Effectiveness Of Pelvic Floor Exercises Research Articles

Efficacy of Pelvic Floor and Core Stabilization Exercises on Urinary Incontinence in the PostPartum Period

Abstract Aim: This study aims to compare the effectiveness of pelvic floor exercises and core stabilization exercises in the treatment of urinary incontinence in women. Material and Methods: Forty women 1 to 6 months postpartum was recruited. The postpartum women were randomly divided into three groups: 1) pelvic floor exercises group (PFE); 2) core stabilization group (CS), 3) control group (C). Pelvic floor muscle exercises were performed 3 times a day (morning, noon, evening) in 3 different positions (lying on your back, sitting and standing) in PFE group. Participants performed core stabilization exercises 3 days a week for 6 weeks in CS group. Participants did not receive any exercise therapy and continued their routine. Urogenital Distress Inventory (UDI-6), Incontinence Impact Questionnaire (IIQ7) and Incontinence Severity Index (ISI) were used as outcome measurements. Results: Statistically significant difference was observed in all outcome measures in the PFE and CS group (p<0.05). Also, there was no statistically significant change in outcomes measures in the control group (p>0.05). There was no significant difference between the outcome measures of the PFE and CS groups except for ISI values (p>0.17). UDI-6 and IIQ7 results in the PFE group improved more than in the CS group. When the PFE and control groups were compared, the PFE group was found to be more effective than the control group in terms of all results (p<0.017). Conclusion: Pelvic floor exercises and core stabilization exercises are effective methods for reducing incontinence symptoms in the postpartum period. Pelvic floor muscle training caused more significant changes than core stabilization exercises in postpartum women.

Does perinatal period pelvic floor muscle exercises affect sexuality and pelvic muscle strength? A systematic review and meta-analysis of randomized controlled trials.

SUMMARYOBJECTIVE:The aim of this study was to systematically review the effect of pelvic floor exercises on female sexual function and pelvic floor strength in the prenatal and postnatal periods and to conduct a meta-analysis of available evidence.METHODS:Published archives, including PubMed, Cochrane Library, Web of Science, and ULAKBİM databases, were scanned using keywords based on MeSH. Only randomized controlled trials were included. The data were analyzed using the Review Manager computer program (version 5.3).RESULTS:Pooled standardized differences in means of sexual function in both pelvic floor exercise and control group were 6.33 (95%CI 5.27–7.40, p<0.00001) during pregnancy. The pooled standardized differences in means in sexual function after postpartum intervention was 1.19 (95%CI 0.08––2.30, p=0.04).CONCLUSION:Evidence has shown a little effect on the pelvic floor muscle training on sexual function in pregnancy and postpartum period in primipara women, and it is a safe strategy that can improve postpartum sexual function.

Effectiveness of Pelvic Floor Exercises Along with Faradic Stimulation on Bladder Retention and Quality of Life in Post-operative Case of Cauda Equina Syndrome. Case Report

Effectiveness of Pelvic Floor Exercises Along with Faradic Stimulation on Bladder Retention and Quality of Life in Post-operative Case of Cauda Equina Syndrome. Case Report

The effect of pelvic floor exercises performed with EMG biofeedback or a vaginal cone on incontinence severity, pelvic floor muscle strength, and quality of life in women with stress urinary incontinence: a randomized, 6-month follow-up study.

The objective was to assess the effectiveness of pelvic floor exercises performed with electromyographic (EMG) biofeedback or a vaginal cone on incontinence severity, muscle strength, social activity level, quality of life, treatment success, and treatment satisfaction in women with stress urinary incontinence (SUI). This prospective, randomized study included 40 female patients diagnosed with SUI. Patients were randomly divided into two groups as the group receiving pelvic floor muscle exercise (PFME) with a vaginal cone at home (n = 20) and the group receiving PFME with EMG biofeedback in the hospital (n = 20). The measurement of urinary incontinence severity with a 1-h pad test, assessment of social activity with the social activity index (SAI), assessment of incontinence-specific quality of life, manual measurement of pelvic floor muscle strength, and the assessment of treatment satisfaction were performed in the pre-treatment period and post-treatment at 3 and 6 months. In intragroup analyses, an improvement was observed in both groups in the pad test, muscle strength, SAI, quality of life, and treatment satisfaction measurement compared with the pre-treatment period (p < 0.05). No significant difference was found between the groups in terms of assessment parameters in intergroup analyses during follow-up (p > 0.05). It was concluded that both EMG biofeedback assisted PFME and PFME with a vaginal cone had curative effects on incontinence in patients with SUI. We believe that both protocols can be used as acceptable and effective conservative therapy methods in the treatment of women with SUI considering their preference.

