App‐based pelvic floor muscle training in pregnant and postnatal women: A prospective cohort study exploring factors associated with prevention and improvement of urinary incontinence

Löjdahl, Erika; Lindam, Anna; Asklund, Ina

doi:10.1002/hsr2.781

Cited by 3 publications

References 28 publications

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Pelvic Floor Muscle Training Using the Perifit Device for the Treatment of Urinary Incontinence: A Pragmatic Trial Using Real-World Data

Perrier,

Aumont

2024

Women's Health Reports

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Introduction: There is a need for home-based alternatives for women to self-manage urinary incontinence (UI). Using a real-world data approach, the aim of this analysis was to evaluate whether training with the Perifit device was effective in reducing UI symptoms. Materials and Methods: A total of 6060 women (45 ± 10 years) with UI who purchased the Perifit device, completed a validated symptoms questionnaire before training (T1) and again at one or several predefined timepoints during training: T2, after completing 40–60 games; T3, after 90–120 games; and/or T4, after 280–300 games. Results: UI symptom score decreased progressively from 8.4 ± 4.8 points at T1; to 6.3 ± 4.7 points, 5.5 ± 4.5 points, and 4.6 ± 4.5 points at T2, T3, and T4, respectively (all p < 0.001). The percentage of respondents reporting objective improvement in UI symptoms increased from 71%, to 79%, to 85% at T2, T3, and T4, respectively. Effect size was medium (T2) to large (T3, T4). Higher symptom score at baseline was associated with higher likelihood of improvement. There was no effect of other characteristics including respondent age, menopausal status, time since childbirth, prolapse, or baseline strength on symptom improvement. Conclusions: This analysis of responses from over 6000 real-world users suggests that home training with the Perifit may be an effective way to reduce UI symptoms in women of all ages. Given the quality of life, economic, and social burdens of living with UI symptoms, home-based pelvic floor muscle training with the Perifit may be a promising tool to allow women to self-manage UI.

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Pelvic Floor Muscle Training Using the Perifit Device for the Treatment of Urinary Incontinence: A Pragmatic Trial Using Real-World Data

Perrier,

Aumont

2024

Women's Health Reports

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Impact of postpartum exercise on pelvic floor disorders and diastasis recti abdominis: a systematic review and meta-analysis

Beamish,

Davenport,

Ali

et al. 2024

Br J Sports Med

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ObjectiveTo examine the effect of exercise during the first year postpartum on pelvic floor disorders and diastasis recti abdominis.DesignSystematic review with random effects meta-analysis.Data sources: MEDLINE, EMBASE, CINAHL, SPORTDiscuss, Evidence-Based Medicine Reviews (Ovid), Scopus, Web of Science and ClinicalTrials.gov were searched until 12 January 2024.Eligibility criteria for selecting studiesStudies of all designs (except case studies) and languages were included if they contained information on the Population (individuals in the first year postpartum), Intervention (subjective or objective measures of frequency, intensity, duration, volume or type of exercise alone (‘exercise-only’) or in combination with other intervention (eg, biofeedback; ‘exercise+co-intervention’)), Comparator (no exercise or different exercise measures) and Outcome (symptom severity and risk of urinary incontinence, anal incontinence, pelvic organ prolapse, diastasis recti abdominis and sexual function).Results65 studies (n=21 334 participants) from 24 countries were included. ‘Moderate’ certainty of evidence revealed that pelvic floor muscle training reduced the odds of urinary incontinence by 37% (seven randomised controlled trials (RCTs), n=1930; OR 0.63, 95% CI 0.41 to 0.97, I272%) and pelvic organ prolapse by 56% (one RCT, n=123; OR 0.44, 95% CI 0.21 to 0.91) compared with control groups. ‘Low’ certainty of evidence showed a greater reduction in inter-rectus distance measured at rest and during a head lift following abdominal muscle training compared with no exercise. Evidence on the effect of exercise on the risk of anal incontinence and diastasis recti abdominis, as well as the severity of anal incontinence, urinary incontinence, pelvic organ prolapse and sexual function, is limited.ConclusionEvidence supports the effectiveness of postpartum pelvic floor muscle training in reducing the odds of urinary incontinence and pelvic organ prolapse and postpartum abdominal exercise training in reducing inter-rectus distance.PROSPERO registration numberCRD42022359282.

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A Systematic Literature Review for Interface design of pelvic floor muscle training mobile app base on mHealth 2017-2022 (Preprint)

Yi¹

2022

Preprint

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BACKGROUND With the rapid development of information technology, mobile electronic equipment has been popularized. The survey by the World Health Organization shows that mHealth is rising worldwide, and mHealth has been applied to many medical and health fields. Pelvic floor muscle training（PFMT）is the first-line treatment for women with urinary incontinence, and patients can self-manage and practice through the PFMT application. The design of the PFMT app will affect the user's experience and adherence. Through the collection and collation of literature, this paper classified and elaborated the current research results related to the application of PFMT and explored the direction and evidence to promote the improvement of the app interface. OBJECTIVE Review the existing research on the PFMT app, to identify what the current research on the PFMT app concentrations on. From which to find and summarize the research on PFMT existing obstacles and future improvement strategies for app interface design. METHODS Keywords were searched in three major citation databases: Web of Science, Scopus, and Dimensions to find the literature published. After screening the titles and abstracts of all retrieved citations with inclusion and exclusion criteria, the researchers need to review the full text and then final discussion and confirm the relevance of all included papers. First, identify the current research area on PFMT application from each paper. Second, the existing suggestion to improve interface design were extracted from certain topic research. Finally, the research topic classification and interface design problem summary are carried out. RESULTS A total of 26 papers and one supplement were included. 7 primary research directions were identified. 6 key issues and 3 crucial pages of interface design are sorted out, which provides direction and a root for the progress of interface design in the future. CONCLUSIONS Many studies have suggested the necessity and estimation of interface redesign, but there is no advanced study and implementation. The interface design of PFMT app is one of the important directions for future application iteration and upgrading. The interface design will help reduce stigma and enhance the user experience, which to a great extent contributes to strengthening user engagement and adherence.

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App‐based pelvic floor muscle training in pregnant and postnatal women: A prospective cohort study exploring factors associated with prevention and improvement of urinary incontinence

Cited by 3 publications

References 28 publications

Pelvic Floor Muscle Training Using the Perifit Device for the Treatment of Urinary Incontinence: A Pragmatic Trial Using Real-World Data

Pelvic Floor Muscle Training Using the Perifit Device for the Treatment of Urinary Incontinence: A Pragmatic Trial Using Real-World Data

Impact of postpartum exercise on pelvic floor disorders and diastasis recti abdominis: a systematic review and meta-analysis

A Systematic Literature Review for Interface design of pelvic floor muscle training mobile app base on mHealth 2017-2022 (Preprint)

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