Pelvic floor muscle training added to another active treatment versus the same active treatment alone for urinary incontinence in women

Ayeleke, Reuben Olugbenga; Hay‐Smith, Jean; Omar, Muhammad Imran

doi:10.1002/14651858.cd010551.pub3

Cited by 66 publications

(62 citation statements)

References 120 publications

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“…[6][7][8] The effects of behavioral therapy in the treatment of OAB symptoms are extensively studied and their efficacy, proven. 9 The literature investigating the effects of PFMT on OAB symptoms, without the association of other techniques, is scarce. The justification for using PFMT is that PFM contraction inhibits detrusor contraction, thus improving the symptoms of detrusor overactivity.…”

Section: Introductionmentioning

confidence: 99%

Pelvic floor muscle training for overactive bladder symptoms – A prospective study

Fitz

Sartori

Girão

et al. 2017

Rev. Assoc. Med. Bras.

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Introduction: Pelvic floor muscle training (PFMT) involves the contraction of the puborectal, anal sphincter and external urethral muscles, inhibiting the detrusor contraction, what justify its use in the treatment of overactive bladder (OAB) symptoms. Objective: To verify the effects of isolated PFMT on the symptoms of OAB. Method: Prospective clinical trial with 27 women with mixed urinary incontinence (MUI), with predominance of OAB symptoms and loss ≥ 2 g in the pad test. It was evaluated: pelvic floor muscles (PFMs) function (digital palpation and manometry); urinary symptoms (nocturia, frequency and urinary loss); degree of discomfort of OAB symptoms; and quality of life (Incontinence Quality-ofLife Questionnaire [I-QoL]). The PFMT program consisted of 24 outpatient sessions (2x/week + home PFMT). The Mann-Whitney and Wilcoxon tests (with a significance level of 5%) were used to analyse the data. Results: There was a significant improvement of the urinary symptoms to the pad test (5.8±9.7, p<0.001), urinary loss (0.7±1.1, p=0.005) and nocturia (0.8±0.9, p=0.011). Reduction in the degree of discomfort of urinary symptoms was observed according to OAB-V8 questionnaire (10.0±7.7, p=0.001). There were also significant results in PFMs function: Oxford (3.6±0.9, p=0.001), endurance (5.2±1.8, p<0.001), fast (8.9±1.5, p<0.001) and manometry (26.6±15.8, p=0.003).In addition, quality of life had a significant improvement in the three domains evaluated by I-QoL. Conclusion: The PFMT without any additional guidelines improves the symptomatology, the function of PFMs and the quality of life of women with OAB symptoms.

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Section: Introductionmentioning

confidence: 99%

Pelvic floor muscle training for overactive bladder symptoms – A prospective study

Fitz

Sartori

Girão

et al. 2017

Rev. Assoc. Med. Bras.

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“…The pelvic floor was then assessed by the PERFECT classification. The PERFECT method (Power, Endurance, Repetition, Fast contractions, Every Contraction Timed) was developed to assess the primary components of PFM contractility via digital palpation (16) . In addition to digital palpation assessment, Peritron TM (9300+) from Australia and Biofeedback (Perina® Quark) perineometers were used.…”

Section: Methodsmentioning

confidence: 99%

“…Educational interventions that promote reflection and bring clarifications on the PFD are necessary for improving knowledge in the general population. Health professionals, particularly those in primary health care services, also need information about the impact of PFD on quality of life, its management and treatment in order to provide adequate care to those seeking help (16) . Considering the importance of good PFM functionality for women's health and the variety of techniques existing to evaluate their performance, this study aims to identify and discuss some of the most commonly used techniques that are more accessible in public health facilities.…”