Effectiveness of the pelvic floor muscle training on muscular dysfunction and pregnancy specific urinary incontinence in pregnant women with gestational diabetes mellitus: A systematic review protocol

There is ample evidence that gestational diabetes mellitus has a direct influence on urinary incontinence and pelvic floor muscles. There are no standardized pelvic floor muscle exercise programs in the literature for the physiotherapy and differ in the type of exercise, intensity, type and duration of application, and the frequency and duration of treatment sessions. The aim of this systematic review will be to investigate that Pelvic Floor Muscle Training can prevent and/or decrease the pregnancy specific urinary incontinence in women with gestational diabetes mellitus or gestational hyperglycemia. We will perform a systematic review according to the Cochrane methodology of Randomized Controlled Trials. An overall search strategy will be developed and adapted for Embase, MEDLINE, LILACS, and CENTRAL databases, with the date of consultation until June 2020. The MeSH terms used will be "Pregnancy", "Hyperglycemia", "Diabetes Mellitus, Type 2", "Diabetes Mellitus, Type 1", "Pregnancy in Diabetics", "Diabetes, Gestational", "Urinary Incontinence", "Pelvic Floor Muscle Strength". Primary outcomes: improvement or cure of pregnancy specific urinary incontinence (which can be assessed by questionnaires, and tools such as tampon test, voiding diary, urodynamic study). Secondary outcomes: improvement of pelvic floor muscle strength (pelvic floor functional assessment, perineometer, electromyography, functional ultrasonography), improved quality of life (questionnaires), presence or absence of postpartum Urinary Incontinence and adverse effects. Quality assessment by Cochrane instrument. Metanalysis if plausible, will be performed by the software Review Manager 5.3. The present study will be the first to analyze the effectiveness of pelvic floor exercises in pregnant women with Gestational Diabetes Mellitus or Hyperglycemia, who suffer from pregnancy specific urinary incontinence. Randomized Controlled Trials design will be chosen because they present the highest level of evidence. It is expected to obtain robust and conclusive evidence to support clinical practice, in addition to promoting studies on the theme and contributing to new studies. Systematic review registration: PROSPERO CRD42017065281.

The Effect of Pelvic Floor Exercises to Episiotomy in Nulliparous Women in Hamadan

The Effect of Pelvic Floor Exercises to Episiotomy in Nulliparous Women in Hamadan

Effect of Pelvic Floor Exercises on Post-Prostatectomy Urinary Incontinence: A Systematic Review

AbstractBackground: Urinary incontinence is a common and costly complication after radical prostatectomy often adversely affecting the quality of life.Aim of Study: The aim of this systematic review was to examine the effectiveness of pelvic floor exercises on quality of life in post-prostatectomy patients.Material and Methods: Systematic review of randomized controlled trials, data bases searched were made in PubMed, Pedro, Google scholar and Cochrane, all studies were post 1980 to 2015. Limits were English language.Intervention: Four relevant randomized controlled trials included the exercise and its effects on quality of life in patients with urinary continence.Results: Four studies were selected, included in meta-analysis for the primary outcomes as quality of life and secondary outcomes as depression.Conclusions: There was strong evidence supporting that pelvic floor exercises decrease the frequency of urine leakage. Exercise can be an effective strategy to improve quality of life in patients having post-prostatectomy urinary incontinence.

