Effects of home‐based pelvic floor muscle training on decreasing symptoms of stress urinary incontinence and improving the quality of life of urban adult Omani women: A randomized controlled single‐blind study

Belushi, Zalikha I. Al; Kiyumi, Maisa Hamed Al; Al-Mazrui, Ahlaam A.; Jaju, Sanjay; Alrawahi, Abdul Hakeem; Mahrezi, Abdulaziz M. Al

doi:10.1002/nau.24404

Cited by 8 publications

(17 citation statements)

References 47 publications

(129 reference statements)

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“…The results of the current study were consistent with these findings. The findings of the current study were consistent with previous trials that reported marked changes in FI severity among studied patients who received supervised BF with PFMT and the patient exhibited less frequency of involuntary loss of stool or using pads per day [23,25,26,27] . It is worth noting that other recent RCT supported the beneficial effect of pelvic floor muscle exercise combined with feedback in reducing incontinence severity based on Wexner FI SI [28,29] .…”

Section: Discussionsupporting

confidence: 91%

“…[44] who proved that women who received BF-assisted PFMT were significantly more likely to report improvement in FIQOL compared to those who received PFMT alone. Many comparable studies indicated that a supervised rehabilitation program that includes PFMT and biofeedback can substantially enhance pelvic muscle strength and markedly improve FI and QOL [ 25,26,28,45] .…”

Section: Discussionmentioning

confidence: 99%

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Clinical Efficacy of Supervised Pelvic Floor Muscle Training - assisted Biofeedback on Quality of Life and Functional Outcomes in patients with Fecal Incontinence

2022

Tanta Scientific Nursing Journal

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Background: Fecal incontinence (FI) is a prevalent, and embarrassing condition that drastically affects the quality of life (QOL). Pelvic floor muscle training (PFMT) is the first-line therapy in FI either alone or combined with biofeedback (BF). Little trials investigated the effectiveness of PFMT together with BF in improving FI and QOL Aim: To investigate the efficacy of supervised PFMT -assisted BF in improving FI, quality of life, and strength of the rectal muscle in adults with FI. Methods: A quasi-experimental design was conducted on 60 patients with FI attending the gastrointestinal motility unit affiliated to gastroenterology center Mansoura University Hospitals and referred for biofeedback and Pelvic Floor exercise. The Fecal Incontinence Quality of Life Questionnaire and the Cleveland Clinic Florida Fecal Incontinence scale were filled out at the first visit and then at follow-up after six months. The patients were directed to perform daily pelvic floor exercise at home. Data were analyzed using SPSS (version 20). Results: There was a significant improvement in fecal incontinence severity and quality of life domains post 8-sessions of PFMT -assisted BF P<0.001. A strong negative correlation was found between fecal incontinence severity and improvement in fecal incontinence quality of life.Strong positive correlation existed between improvements in quality-of-life domains. Conclusion:PFMT-assisted BF has proven to be an effective method for improving FI, QOL, and increasing the strength of the anal sphincter. Relevance to clinical practice: PFMT-assisted BF can be recommended as a safe, painless approach and a key element in the comprehensive management of patients with FI. It should be considered as a feasible option by healthcare providers.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionmentioning

confidence: 99%

Clinical Efficacy of Supervised Pelvic Floor Muscle Training - assisted Biofeedback on Quality of Life and Functional Outcomes in patients with Fecal Incontinence

2022

Tanta Scientific Nursing Journal

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“…One study had an unclear risk of selection bias due to insufficient information provided on random sequence generation or allocation concealment [ 34 ]. Four studies reported adequate allocation concealment using sequentially numbered, sealed opaque envelopes [ 27 , 30 , 32 , 34 ].…”

Section: Resultsmentioning

confidence: 99%

“…Seven studies had low risks of selection bias due to the validated tools they used to generate a random sequence between groups [ 27 , 28 , 29 , 30 , 32 , 33 , 35 ]. As shown in Figure 4 , the random sequence generation and the allocation concealment showed the least risk of bias among all the studies included.…”

Section: Resultsmentioning

confidence: 99%

Effectiveness of Pelvic Floor Muscle Training on Quality of Life in Women with Urinary Incontinence: A Systematic Review and Meta-Analysis

