Pelvic floor muscle exercise for the treatment of female stress urinary incontinence: III. Effects of two different degrees of pelvic floor muscle exercises

Bø, Kari; Hagen, R; Kvarstein, Bernt; Jørgensen, J.J.; Larsen, Stig; Burgio, Kathryn L.

doi:10.1002/nau.1930090505

Cited by 312 publications

(156 citation statements)

References 15 publications

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“…Cure and improvement rates were consistently higher for women who received additional supervisory sessions ( Figures 12 and 13: cure rate, 15% vs 43%, OR 0.11, 95% CI 0.03 to 0.43; One small study 159 with 15 years of follow-up also reported that the number of women who remained continent (cured) after they were left to continue PFMT on their own was higher in the group who had additional sessions during the initial supervised treatment phase, although this difference was not statistically significant (Appendix 17, Comparison 03, 16% vs 30%, OR 0.44, 95% CI 0.11 to 1.87).…”

Section: Cure and Improvement Ratementioning

confidence: 98%

“…Two studies 116,159 provided data amenable to quantitative synthesis; results showed a statistically significant difference between the groups favouring PFMT with additional sessions (Appendix 19, Comparison 02, SMD -1.07, 95% CI -1.98 to -0.15).…”

Section: Quality Of Lifementioning

confidence: 99%

“…This latter model is to facilitate comparison with the direct, headto-head analyses. However, three trials 116,159,161 are solely comparisons of the two intensities of PFMT, and as they provide no comparison with any other treatments they were removed from the data set when considering PFMT as one treatment. Hence, the former model, which considers the two intensities of PFMT separately, is taken as the base-case analysis and is presented in this chapter.…”

Section: Chaptermentioning

confidence: 99%

“…Thirty-three studies (37.5%) stated numbers and reasons for withdrawals in sufficient detail, 57,[115][116][117][118]123,127,128,131,133,134,[137][138][139][140]143,146,147,153,156,159,164,166,167,175,178,181,183,187,189,[197][198][199] while another 33 studies (37.5%) stated the number of withdrawals but did not describe reasons for withdrawals. 107,119,121,122,129,130,132,135,141,142,144,145,150,152,154,155,162,163,165,168,172,176,…”

mentioning

confidence: 99%

“…The majority of studies (52.3%) failed to report results for everyone who entered into the trial, 57,[115][116][117][118][119]122,124,[129][130][131][132][133]135,[137][138][139][140][141][143][144][145]150,152,154,156,159,162,164,[166][167][168]176,178,180,183,185,[187][188][189][190][196][197][198][199] while in 24 studies (27.3%), it was unclear whether results accounted for all participants originally randomised. 107,120,121,134,136,142,148,153,157,158,160,161,165,169-174, 179,186,193-195 Few studies explicitly stated that participants were analysed in the groups that they had been originally allocated to but no study showed clear evidence that this was not done.…”

mentioning

confidence: 99%

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Systematic review and economic modelling of the effectiveness and cost-effectiveness of non-surgical treatments for women with stress urinary incontinence

Imamura

Abrams²,

Bain³

et al. 2010

Health Technol Assess

165

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How to obtain copies of this and other HTA programme reports An electronic version of this title, in Adobe Acrobat format, is available for downloading free of charge for personal use from the HTA website (www.hta.ac.uk). A fully searchable DVD is also available (see below).Printed copies of HTA journal series issues cost £20 each (post and packing free in the UK) to both public and private sector purchasers from our despatch agents.Non-UK purchasers will have to pay a small fee for post and packing. For European countries the cost is £2 per issue and for the rest of the world £3 per issue. How to order:-fax (with credit card details) -post (with credit card details or cheque) -phone during office hours (credit card only).Additionally the HTA website allows you to either print out your order or download a blank order form. Contact details are as follows:Synergie UK (HTA Department) Digital House, The Loddon Centre Wade Road Basingstoke Hants RG24 8QW Email: orders@hta.ac.uk Tel: 0845 812 4000 -ask for 'HTA Payment Services' (out-of-hours answer-phone service) Fax: 0845 812 4001 -put 'HTA Order' on the fax header Payment methods Paying by chequeIf you pay by cheque, the cheque must be in pounds sterling, made payable to University of Southampton and drawn on a bank with a UK address. Paying by credit cardYou can order using your credit card by phone, fax or post. SubscriptionsNHS libraries can subscribe free of charge. Public libraries can subscribe at a reduced cost of £100 for each volume (normally comprising 40-50 titles). The commercial subscription rate is £400 per volume (addresses within the UK) and £600 per volume (addresses outside the UK). Please see our website for details. Subscriptions can be purchased only for the current or forthcoming volume. How do I get a copy of HTA on DVD?Please use the form on the HTA website (www.hta.ac.uk/htacd/index.shtml). HTA on DVD is currently free of charge worldwide.The website also provides information about the HTA programme and lists the membership of the various committees. HTA NIHR Health Technology Assessment programmeT he Health Technology Assessment (HTA) programme, part of the National Institute for Health Research (NIHR), was set up in 1993. It produces high-quality research information on the effectiveness, costs and broader impact of health technologies for those who use, manage and provide care in the NHS. 'Health technologies' are broadly defined as all interventions used to promote health, prevent and treat disease, and improve rehabilitation and long-term care. The research findings from the HTA programme directly influence decision-making bodies such as the National Institute for Health and Clinical Excellence (NICE) and the National Screening Committee (NSC). HTA findings also help to improve the quality of clinical practice in the NHS indirectly in that they form a key component of the 'National Knowledge Service'. The HTA programme is needs led in that it fills gaps in the evidence needed by the NHS. There are three routes to the start of projec...

