Effect of abdominal versus pelvic floor muscle exercises in obese Egyptian women with mild stress urinary incontinence: A randomised controlled trial

Kamel, Dalia M.; Thabet, Ali Abd El-Monsif; Tantawy, Sayed A.; Radwan, Mohamed M.

doi:10.1016/j.hkpj.2012.11.002

Cited by 28 publications

(39 citation statements)

References 29 publications

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“…The study presents measurement points and variation measurements for at least one key result. Characteristics of the studies Sample size varied between 30 27 and 68 28 women, with a mean age of 48.8±5.51 years, ranging from 25 to 65 years. [27][28][29][30] The mean duration of urine loss was 64±5.66 months 18,29,31 with severity ranging from mild 19,27 to severe (even though the definition of the severity of UI is not expressed).…”

Section: Methodological Quality Resultsmentioning

confidence: 99%

“…[27][28][29][30] The mean duration of urine loss was 64±5.66 months 18,29,31 with severity ranging from mild 19,27 to severe (even though the definition of the severity of UI is not expressed). 30 The diagnosis of SUI was demonstrated through subjective evaluation/symptoms (questionnaire, interview), 19,27,29,31 physical examination/signs (pad test, gynecological evaluation) 19,27-31 and/or UDS. 18,19,27,31 Interventions In most studies, the program began with instructions for contracting PFM.…”

Section: Methodological Quality Resultsmentioning

confidence: 99%

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Pelvic floor muscle training protocol for stress urinary incontinence in women: A systematic review

Oliveira¹,

Ferreira²,

Azevedo

et al. 2017

Rev. Assoc. Med. Bras.

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Summary Introduction: Strengthening exercises for pelvic floor muscles (SEPFM) are considered the first approach in the treatment of stress urinary incontinence (SUI). Nevertheless, there is no evidence about training parameters. Objective: To identify the protocol and/or most effective training parameters in the treatment of female SUI. Method: A literature research was conducted in the PubMed, Cochrane Library, PEDro, Web of Science and Lilacs databases, with publishing dates ranging from January 1992 to March 2014. The articles included consisted of English-speaking experimental studies in which SEPFM were compared with placebo treatment (usual or untreated). The sample had a diagnosis of SUI and their age ranged between 18 and 65 years. The assessment of methodological quality was performed based on the PEDro scale. Results: Seven high methodological quality articles were included in this review. The sample consisted of 331 women, mean age 44.4±5.51 years, average duration of urinary loss of 64±5.66 months and severity of SUI ranging from mild to severe. SEPFM programs included different training parameters concerning the PFM. Some studies have applied abdominal training and adjuvant techniques. Urine leakage cure rates varied from 28.6 to 80%, while the strength increase of PFM varied from 15.6 to 161.7%. Conclusion: The most effective training protocol consists of SEPFM by digital palpation combined with biofeedback monitoring and vaginal cones, including 12 week training parameters, and ten repetitions per series in different positions compared with SEPFM alone or a lack of treatment.

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Section: Methodological Quality Resultsmentioning

confidence: 99%

Section: Methodological Quality Resultsmentioning

confidence: 99%

Pelvic floor muscle training protocol for stress urinary incontinence in women: A systematic review

Oliveira¹,

Ferreira²,

Azevedo

et al. 2017

Rev. Assoc. Med. Bras.

View full text Add to dashboard Cite

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“…Two studies evaluated the training of the transverse abdominal muscles, one in an isolated fashion, 45 and the other in combination with PFMT, 46,47 and both comparing it with PFMT alone.…”

Section: Pfmt Versus Abdominal Trainingmentioning

confidence: 99%

“…The first study 45 did not report any of the outcomes of interest for this review (it only reported urodynamic measures and vaginal pressure measures) but it concluded that abdominal training was more effective than PFMT in relation to these outcomes. The study was limited by the fact that it only included obese women with SUI.…”

Section: Pfmt Versus Abdominal Trainingmentioning

confidence: 99%

Conservative Treatment of Stress Urinary Incontinence: A Systematic Review with Meta-analysis of Randomized Controlled Trials

Moroni

Magnani

Haddad

et al. 2016

Rev Bras Ginecol Obstet

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We performed a systematic review and meta-analysis of randomized controlled trials that studied the conservative management of stress urinary incontinence (SUI). There were 1058 results after the initial searches, from which 37 studies were eligible according to previously determined inclusion criteria. For the primary outcomes, pelvic floor muscle training (PFMT) was more efficacious than no treatment in improving incontinence-specific quality of life (QoL) scales (SMD ¼ À1.24SDs; CI 95% ¼ À1.77 to À0.71SDs). However, its effect on pad tests was imprecise. Combining biofeedback with PFMT had an uncertain effect on QoL (MD ¼ À4.4 points; CI 95% ¼ À16.69 to 7.89 points), but better results on the pad test, although with elevated heterogeneity (MD ¼ 0.9g; 95%CI ¼ 0.71 to 1,10g); group PFMT was not less efficacious than individual treatment, and home PFMT was not consistently worse than supervised PFMT. Both intravaginal and superficial electrical stimulation (IES and SES) were better than no treatment for QoL and pad test. Vaginal cones had mixed results. The association of IES with PFMT may improve the efficacy of the latter for QoL and pad test, but the results of individual studies were not consistent. Thus, there is evidence of the use of PFMT on the treatment of SUI, with and without biofeedback.