Section: Introductionmentioning

confidence: 99%

Comparison of techniques used for functional evaluation of pelvic floor muscles

Costa¹,

Spirydes²,

Sousa³

2017

RBPS

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Este artigo publicado em acesso aberto (Open Access) sob a licença Creative Commons, que permite uso, distribuição e reprodução em qualquer meio, sem restrições, desde que o trabalho seja corretamente citado. COMPARISON OF TECHNIQUES USED FOR FUNCTIONAL EVALUATION OF PELVIC FLOOR MUSCLES ABSTRACTObjective: To identify and discuss techniques for evaluation of pelvic fl oor muscles (PFM) focusing on the most used and accessible techniques in health care. Methods: This is a quantitative exploratory and descriptive applied research. Data were collected from March to June 2016 at a higher education institution in the city of João Pessoa, Paraíba, Brazil. Initially, 31 healthy young women were submitted to pelvic fl oor evaluation using the following methods: PERFECT, vaginal cones, and perineometry using Perine and Peritron. The participants then performed exercises to strengthen PFM. The variables measured by the different methods were also recorded 30 and 60 days after the start of the program. ANOVA was used for repeated measures and Spearman's correlation test was used for the evaluation instruments with signifi cance set at 5%. Results: The functional evaluation using all the methods was adequate in the PFM evaluation. In the digital palpation (PERFECT), the endurance response (E) was positively correlated to Perina (rho=0.688) and vaginal cones (rho=0.571), and muscle strength (P) was positively correlated to the Peritron technique (rho=0.506). Conclusion: There are several ways to evaluate PFM function and all of them provide sensory feedback to the patient. Given the low costs of digital palpation, the introduction of this technique into women's health services is likely to improve women's quality of life. Descriptors

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“…This Cochrane review contained 11 randomised controlled trials targeting adult women with clinical or urodynamic evidence of stress urinary incontinence (SUI), urgency urinary incontinence (UUI) or mixed urinary incontinence (MUI) (Ayeleke et al, 2013).…”

Section: Characteristics Of the Evidencementioning

confidence: 99%

Cochrane Review Summary: Pelvic floor muscle training added to another active treatment versus the same active treatment alone for urinary incontinence in women

Trivedi

2015

Prim Health Care Res Dev

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Review questionWhat are the effects of pelvic floor muscle training (PFMT) given in combination with other treatments to women with urinary incontinence?Relevance to primary care and nursing Urinary incontinence is a common problem in women who report a wide range of urinary symptoms, which progress with age and significantly affect the overall quality of life (QoL). Estimated prevalence rates range from 30 to 60% in middleaged and older women and rise with advancing age. Although a number of conservative, pharmacological and surgical treatment options are available, the financial impact of the condition is substantial. Primary health-care nurses and doctors have a key role in the management of urinary incontinence in women (National Institute for Health and Clinical Excellence, 2013) and this systematic review aimed to determine the effectiveness of adding PFMT to any of the other active treatments. Characteristics of the evidenceThis Cochrane review contained 11 randomised controlled trials targeting adult women with clinical or urodynamic evidence of stress urinary incontinence (SUI), urgency urinary incontinence (UUI) or mixed urinary incontinence (MUI) (Ayeleke et al., 2013).Included trials compared PFMT added to another active treatment (n = 494) with the same active treatment alone (n = 490). PFMT was defined as a programme of repeated voluntary pelvic floor muscle contractions taught and/or supervised by health-care professionals. PFMT programmes varied considerably; common variations included number and frequency of contractions, use of biofeedback and number of health professional contacts. PFME programmes were also commonly accompanied by advice on managing urgency and frequency, and lifestyles advice (e.g., weight reduction). PFMT programmes ranged from 4 to 12 weeks long, and addressed muscle strength, endurance, coordination or a combination of these (although in six trials insufficient description made the exercise difficult to characterise). Active comparators included vaginal cones, bladder training, electrical stimulation, continence pessary, various drug therapies and others such as heat and steam generating sheets. The interventions were delivered by nurses, physical therapists and/or doctors.

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Pelvic floor muscle training added to another active treatment versus the same active treatment alone for urinary incontinence in women

Abstract: Trusted evidence. Informed decisions. Better health. Cochrane Database of Systematic Reviews Analysis 7.4. Comparison 7 PFMT added to drug therapy versus drug therapy alone, Outcome Number of women improved on patient global impression of improvement in first 3 months.

Cited by 66 publications

References 120 publications

Pelvic floor muscle training for overactive bladder symptoms – A prospective study

Pelvic floor muscle training for overactive bladder symptoms – A prospective study

Comparison of techniques used for functional evaluation of pelvic floor muscles

Cochrane Review Summary: Pelvic floor muscle training added to another active treatment versus the same active treatment alone for urinary incontinence in women

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