Effects of Stabilization Exercises Focusing on Pelvic Floor Muscles on Low Back Pain and Urinary Incontinence in Women

Ghaderi, Fereshteh; Mohammadi, Kamran; Sasan, R Amir; Kheslat, Saeed Niko; Oskouei, Ali E.

doi:10.1016/j.urology.2016.03.034

Cited by 44 publications

(55 citation statements)

References 24 publications

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“…Impaired function of these muscles has been identified as a contributing factor to LBP, and treatment emphasizing pelvic floor training has been shown to decrease LBP 22,33–35 . Along with the trunk muscles (abdominal and back) and diaphragm, pelvic floor muscles contribute to the stability of the spine by allowing for intra-abdominal pressure to be generated 36 .…”

Section: Discussionmentioning

confidence: 99%

Degenerative Spondylolisthesis Is Related to Multiparity and Hysterectomies in Older Women

Cholewicki

Lee

Popovich

et al. 2017

Spine

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Study Design A case-control study Objective To determine whether parity and abdominal surgeries are associated with degenerative spondylolisthesis (DS). Summary of Background Data DS is considered to be a major cause of low back pain (LBP) in the older population, with greater prevalence of DS among women. Because LBP and impaired abdominal muscle function are common during pregnancy and post-partum, parity-related abdominal muscle deficiency, resulting in poor spinal mechanics, could be a factor in the development of DS in women. Indeed a relationship between the number of pregnancies and DS was reported in one study. Methods 322 women between the ages of 40 and 80 (149 with DS and 173 controls) filled out a questionnaire providing information about their demographics, the number of full-term pregnancies, the number and types of abdominal surgeries (including cesarean section (CS) and hysterectomies), and age at menopause among other items. A binary logistic regression was used as a multi-variate model to identify the variables associated with DS. Results Along with age and body-mass-index as co-variates, the number of full-term pregnancies and the hysterectomy were significant predictors of DS. Other abdominal surgeries, CS or the number of years post-menopause were not significant predictors of DS in this regression model after adjusting for all other significant variables. Conclusions Each full-term pregnancy seems to be associated with the 22% increase in odds of developing DS. Hysterectomy nearly doubles the odds of DS as compared to women who did not have hysterectomy.

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Section: Discussionmentioning

confidence: 99%

Degenerative Spondylolisthesis Is Related to Multiparity and Hysterectomies in Older Women

Cholewicki

Lee

Popovich

et al. 2017

Spine

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“…More recently, lumbopelvic stabilization has shown encouraging results . However, there is no methodological similarity, which hinders accurate conclusions about the effectiveness of this approach.…”

Section: Introductionmentioning

confidence: 99%

Dynamic lumbopelvic stabilization for treatment of stress urinary incontinence in women: Controlled and randomized clinical trial

Abreu

Boas

Netto

et al. 2017

Neurourology and Urodynamics

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“…We identified eight studies that included an assessment of pelvic floor function, low back pain and/or urinary incontinence ( Table 2). [20][21][22][23][24][25][26][27] Three were RCTs that examined whether the addition of pelvic floor therapy (with some behavior modifications) improved LBP; two demonstrated no improvement in low back pain or functional disability, 23,25 and another with a longer course of treatment did show a significant improvement in low back pain and functional disability. 20 In all three studies, urinary incontinence did improve.…”

Section: Evidence or Interventions That Examine Low Back Pain With mentioning

confidence: 99%

Is there a link between back pain and urinary symptoms?

Welk

Baverstock

2020

Neurourology and Urodynamics

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Aims: To identify epidemiological studies of mechanical low back pain and urinary dysfunction, and to identify potential evidence supporting a mechanism for this relationship.Methods: A systematic online search was conducted of EmBASE, Medline, CINAHL, and PEDro databases. We excluded studies where an obvious link between low back pain and urinary dysfunction exists (such as cauda equina syndrome). Two reviewers used inclusion/exclusion criteria to screen the articles. Data were extracted and summarised with a narrative review, and study quality was assessed.Results: We included 22/930 studies. Twelve studies addressed the epidemiological link between low back pain and urinary symptoms. The studies all found a statistically significant association between the diagnosis of urinary incontinence or urinary symptoms and low back pain, (aOR's 1.1 to 3.1).Results were consistent when stratified by sex, age, and when adjusted for confounders. The study quality was good in 4/12. Eight studies reported on an assessment/intervention related to pelvic floor function, urinary symptoms and low back pain. Pelvic floor dysfunction was common in women with low back pain, however randomized studies and pre-post studies reported mixed results for pelvic floor physiotherapy improving low back pain. The study quality was good in 3/8. Conclusions:Low back pain and urinary incontinence are associated in large epidemiological studies, and the presence of one condition seems to predispose the development of the other. There is limited evidence to suggest pelvic floor interventions are useful for low back pain in this patient population, therefore the mechanism for this relationship is still unclear. K E Y W O R D Slow back pain, overactive bladder, stress incontinence, urge incontinence, urinary incontinence

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Effects of Stabilization Exercises Focusing on Pelvic Floor Muscles on Low Back Pain and Urinary Incontinence in Women

Cited by 44 publications

References 24 publications

Degenerative Spondylolisthesis Is Related to Multiparity and Hysterectomies in Older Women

Degenerative Spondylolisthesis Is Related to Multiparity and Hysterectomies in Older Women

Dynamic lumbopelvic stabilization for treatment of stress urinary incontinence in women: Controlled and randomized clinical trial

Is there a link between back pain and urinary symptoms?

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