Effectiveness of Pelvic Floor Exercises for Stress Urinary Incontinence among the Postpartum Women

Urinary incontinence is a socially embarrassing condition for a woman, leading to gradual withdrawal from society and decreased quality of life. This withdrawal may have impact on women's health. Regular moderate physical activity is important in prevention of osteoporosis, obesity, diabetes, high blood pressure, coronary heart disease, and depression. The aim of the present study was to investigate the impact of 4 weeks pelvic floor muscle training program on the severity of leakage, improvement in the pelvic floor muscle strength and quality of life among the postnatal mothers suffering from genuine stress incontinence. A Quasi experimental design was followed in this current study, where 20 women subjects were selected by lottery method. The subjects who had urodynamically proven Genuine Stress Incontinence for more than 3 months after delivery (3 to 24 months) were only chosen for this study. The study consists of 1day pre-test and post-test after 4 weeks. The subjects were treated by physiotherapist individually with pelvic floor muscle exercise of both phasic and tonic contractions along with Knack maneuver. At the end, the patients were subjected to the test for severity of leakage, pelvic floor muscle strength and quality of life. The results of the present study showed that 4 weeks of pelvic floor muscle exercises are effective in decreasing postpartum urinary incontinence. With the search for low-cost, simple and easily administered treatments, this study contributes to the development of treatment protocols which are effective and with less expense for the public health system.

Efetividade do exercício pélvico no perioperatório de prostatectomia radical: revisão de literatura

Objective: To review the literature on the effectiveness of pelvic floor exercises in the perioperative period of radical prostatectomy. Methods: By using the health descriptors (DeCS) tw (prostatectomy) AND (physiotherapy) AND (pelvic floor) AND (urinary incontinence), articles were selected in English, Spanish and Portuguese, regardless of the year of publication. After searching in the BVS database, 26 studies were found: 17 in MEDLINE, 5 in IBECS, 2 in LILACS, and 2 in CENTRAL. Of this total, 17 were excluded because they did not meet the study inclusion criteria, culminating in a total of 9 articles, which were analyzed in this study. Results: Pelvic floor muscle strengthening exercises in the prostatectomy perioperative period have important results in terms of minimizing urinary incontinence, considering the strong impact of the problem on the patients’ quality of life. Conclusion: Scientific evidence points out, despite the heterogeneity of techniques and samples, that the perioperative exercises show promising results in reducing postoperative urinary incontinence, mainly speeding recovery and healing or reducing the symptoms.

Assessment of the effect of pelvic floor exercises on pelvic floor muscle strength using ultrasonography in patients with urinary incontinence: a prospective randomized controlled trial.

[Purpose] The aim of this study was to evaluate whether the effect of pelvic floor exercises on pelvic floor muscle strength could be detected via ultrasonography in patients with urinary incontinence. [Subjects and Methods] Of 282 incontinent patients, 116 participated in the study and were randomly divided into a pelvic floor muscle training (n=65) group or control group (n=51). The pelvic floor muscle training group was given pelvic floor exercise training for 12 weeks. Both groups were evaluated at the beginning of the study and after 12 weeks. Abdominal ultrasonography measurements in transverse and longitudinal planes, the PERFECT scheme, perineometric evaluation, the stop test, the stress test, and the pad test were used to assess pelvic floor muscle strength in all cases. [Results] After training, the PERFECT, perineometry and transabdominal ultrasonography measurements were found to be significantly improved, and the stop test and pad test results were significantly decreased in the pelvic floor muscle training group, whereas no difference was observed in the control group. There was a positive correlation between the PERFECT force measurement scale and ultrasonography force measurement scale before and after the intervention in the control and pelvic floor muscle training groups (r=0.632 and r=0.642, respectively). [Conclusion] Ultrasonography can be used as a noninvasive method to identify the change in pelvic floor muscle strength with exercise training.

Effect of pelvic floor exercises on stress urinary incontinence in women

Effect of pelvic floor exercises on stress urinary incontinence in women

The effectiveness of pelvic floor exercise on urinary incontinence in radical prostatectomy patients

