Does self-motivation improve success rates of pelvic floor muscle training in women with urinary incontinence in a secondary care setting?

Abstract

Self-motivation is essential in order to determine improved success rates with PFMT.

Does motivation predict outcome of pelvic floor muscle retraining?

“…These authors used a subjective measure (Patient Global Impression of Improvement [PGI-I] questionnaire) and a 24 h pad test. 13 Their completion of study rate (64%) was similar to that in our group (62%). However, 83% of participants in the previous study had undergone PFMT, unlike in the present sample (9.4%).…”

“…As the ITMQ was originally validated in 2009, only one group have evaluated whether motivation predicts treatment response. These authors used a subjective measure (Patient Global Impression of Improvement [PGI‐I] questionnaire) and a 24 h pad test . Their completion of study rate (64%) was similar to that in our group (62%).…”

“…However, 83% of participants in the previous study had undergone PFMT, unlike in the present sample (9.4%). Vella et al found that about half of their patients had improved continence after 12 weeks of PFMT and that the ITMQ scores in Domains 1, 3, and 4 correlated significantly with PGI‐I scores. However, the previous authors did not examine differences between participants and non‐participants.…”

“…Although there was large variability in the change in pre‐ and post‐treatment pad test weight (ranging from an increase of 33.9 g to a decrease of 47.7 g), a mean decrease of 11.5 g was found in the women who reported improvement in their symptoms. Overall Vella et al felt that the ITMQ could be employed to predict the outcome of PFMT.…”

Pelvic floor muscle activation in stress urinary incontinent women: Impact of a distraction task

“…[40][41][42] The success rate varies according to the study; selfmotivation is a major dependent factor. 43 The optimal training program is not yet known (frequency, dosage, exercises). Finding the best approaches is a current priority.…”