2017
DOI: 10.1002/nau.23261
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Dynamic lumbopelvic stabilization for treatment of stress urinary incontinence in women: Controlled and randomized clinical trial

Abstract: After treatment, the DLS plus PFM exercise patients had results similar to those performing PFM exercises alone. However, the DLS plus PFM exercises were superior in the outcomes of incontinence severity, QoL, and impression of improvement in the post-90-day evaluation, showing longer lasting effect.

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Cited by 12 publications
(4 citation statements)
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“…Physical therapy focused on a voluntary contraction of the pelvic floor muscles (PFMs) is considered to be the firstline approach to the prevention and therapeutic management of pelvic floor disorders. [1][2][3] Most training programs focus on aspects of PFM hypertrophy 4 and/or motor control, 5 with training approaches focused on maximal and rapid contractions. 3,4 In 1980, Caufriez hypothesized that because the PFMs are mainly composed of connective tissue 6 and tonic muscle fibers (type I), 7 they might benefit from training through automatic and tonic activation rather than maximal activation.…”
Section: Introductionmentioning
confidence: 99%
“…Physical therapy focused on a voluntary contraction of the pelvic floor muscles (PFMs) is considered to be the firstline approach to the prevention and therapeutic management of pelvic floor disorders. [1][2][3] Most training programs focus on aspects of PFM hypertrophy 4 and/or motor control, 5 with training approaches focused on maximal and rapid contractions. 3,4 In 1980, Caufriez hypothesized that because the PFMs are mainly composed of connective tissue 6 and tonic muscle fibers (type I), 7 they might benefit from training through automatic and tonic activation rather than maximal activation.…”
Section: Introductionmentioning
confidence: 99%
“…Tonic activation in PFM rehabilitation should begin with tonic activity, as this is often incomplete [ 7 ]. This is different from many other programs for SUI which focus on strong PFM holds (up to 10 s) [ 38 ], and retraining of a tonic PFM action involves very gentle and prolonged muscle holds.…”
Section: Discussionmentioning
confidence: 78%
“…DLS has been shown to add to the efficacy of pelvic floor muscle exercises (PFME) alone. 3 In this study, patients in the PFME and DLS group had improved day and night urine loss, lower severity of urine loss, and improved quality of life (QOL) compared to the PFME-only group ( P < .05) at 90 days follow-up. The effect size increased with time following training.…”
Section: Treatmentmentioning
confidence: 69%