Urinary incontinence (UI) is a major complication among patients after radical prostatectomy (RP). Although previous research supports the efficacy of pelvic floor exercises for male UI, there are both positive and no significant effects. The purpose of this study was to examine the effect of pelvic floor exercises on UI after RP. This was a quasi‐experimental, randomized, mixed‐method study design. All participants were older than 45 years and had undergone an RP. Outcome measurements included a 1‐h pad test, personal demographics, and disease‐related data. After catheter removal, participants were distributed into either an exercise group (n = 39) or a non‐exercise group (n = 28). Patients in the exercise group took part in a pelvic floor exercise during their regular daily activities. The non‐exercise group did not perform the prescribed exercise. We examined urinary function at 1, 3 and 6 months after catheter removal. Following a mixed‐model anova test for differences, the results of the pad test revealed significant differences for the main effect of time (F = 75·30,P &lt; 0·001), indicating that the amount of urine leakage decreased over time regardless of the group. Results for the main effect of group were statistically significant (F = 8·85,p &lt; 0·01), indicating that urine leakage also decreased over time in both groups, but that urinary control in the exercise group was better than in the non‐exercise group. Although improvements in surgical technique have significantly improved the outcome of prostate surgery, we believe that patient education regarding pelvic floor exercises by a nurse prior to and after surgery has a significant impact on the early recovery of urinary continence. We believe these exercises would certainly have a positive impact on our patients undergoing RP by improving the quality of life after major urological surgery.

The effectiveness of pelvic floor exercises, digital vaginal palpation and interpersonal support on stress urinary incontinence: An experimental study

Background/aims The objective of this study is to examine if interpersonal support and digital vaginal palpation (DVP) as part of the pelvic floor muscle exercise (PFME) training is more effective for stress urinary incontinence (SUI) than PFME with a printed handout instruction. Methods 108 women who presented to the family medicine outpatient clinic without having urine leakage as a chief complaint were selected. They were randomized to either the group who received interpersonal support and DVP as part of the PFME training (experimental group), or the group who received PFME with a printed handout instruction (control group). The effects were assessed with 1-h pad tests. Results A total of 99 patients (50 experimental, 49 control) completed the study. The patients’ mean age was 55.35 ± 9.60 years, ranging from 20 to 80 years. All patients without urinary leakage listed as a chief complaint exhibited more or less urine leakage during the 1-h pad test. A significant decrease in the weight of 1-h pad test from baseline was observed in the experimental group ( p < 0.001) compared to the control group ( p = 0.514). Conclusion Interpersonal support and DVP as part of the PFME training is more effective than PFME with a printed handout instruction. PFME, performed correctly and consistently, is effective even in patients who have very few symptoms of SUI.

Women’s health—what’s new worldwide

Women’s health—what’s new worldwide

Single-Blind, Randomized, Controlled Trial of Pelvic Floor Muscle Training, Electrical Stimulation, Vaginal Cones, and No Active Treatment in the Management of Stress Urinary Incontinence

PURPOSETo compare the effectiveness of pelvic floor exercises, electrical stimulation, vaginal cones, and no active treatment in women with urodynamic stress urinary incontinence.PATIENTS AND METHODSOne hundred eighteen subjects were randomly selected to recieve pelvic floor exercises (n=31), ES (n=30), vaginal cones (n=27), or no treatment (untreated control) (n=30). Women were evaluated before and after completion of six months of treatment by the pad test, quality of life questionnaire (I-QOL), urodynamic test, voiding diary, and subjective response.RESULTSIn the objective evaluation, we observed a statistically significant reduction in the pad test (p=0.003), in the number of stress urinary episodes (p<0.001), and a significant improvement in the quality of life (p<0.001) in subjects who used pelvic floor exercises, electrical stimulation, and vaginal cones compared to the control group. No significant difference was found between groups in the urodynamic parameters. In the subjective evaluation, 58%, 55%, and 54% of women who had used pelvic floor exercises, electrical stimulation, and vaginal cones, respectively, reported being satisfied after treatment. In the control group, only 21% patients were satisfied with the treatment.CONCLUSIONBased on this study, pelvic floor exercises, electrical stimulation, and vaginal cones are equally effective treatments and are far superior to no treatment in women with urodynamic stress urinary incontinence.

Effectiveness of pelvic floor exercises in treating Urinary Incontinence following childbirth