Curillo-Aguirre,

Gea-Izquierdo

2023

Medicina

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Background and Objectives: Urinary incontinence (UI) is a condition that is more common in women than men and has an increasing prevalence with age. It provides a range of psychological and physical burdens that negatively affect the patient’s quality of life (QoL). However, the economic burden for the healthcare system is being augmented due to the increasing life expectancy of the population. This article aims to identify the effectiveness of pelvic floor muscle training (PFMT) on the QoL in women with UI. Materials and Methods: A systematic review and meta-analysis were conducted in the PubMed, EMBASE, ProQuest medicine, Cochrane Library, and Google Scholar databases. The terms selected according to components of PICOS were women with urinary incontinence, pelvic floor muscle training, watchful or other types of therapies, quality of life, randomized controlled trials, and interventional or observational studies. The articles included were those published between November 2018 and November 2022. Ten articles were found for the systematic review and eight for the meta-analysis. Results: The QoL moderately increased when PFMT was used on women with UI, the results indicating an overall small effect on the QoL across the controlled studies and a moderate effect on the QoL across the one-group pre-post-studies. Conclusions: Specific QoL domains, such as social activities and general health, also demonstrated benefits from PFMT interventions. This study confirmed the effectiveness of PFMT on the QoL in women with UI, mainly for patients with stress urinary incontinence.

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“…This finding might be related to the significant improvement of PFM function/ strength in the supervised group. Increasing PFM strength and ability to maintain contraction can improve PFM functionality and QoL in women with UI [ 21 , 24 ].…”

Section: Discussionmentioning

confidence: 99%

Supervised versus unsupervised pelvic floor muscle training in the treatment of women with urinary incontinence — a systematic review and meta-analysis

et al. 2023

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Introduction and hypothesis This study synthesized the effects of supervised and unsupervised pelvic floor muscle training (PFMT) programs on outcomes relevant to women’s urinary incontinence (UI). Methods Five databases were searched from inception to December 2021, and the search was updated until June 28, 2022. Randomized and non-randomized control trials (RCTs and NRCTs) comparing supervised and unsupervised PFMT in women with UI and reported urinary symptoms, quality of life (QoL), pelvic floor muscles (PFM) function/ strength, the severity of UI, and patient satisfaction outcomes were included. Risk of bias assessment of eligible studies was performed by two authors through Cochrane risk of bias assessment tools. The meta-analysis was conducted using a random effects model with the mean difference or standardized mean difference. Results Six RCTs and one NRCT study were included. All RCTs were assessed as "high risk of bias", and the NRCT study was rated as "serious risk of bias" for almost all domains. The results showed that supervised PFMT is better than unsupervised for QoL and PFM function of women with UI. There was no difference between supervised and unsupervised PFMT for urinary symptoms and improvement of the severity of UI. Results of patient satisfaction were inconclusive due to the sparse literature. However, supervised and unsupervised PFMT with thorough education and regular reassessment showed better results than those for unsupervised PFMT without educating patients about correct PFM contractions. Conclusions Supervised and unsupervised PFMT programs can both be effective in treating women's UI if training sessions and regular reassessments are provided. Supplementary Information The online version contains supplementary material available at 10.1007/s00192-023-05489-2.

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Effects of home‐based pelvic floor muscle training on decreasing symptoms of stress urinary incontinence and improving the quality of life of urban adult Omani women: A randomized controlled single‐blind study

Cited by 8 publications

References 47 publications

Clinical Efficacy of Supervised Pelvic Floor Muscle Training - assisted Biofeedback on Quality of Life and Functional Outcomes in patients with Fecal Incontinence

Clinical Efficacy of Supervised Pelvic Floor Muscle Training - assisted Biofeedback on Quality of Life and Functional Outcomes in patients with Fecal Incontinence

Effectiveness of Pelvic Floor Muscle Training on Quality of Life in Women with Urinary Incontinence: A Systematic Review and Meta-Analysis

Supervised versus unsupervised pelvic floor muscle training in the treatment of women with urinary incontinence — a systematic review and meta-analysis

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