Sexual Function and Quality of Life of Women with Stress Urinary Incontinence: A Randomized Controlled Trial Comparing the Paula Method (Circular Muscle Exercises) to Pelvic Floor Muscle Training (PFMT) Exercises

Liebergall-Wischnitzer, Michal; Paltiel, Ora; Celnikier, Drorith Hochner; Lavy, Yuval; Manor, Orly; Wruble, Anna C. Woloski

doi:10.1111/j.1743-6109.2012.02721.x

Cited by 26 publications

(36 citation statements)

References 37 publications

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“…For Chambless et al, 21 such a practice for ten minutes a day was enough to strengthen the muscles and increase the frequency of orgasms in the studied sample. The same was described in a study by Liebergall-Wischnitzer et al, 19 which showed a reduction in dyspareunia by using this technique on women with urinary incontinence (UI). However, in the study by Bo et al, 15 with the same population, the results were to the contrary, showing no improvement in pain.…”

Section: 20mentioning

confidence: 63%

“…Only one study 15 did not describe its eligibility criteria (16.6% of the articles). As for allocation concealment, 83% [15][16][17][18][19] failed to fulfill this item. In 33.3% at least 16% of the participants quit after starting the intervention.…”

Section: 6mentioning

confidence: 99%

“…In 33.3% at least 16% of the participants quit after starting the intervention. In the items referring to being blinded, 83% did not blind the therapists, 15,16 while 66.6% used blinded evaluators 16,18,19,20 and 33.3% had blinded individuals.…”

Section: 6mentioning

confidence: 99%

“…All the studies showed improvement in sexual function after physiotherapeutic intervention (Chart 3). Kinesiotherapy was used in five of the studies, 9,15,17,19,21 while Combined Therapy was employed in two others, one of which combined Kinesiotherapy with Biofeedback 22 and the other using Electrotherapy, Kinesiotherapy, and Biofeedback. 23 Interventions using only electrotherapeutic resources can be observed in two studies.…”

Section: Physiotherapeutic Approachmentioning

confidence: 99%

“…15,19,20 Criteria such as random distribution, similarity of the most important prognostic indicators, and measures of accuracy and of variability of at least one key outcome were always respected. Kinesiotherapy, also known as pelvic floor muscle training (PFMT) or Kegel exercises, is applicable in treating FSDs due to its recruitment of local musculature and the consequent pelvic vascularization and clitoral sensitivity.…”

Section: 20mentioning

confidence: 99%

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Physical therapy in sexually dysfunctional women: a systematic review

Wolpe¹,

Toriy²,

Silva³

et al. 2015

Acta Fisiátrica

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The World Health Organization (WHO) considers Female Sexual Dysfunctions (FSDs) to be a public health issue. There are a multitude of disorders such as female sexual arousal disorder, hypoactive sexual desire disorder, orgasmic disorder, dyspareunia, and vaginismus. FSDs are detected in 67.9% of the women in the world and are present in 50% of Asians, in 30-50% of Americans, and in 30% of Brazilians. Objective: To systematically review the literature on the different physiotherapy techniques used in the treatment of FSDs. Methods: A systematic search was conducted in the databases EMBASE, PEDro, and MedLine in data as recent as June 2013, by combining words and descriptors of physical therapy treatments and female sexual dysfunctions. Excluded from review were articles concerning male sexual dysfunction, pilot studies, multicentric papers of projects, and those which were either not available in their entirety or were duplicated in another database. After the selection of studies was complete, the randomized clinical trials were scored on the PEDro Evaluation Scale. Results: Eleven articles were included, six of which went on to be qualitatively evaluated on the PEDro scale. The present study followed the methodological structure of PRISMA (Statement for Reporting Systematic Reviews and Meta-Analyses of Studies). All studies found used questionnaires to assess the effects of physical therapy on FSDs. A total of five different types of interventions were verified: kinesiotherapy (Kegel exercises and pelvic floor muscle training -PFMT), Cognitive behavioral therapy (CBT), biofeedback, electrotherapy (transcutaneous electrical stimulation -TENS, and therapeutic ultrasound -US), and manual therapy. The limitations found in this systematic review were related to the unavailability of the articles in full and the low methodological quality of the studies. Conclusion: All studies showed improvements in sexual function after physical therapy intervention. There is no consensus on any intervention with better results; however, kinesiotherapy using PFMT proved to be advantageous because of its easy application, low cost, easy learning curve, and lasting results achieved in a short period. However, there are methodological shortcomings that still need to be dealt with to determine the most suitable physical therapy treatment for FSDs, as well as defining the best dosage, the protocol to be followed, and the duration of therapy, as well as the best cost-benefit.

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Section: 20mentioning

confidence: 63%