Objectives The objective of this review is to determine from the available evidence the effectiveness of pelvic floor muscle exercises (PFME) in treating urinary incontinence following childbirth. Questions The specific questions being asked are: • Do antenatal PFME prevent or reduce urinary incontinence following childbirth? • Do PFME following childbirth resolve or reduce subsequent urinary incontinence? • What is the most effective type of instruction of PFME in treating urinary incontinence? Criteria for considering studies for this review Types of participants Women who have delivered at more than 20 weeks gestation and who have experienced a spontaneous onset of labour. The labour may proceed to a caesarean section. Exclusions: Women who have had an elective caesarean section. Studies have demonstrated that there is a lower prevalence of incontinence in women who have undergone an elective caesarean section as no stress has been placed on the pelvic floor muscles Types of interventions a) Pelvic floor exercises b) Type of instruction of PFME e.g. timing, method, content. Exclusion: Electrical stimulation of pelvic floor muscles or other adjunct therapies. These have been excluded as they are not normally performed by midwives, but rather are part of the physiotherapist’s role. Types of outcome measures Outcomes that are of interest include but are not confined to: Resolution or reduction in (as appropriate) amount, length, or severity of urinary incontinence up to twelve months following childbirth. In relation to types of instruction: • effectiveness of pelvic floor contraction • period of time PFME continued after initial instruction • frequency of PFME undertaken • woman’s awareness of importance of PFME • satisfaction with instruction

Effectiveness of pelvic floor exercises in treating Urinary Incontinence following childbirth

Effectiveness of pelvic floor exercises in treating Urinary Incontinence following childbirth

Single blind, randomised controlled trial of pelvic floor exercises, electrical stimulation, vaginal cones, and no treatment in management of genuine stress incontinence in women

Objective:To compare the effect of pelvic floor exercises, electrical stimulation,vaginal cones, and no treatment for genuine stress incontinence.Design:Stratified, single blind, randomised controlled trial.Setting:Multicentre.Participants: 107 women with clinically and urodynamically proved...

Pelvic Floor Exercises as a Treatment for Post-Micturition Dribble

Objective To determine the effectiveness of pelvic floor exercises and urethral milking as treatments for post-micturition dribble. Patients and methods A method of measuring small amounts of urine loss during normal activity was developed; pads were worn for short periods (<4 h) and then stored in two sealed plastic bags which were weighed within 72 h. Forty-nine men (age range 36–83 years) drawn from a hospital out-patient population, who had not undergone surgery on the bladder, urethra or prostate gland, entered the study. They were randomly assigned to one of three treatment groups; pelvic muscle exercise, urethral milking or counselling. Participants in each group followed the treatment specific to their group for 12 weeks. At 5, 9 and 13 weeks, urine loss was assessed using the method described. Results The groups were comparable for age, height, weight and pelvic muscle contraction strength and compliance of the men who completed the study was excellent. The outcome measure (improvement in pad weight gain) was strongly influenced by initial pad weight gain, or degree of urine loss at the start of the study and this was treated as a covariate in an analysis of variance model. After allowing for the effects of initial pad weight gain, the counselling group showed no improvement, the urethral milking group showed an adjusted mean improvement in urine loss of 2.9 g after 13 weeks, compared with 4.7 g in the exercise group. Conclusion Both pelvic floor exercises and urethral milking are effective treatments for post-micturition dribble compared with counselling alone. Pelvic floor exercises were more effective in reducing urine loss than urethral milking in this study.

Pelvic floor exercises as a treatment for post‐micturition dribble

To determine the effectiveness of pelvic floor exercises and urethral milking as treatments for post-micturition dribble. A method of measuring small amounts of urine loss during normal activity was developed; pads were worn for short periods (< 4 h) and then stored in two sealed plastic bags which were weighed within 72 h. Forty-nine men (age range 36-83 years) drawn from a hospital out-patient population, who had not undergone surgery on the bladder, urethra or prostate gland, entered the study. They were randomly assigned to one of three treatment groups; pelvic muscle exercise, urethral milking or counselling. Participants in each group followed the treatment specific to their group for 12 weeks. At 5, 9 and 13 weeks, urine loss was assessed using the method described. The groups were comparable for age, height, weight and pelvic muscle contraction strength and compliance of the men who completed the study was excellent. The outcome measure (improvement in pad weight gain) was strongly influenced by initial pad weight gain, or degree of urine loss at the start of the study and this was treated as a covariate in an analysis of variance model. After allowing for the effects of initial pad weight gain, the counselling group showed no improvement, the urethral milking group showed an adjusted mean improvement in urine loss of 2.9 g after 13 weeks, compared with 4.7 g in the exercise group. Both pelvic floor exercises and urethral milking are effective treatments for post-micturition dribble compared with counselling alone. Pelvic floor exercises were more effective in reducing urine loss than urethral milking in this study.