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“…W badaniach Kamel i wsp. [23] oceniano wpływ masy ciała otyłych kobiet (WHR ≥ 0,8 oraz >30 kg/m2) na efekt ćwiczeń MDM. Pacjentki podzielone na 2 grupy przez 12 tygodni, w sesjach odbywających się 3 razy w tygodniu, wykonywały ćwiczenia -mięśni brzucha (grupa 1) i MDM (grupa 2).…”

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Wpływ ćwiczeń mięśni dna miednicy z udziałem i bez udziału mięśni synergistycznych na jakość życia kobiet z wysiłkowym nietrzymaniem moczu

Ptak

2017

Pomeranian J Life Sci

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Introduction: Stress urinary incontinence (SUI) is an ailment diagnosed in many women in different periods of life. It is estimated that nearly 60% of them will experience the effect of SUI on the quality of life (QOL) in the perimenopausal period. The International Continence Society (ICS) recommended pelvic floor muscle (PFM) exercise as first line treatment. The aim of this study was to compare the QOL of patients with stage 1 SUI that performed PFM and the synergistic muscle (PFM and SM) exercise and isolated PMF (PFM) exercise for the period of 3 months. The additional objective was to evaluate the influence of menopausal status, body mass index (BMI), waist-hip ratio (WHR) and the number of births given on the effectiveness of treatment. Materials and methods: After urodynamic testing executed at the Clinic of Gynaecology, Endocrinology and Gynaecologic Oncology in the Pomeranian Medical University in Szczecin (in Poland), 140 patients were selected. Women were in the perimenopausal period and suffered from SUI stage 1. The conservative treatment was carried out under supervision in 2 groups, 70 patients each. The mean age of women was 51-53 years, BMI -27.4 kg/m2 and WHR was 0.88 (first group) and 0.81 (second group). Before and after the treatment, patients' QOL was evaluated with the use of the ICIQ LUTS qol questionnaire. Moreover, the patients in both groups received vaginal oestriol. Statistica v. 12.0 PL, StatSoft, USA, was used for statistical calculations. Results: Analysis demonstrated the effectiveness of both exercise protocols. The study revealed that exercise according to protocol A (PMF and SM) is more effective than protocol B (PMF). There was no change in QOL in personal relationships. The influence of menopausal status, WHR and number of births was proven. Conclusions: PFM and SM exercise and PFM exercise alone improved the QOL of women with SUI stage 1. However, a stronger impact was observed in the physiotherapy of PFM and SM. The PFM and SM exercise was proven to be more effective than the PFM exercise alone when performed by women with SUI in their premenopausal period, with a gynoidal body type, and in the case of women who gave birth less than three times. Keywords: stress urinary incontinence; perimenopausal period; physiotherapy; pelvic floor muscles; ICIQ LUTS qol; quality of life. ABSTRAKT Wstęp:Wysiłkowe nietrzymanie moczu (WNM) jest dolegliwością dotyczącą wielu kobiet w różnych okresach życia. Szacuje się, iż prawie 60% z nich w wieku perimenopauzalnym doświadczy wpływu WNM na jakość życia (QOL). Według International Continence Society leczenie rozpoczyna się od metod zachowawczych, do których zalicza się gimnastykę mięśni dna miednicy (MDM). Celem pracy było porównanie QOL pacjentek z WNM I stopnia po zastosowaniu gimnastyki MDM z mięśniem synergistycznym oraz gimnastyki wyłącznie MDM, którą przeprowadzono w okresie 3 miesięcy. Dodatkowo oceniono wpływ wskaźnika masy ciała (BMI), wskaźnika dystrybucji tkanki tłuszczowej w organizmie (WHR), liczby porodów oraz statusu...

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Effect of abdominal versus pelvic floor muscle exercises in obese Egyptian women with mild stress urinary incontinence: A randomised controlled trial

Cited by 28 publications

References 29 publications

Pelvic floor muscle training protocol for stress urinary incontinence in women: A systematic review

Pelvic floor muscle training protocol for stress urinary incontinence in women: A systematic review

Conservative Treatment of Stress Urinary Incontinence: A Systematic Review with Meta-analysis of Randomized Controlled Trials

Wpływ ćwiczeń mięśni dna miednicy z udziałem i bez udziału mięśni synergistycznych na jakość życia kobiet z wysiłkowym nietrzymaniem moczu

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