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Section: Cure and Improvement Ratementioning

confidence: 98%

Section: Quality Of Lifementioning

confidence: 99%

Section: Chaptermentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

See 3 more Smart Citations

Systematic review and economic modelling of the effectiveness and cost-effectiveness of non-surgical treatments for women with stress urinary incontinence

Imamura

Abrams²,

Bain³

et al. 2010

Health Technol Assess

165

View full text Add to dashboard Cite

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Effect of Group-Administered Behavioral Treatment on Urinary Incontinence in Older Women

et al. 2018

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IMPORTANCE Urinary incontinence (UI) guidelines recommend behavioral interventions as first-line treatment using individualized approaches. A one-time, group-administered behavioral treatment (GBT) could enhance access to behavioral treatment.OBJECTIVE To compare the effectiveness, cost, and cost-effectiveness of GBT with no treatment for UI in older women. DESIGN, SETTING, AND PARTICIPANTS Multisite randomized clinical trial (the Group LearningAchieves Decreased Incidents of Lower Urinary Symptoms [GLADIOLUS] study), conducted from July 7, 2014, to December 31, 2016. The setting was outpatient practices at 3 academic medical centers. Community-dwelling women 55 years or older with UI were recruited by mail and screened for eligibility, including a score of 3 or higher on the International Consultation on Incontinence Questionnaire-Short Form (ICIQ-SF), symptoms of at least 3 months' duration, and absence of medical conditions or treatments that could affect continence status. Of 2171 mail respondents, 1125 were invited for clinical screening; 463 were eligible and randomized; 398 completed the 12-month study. INTERVENTIONSThe GBT group received a one-time 2-hour bladder health class, supported by written materials and an audio CD. MAIN OUTCOMES AND MEASURESOutcomes were measured at in-person visits (at 3 and 12 months) and by mail or telephone (at 6 and 9 months). The primary outcome was the change in the ICIQ-SF score. Secondary outcome measures assessed UI severity, quality of life, perceptions of improvement, pelvic floor muscle strength, and costs. Evaluators were masked to group assignment.RESULTS Participants (232 in the GBT group and 231 in the control group) were aged 55 to 91 years (mean [SD] age, 64 [7] years), and 46.2% (214 of 463) were African American. In intent-to-treat analyses, the ICIQ-SF scores for GBT were consistently lower than control across all time points but did not achieve the projected 3-point difference. At 3 months, the difference in differences was 0.96 points (95% CI, −1.51 to −0.41 points), which was statistically significant but clinically modest. The mean (SE) treatment effects at 6, 9, and 12 months were 1.36 (0.32), 2.13 (0.33), and 1.77 (0.31), respectively. Significant group differences were found at all time points in favor of GBT on all secondary outcomes except pelvic floor muscle strength. The incremental cost to achieve a treatment success was $723 at 3 months; GBT dominated at 12 months. CONCLUSIONS AND RELEVANCEThe GLADIOLUS study shows that a novel one-time GBT program is modestly effective and cost-effective for reducing UI frequency, severity, and bother and improving quality of life. Group-administered behavioral treatment is a promising first-line approach to enhancing access to noninvasive behavioral treatment for older women with UI.TRIAL REGISTRATION ClinicalTrials.gov identifier: NCT02001714

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Efficacy of biofeedback, when included with pelvic floor muscle exercise treatment, for genuine stress incontinence

et al. 1996

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We performed a randomized clinical trial on the efficacy of physical therapy on genuine stress incontinence. Study objective: "Is a physical therapeutical training program (pelvic floor muscle training) combined with biofeedback, more effective than the same program without biofeedback in patients with mild or moderate stress incontinence?" Forty-four patients were referred by a general practitioner or a urologist. After informed consent, 40 patients were randomized in an exercises and biofeedback group (BF), or treated with exercises exclusively (pelvic floor muscle training = PFMT). After a diagnostic phase of 1 week every patient received twelve treatment sessions, three times weekly.The primary measure of effect, the quantity of involuntary urine loss, was measured with the 48 hours PAD test (Inco-test Molnlycke). Before every treatment session the Symptoms questionnaire was filled out by the patient and the Patient diary was controlled.The data of the trial were analysed according to the principal of intention to treat. During the trial there was 100% compliance. There were no drop-outs. Both treatment modalities appeared to be effective. After twelve treatment sessions there was a mean improvement of t 55% (P = 0.00) in both treatment groups, measured by the primary measure of effect. In the group with BF this improvement was already realized after six treatment sessions (P = 0.01). Yet, the difference between BF and PFMT faded to reach significance at six treatment sessions (P = 0.08).Although differences in treatment effects between both groups were not significant, our findings suggest that adding biofeedback to pelvic floor muscle exercises might be more effective than pelvic floor muscle exercises alone after six treatments.

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Pelvic floor muscle exercise for the treatment of female stress urinary incontinence: III. Effects of two different degrees of pelvic floor muscle exercises

Cited by 312 publications

References 15 publications

Systematic review and economic modelling of the effectiveness and cost-effectiveness of non-surgical treatments for women with stress urinary incontinence

Systematic review and economic modelling of the effectiveness and cost-effectiveness of non-surgical treatments for women with stress urinary incontinence

Effect of Group-Administered Behavioral Treatment on Urinary Incontinence in Older Women

Efficacy of biofeedback, when included with pelvic floor muscle exercise treatment, for genuine stress incontinence

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