Short‐term efficacy of group pelvic floor training under intensive supervision versus unsupervised home training for female stress urinary incontinence: A randomized pilot study

Konstantinidou, Eleni; Apostolidis, Apostolos; Kondelidis, N.; Tsimtsiou, Zoi; Hatzichristou, Dimitrios; Ioannides, Evangelos

doi:10.1002/nau.20380

Cited by 51 publications

(83 citation statements)

References 29 publications

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“…PFM function assessment by the PERFECT system took place monthly for training adjustments and progression. 18 No additional resources were addressed for treating OAB syndrome symptoms in addition to PFMT.…”

Section: Pfm Training Protocolmentioning

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: Pfm Training Protocolmentioning

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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“…57 157,162,190 assignment based on hospital casenote number 116 or assignment based on time of arrival at the clinic and severity of incontinence. 127 Allocation concealment was also considered to be suboptimal (sealed envelopes with no indication of third party involvement) in a further five studies.…”

Section: Risk Of Bias In Included Studiesmentioning

confidence: 99%

“…Description of studies 115 and full text reports of these trials had already been identified in the SR. 116,117 b This was a new trial but also picked up by SR MEDLINE search shortly after -related to timing of searches. 118 c Replaces National Research Register.…”

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%

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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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“…Assim, é razoável supor que os efeitos do tratamento serão melhores se o programa de TMAP, além de ser baseado em princípios fisiológicos confiáveis e de garantir uma contração perineal correta antes do início da realização dos exercícios, contar com estreita supervisão e apoio dos profissionais de saúde envolvidos para manter a adesão ao tratamento 26 . Suposição essa que, apesar de ter sido confirmada em estudo prévio 27 , não encontrou respaldo nos resultados de uma revisão sistemática 28 sobre a eficácia dos exercí-cios para o AP no tratamento da IU e nos resultados do presente estudo, visto que, apesar de o aumento da FMP ter sido significantemente superior no Gsup, não houve diferença significativa entre os resultados do Gsup e do Gobs quanto à IU.…”

Section: Discussionunclassified

Effectiveness of an illustrated home exercise guide on promoting urinary continence during pregnancy: a pragmatic randomized clinical trial

Assis

Bernardes

Barbosa

et al. 2015

Rev. Bras. Ginecol. Obstet.

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ResumoOBJETIVO: Avaliar a efetividade de um manual de orientação de exercícios domiciliares (MOED) para o assoalho pélvico (AP) na promoção da continência urinária em gestantes primigestas. MÉTODOS: Ensaio clínico com 87 participantes, avaliadas 6 vezes durante a gestação e divididas aleatoriamente em 3 grupos: Grupo supervisionado (Gsup), que praticou exercícios com supervisão; Grupo observado (Gobs), que praticou exercícios sem supervisão, e Grupo referência (Gref), que não praticou exercícios. Incontinência urinária (IU) (desfecho primário) e força muscular perineal (FMP) (desfecho secundário) foram avaliadas por intermédio de diário de perdas urinárias e perineometria, respectivamente. Foram utilizados o teste de Kruskal-Wallis, seguido do teste post hoc de Dunn, para variáveis contínuas, e o teste do χ 2 e testes Z, com correções de Bonferroni, para proporções, com nível de significância de 5%. RESULTADOS: O Gsup e o Gobs apresentaram 6,9% de gestantes incontinentes, enquanto o Gref apresentou 96,6% de incontinentes. Quanto à FMP, o Gsup e o Gobs apresentaram valores médios de contração de 10 e 8,9 cmH 2 O, respectivamente, enquanto o Gref apresentou valor de 4,7 cmH 2 O. Ambos os resultados significantes. CONCLUSÃO: A utilização de um MOED é eficaz na promoção da continência urinária e no aumento da FMP em gestantes primigestas, independentemente de supervisão permanente. Registro no clinicaltrials.gov -NCT00740428Abstract PURPOSE: To evaluate the effectiveness of an illustrated home exercise guide targeting the pelvic floor muscles in promoting urinary continence during pregnancy. METHODS: A randomized clinical trial was performed with 87 participants, evaluated six times during pregnancy and divided into three groups: Gsup, supervised; Gobs, not supervised, and Gref, women who did not perform the home exercises program. A miction diary and perineometry were used to evaluate urinary incontinence (primary outcome) and pelvic floor muscle strength (secondary outcome), respectively. The Kruskal-Wallis test with post hoc Dunn's and chi-square and Z tests with Bonferroni correction were used for continuous variables and proportions, respectively, with the level of significance set at 5%. RESULTS: At the end of the study, 6.9% of pregnant women in the Gsup and Gobs had urinary incontinence, while 96.6% of Gref women were incontinent. Regarding pelvic floor muscle function, Gsup and Gobs had mean contractions of 10 and 8.9 cmH 2 O, respectively, while Gref had a value of 4.7 cmH 2 O. Both results were significant. CONCLUSION: An illustrated home exercise guide targeting the pelvic floor muscles is effective in promoting urinary continence during pregnancy, even without permanent supervision. clinicaltrials.gov Registry -NCT00740428

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Short‐term efficacy of group pelvic floor training under intensive supervision versus unsupervised home training for female stress urinary incontinence: A randomized pilot study

Abstract: Group PFMT under intensive supervision produced significantly better improvements in primary and secondary outcomes in the short-term compared to individual, unsupervised home application of PFMT.

Cited by 51 publications

References 29 publications

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

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

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

Effectiveness of an illustrated home exercise guide on promoting urinary continence during pregnancy: a pragmatic randomized clinical trial

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