinary incontinence in women with breast cancer: a telehealth intervention trial

Management of urinary incontinence in athletic women: the POsITIve feasibility study

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