Impact of Pelvic Floor Muscle Training Isolated and Associated with Game Therapy on Mixed Urinary Incontinence: A Randomized Controlled Trial

Bezerra, Lívia Oliveira; Oliveira, Maria Clara Eugênia de; Silva-Filho, Edson; Silva, Halana Karolina Vicente da; Oliveira, Gabriela Ferreira Menezes de; Gonçalves, Ana Katherine; Pegado, Rodrigo; Micussi, Maria Thereza Albuquerque Barbosa Cabral

doi:10.1089/g4h.2019.0207

Cited by 10 publications

(18 citation statements)

References 28 publications

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“…Selected studies were published between 2013 and 2021, of which 10 studies [ 32 – 36 , 41 , 43 , 44 , 47 , 48 ] were written in English and the remaining were written in Chinese, originating from 7 countries, including China (15 studies) [ 37 – 40 , 42 , 45 – 47 , 49 – 55 ], Brazil (2 studies) [ 32 , 34 ], Sweden (2 studies) [ 33 , 44 ], the US (2 studies) [ 43 , 48 ], the UK (1 study) [ 36 ], Canada (1 study) [ 35 ], and The Netherlands (1 study) [ 41 ]. The 24 studies included 3691 women who were diagnosed with pelvic floor disorders or at risk of PFD, among whom 1862 were allocated to the eHealth group and 1829 to the control group.…”

Section: Resultsmentioning

confidence: 99%

“…The 24 studies included 3691 women who were diagnosed with pelvic floor disorders or at risk of PFD, among whom 1862 were allocated to the eHealth group and 1829 to the control group. Among all the studies, various eHealth technologies were observed, including: mobile phone or tablet applications (7 studies) [ 32 , 33 , 36 , 38 , 40 , 41 , 45 ], internet (9 studies) [ 37 , 39 , 42 , 44 , 46 , 49 – 51 , 55 ], telemetry device (1 study) [ 34 ], video (2 studies) [ 43 , 54 ], audio (1 study) [ 47 ], telephone (2 studies) [ 52 , 53 ], and mixed technologies, where more than one eHealth modality was reported (2 studies combined telemetry devices with applications) [ 35 , 48 ]. The characteristics of eligible studies are displayed in Tables 1 and 2 .…”

Section: Resultsmentioning

confidence: 99%

“…④ a. Bezerra 2021 [ 34 ] Brazil 32 (16/16) 2-arm RCT Treatment Women with MUI I: 54.43 ± 9.96 C: 50.12 ± 8.62 Baseline, 8 weeks ② a. ③ a.…”

Section: Resultsmentioning

confidence: 99%

“…One of the 24 studies was assessed as high risk because it was grouped according to the odd and even numbers of health care cards [ 53 ]. Five studies reported adequate allocation concealment [ 32 , 33 , 35 , 41 , 47 ], and 18 studies were judged at unclear risk due to insufficient descriptions [ 34 , 37 – 40 , 42 – 46 , 48 – 55 ]. As for blinding of participants and personnel, most included studies (83.3%) were judged to be at an unclear risk of bias.…”

Section: Resultsmentioning

confidence: 99%

“…As for blinding of participants and personnel, most included studies (83.3%) were judged to be at an unclear risk of bias. For the blinding of outcome assessment, seven studies were assessed as low risk [ 32 , 34 – 36 , 41 , 47 , 48 ]. Three studies were rated as having a high risk of attrition bias as the attrition rates were > 15%, and intention-to-treat analysis was not performed [ 32 , 43 , 48 ].…”

Section: Resultsmentioning

confidence: 99%

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The effectiveness of eHealth interventions on female pelvic floor dysfunction: a systematic review and meta-analysis

Wang

Guo

et al. 2022

Int Urogynecol J

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Introduction and hypothesis eHealth interventions represent a promising novel strategy in pelvic floor management for women. Nevertheless, the effectiveness of eHealth interventions among women with or at risk of pelvic floor dysfunction (PFD) has not been adequately discussed to date. This study aimed to determine the effectiveness of eHealth interventions in preventing and treating PFD among women. Methods Eleven electronic databases were searched for randomized controlled trials (RCTs) from inception until August 28, 2021. Results Twenty-four RCTs were included in this meta-analysis that included 3691 women. The meta-analysis showed that eHealth interventions were not only vital for preventing PFD (pregnant women: pooled OR = 0.25, 95% CI: 0.14 to 0.45, p < 0.001; postnatal women: pooled OR = 0.19, 95% CI: 0.06 to 0.60, p = 0.005), but also for reducing the severity of PFD (pooled SMD = -0.63, 95% CI: -1.20 to -0.06, p = 0.031). In addition, compared with traditional care, eHealth interventions showed significant positive effects on several outcome indicators, including quality of life (pooled SMD = 0.49, 95% CI: 0.19 to 0.80, p = 0.002), pelvic floor type I muscle strength (pooled OR = 1.92, 95% CI: 1.30 to 2.82, p = 0.001), pelvic floor type II muscle strength (pooled OR = 2.04, 95% CI: 1.38 to 3.01, p < 0.001), sexual function (pooled SMD = 0.51, 95% CI: 0.29 to 0.73, p < 0.001), satisfaction (pooled OR = 3.93, 95% CI: 2.73 to 5.66, p < 0.001), and self-efficacy (pooled SMD = 2.62, 95% CI: 2.12 to 3.13, p < 0.001). Conclusions eHealth interventions are an effective emerging treatment and preventive modality for female PFD. Higher quality, larger scale, and strictly designed RCTs are warranted to evaluate the effectiveness of eHealth interventions on female pelvic floor management.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

“…④ a. Bezerra 2021 [ 34 ] Brazil 32 (16/16) 2-arm RCT Treatment Women with MUI I: 54.43 ± 9.96 C: 50.12 ± 8.62 Baseline, 8 weeks ② a. ③ a.…”

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 3 more Smart Citations

The effectiveness of eHealth interventions on female pelvic floor dysfunction: a systematic review and meta-analysis

Wang

Guo

et al. 2022

Int Urogynecol J

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Comparisons of approaches to pelvic floor muscle training for urinary incontinence in women

Hay-Smith,

Starzec-Proserpio,

Moller

et al. 2024

Cochrane Database of Systematic Reviews

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Virtual reality gaming for rehabilitation of patients with urinary incontinence: A systematic review and meta‐analysis

Lialy,

Abdalrahman,

Elsebaie

et al. 2024

Physiotherapy Res Intl

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BackgroundUrinary Incontinence (UI) is a global health issue that mainly affects the female population worldwide. Different approaches have been sought for the management of UI including Pelvic floor muscle training (PFMT) using Virtual Reality (VR) gaming. We conducted this study to evaluate the effectiveness of VR gaming for rehabilitation of pelvic floor muscles (PFM) and improving urinary symptoms in patients with UI.MethodWe've included studies that contain any type of VR in all geographic locations and settings with no restrictions on the date of publication, age, or gender. Our exclusion criteria include reviews, case series, case reports, unextractable data, unavailable full text, abstract only articles, and studies don't show the effects of VR as a treatment for UI. A pre‐specified search term was used and modified according to the requirements of each of the following databases: PubMed, Web of Science, Scopus, Cochrane, Google scholar, and ScienceDirect. For risk of bias assessment, two assessment tools have been used: ROB 2.0 for RCTs and NIH for single arm studies.ResultsOf 915 papers identified from 6 databases, 341 papers were assigned for screening after removing duplicates, 11 papers were eligible for full text screening, and 4 papers were finally included. The qualitative analysis of the results identifies six outcomes grouped into three primary categories: PFM, urinary symptoms, and quality of life. Only urinary loss outcome was eligible for meta‐analysis. The net effect between Game therapy + PFMT and PFMT reached MD = −5.49, 95% CI [−12.36:1.38] (heterogeneity; I2 = 95%, p < 0.01).ConclusionOur research underscores the potential of VR gaming as a valuable adjunctive therapy for pelvic floor muscle rehabilitation in patients with UI. However, further studies are needed to explore its long‐term effectiveness, optimal therapy parameters, and cost‐effectiveness.RegistrationOur protocol has been registered in PROSPERO (CRD42022384500).

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Impact of Pelvic Floor Muscle Training Isolated and Associated with Game Therapy on Mixed Urinary Incontinence: A Randomized Controlled Trial

Cited by 10 publications

References 28 publications

The effectiveness of eHealth interventions on female pelvic floor dysfunction: a systematic review and meta-analysis

The effectiveness of eHealth interventions on female pelvic floor dysfunction: a systematic review and meta-analysis

Comparisons of approaches to pelvic floor muscle training for urinary incontinence in women

Virtual reality gaming for rehabilitation of patients with urinary incontinence: A systematic review and meta‐analysis

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