Impact of Pelvic Floor Physical Therapy on Quality of Life and Function After Obstetric Anal Sphincter Injury: A Randomized Controlled Trial

Oakley, Susan H.; Ghodsi, Vivian; Crisp, Catrina C.; Estanol, Maria Victoria; Westermann, Lauren B.; Novicki, Kathleen; Kleeman, Steven D.; Pauls, Rachel N.

doi:10.1097/spv.0000000000000255

Cited by 31 publications

(46 citation statements)

References 55 publications

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“…Forty‐eight randomised controlled trials, reporting data from 20 308 women, were included (Table S1). Seventeen interventions were evaluated, including different techniques (17 trials; 35%), different suture materials (six trials; 13%), and biofeedback (three studies; 6%). The majority of trials (71%) were published in general obstetrics and gynaecology journals.…”

Section: Resultsmentioning

confidence: 99%

Do we need a core outcome set for childbirth perineal trauma research? A systematic review of outcome reporting in randomised trials evaluating the management of childbirth trauma

Pergialiotis

Durnea

Elfituri

et al. 2018

BJOG

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Section: Resultsmentioning

confidence: 99%

Do we need a core outcome set for childbirth perineal trauma research? A systematic review of outcome reporting in randomised trials evaluating the management of childbirth trauma

Pergialiotis

Durnea

Elfituri

et al. 2018

BJOG

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“…42,60,72, 84,85,93,109,115,118,140,161–163,171,172,181,184,186,187,230–232,238, 240,256,260,308,314,320,329,342,344,355 In 13 studies (4.2%) 53, 58,65,108,111,142,143,145,159,316,337,343,351 non-validated questionnaires were used. Anal manometry was used in 126 studies (41.2%) 50,53,55,57,61,65,72,73,77,78,80,82,83, 85,86,91,92,95,96,…”

Section: Resultsmentioning

confidence: 99%

“…Other methods for FI evaluation implied PNTML investigation (23 studies), 104 , 105 , 115 , 151 , 153 , 165 , 183 , 204 , 237 , 239 , 240 , 248 , 258 , 268 , 269 , 277 , 286 , 293 , 294 , 302 , 314 , 324 , 354 MRI (20 studies), 52 , 96 , 104 , 111 , 148 , 171 , 238 , 239 , 245 , 262 , 274 , 285 , 293 , 306 , 308 , 314 , 329 , 332 , 333 , 335 endoscopic procedures (18 studies), 77 , 78 , 98 , 163 , 167 , 174 , 180 , 223 , 226 , 238 , 239 , 247 , 301 , 306 , 308 , 314 , 335 , 340 EMG (five studies), 191 , 206 , 260 , 294 , 354 CT...…”

Section: Resultsmentioning

confidence: 99%

Tools for fecal incontinence assessment: lessons for inflammatory bowel disease trials based on a systematic review

et al. 2020

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Background Fecal incontinence is a disabling condition affecting up to 20% of women. Objective We investigated fecal incontinence assessment in both inflammatory bowel disease and non-inflammatory bowel disease patients to propose a diagnostic approach for inflammatory bowel disease trials. Methods We searched on Pubmed, Embase and Cochrane Library for all studies on adult inflammatory bowel disease and non-inflammatory bowel disease patients reporting data on fecal incontinence assessment from January 2009 to December 2019. Results In total, 328 studies were included; 306 studies enrolled non-inflammatory bowel disease patients and 22 studies enrolled inflammatory bowel disease patients. In non-inflammatory bowel disease trials the most used tools were the Wexner score, fecal incontinence quality of life questionnaire, Vaizey score and fecal incontinence severity index (in 187, 91, 62 and 33 studies). Anal manometry was adopted in 41.2% and endoanal ultrasonography in 34.0% of the studies. In 142 studies (46.4%) fecal incontinence evaluation was performed with a single instrument, while in 64 (20.9%) and 100 (32.7%) studies two or more instruments were used. In inflammatory bowel disease studies the Wexner score, Vaizey score and inflammatory bowel disease quality of life questionnaire were the most commonly adopted tools (in five (22.7%), five (22.7%) and four (18.2%) studies). Anal manometry and endoanal ultrasonography were performed in 45.4% and 18.2% of the studies. Conclusion Based on prior validation and experience, we propose to use the Wexner score as the first step for fecal incontinence assessment in inflammatory bowel disease trials. Anal manometry and/or endoanal ultrasonography should be taken into account in the case of positive questionnaires.

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“…During this period, the UI prevalence had also increased in both groups, which could be attributable to lower levels of motivation to do exercises over time. In three studies (15,30,38), the UI severity or prevalence had been also decreased in both groups, and no significant difference had been reported between both groups. In the study by Dinc et al (19), incontinence severity and prevalence had significantly diminished at pre-and postnatal periods in the intervention group and had subsequently diminished in the postpartum period in the controls.…”

Section: Physiotherapy and Pfmes For Ui Preventionmentioning

confidence: 95%

Physiotherapy and Pelvic Floor Muscle Exercises for the Prevention and Treatment of Pregnancy-Related Pelvic Floor Dysfunctions: A Systematic Review and Meta-analysis

Khorasani

Ghaderi

Sarbakhsh

et al. 2019

International Journal of Women’s Health and Reproduction Scienc

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Objectives: The present systematic review focused on the prevention or treatment of three main types of pelvic floor dysfunctions (PFDs) specifically pelvic organ prolapse (POP), urinary incontinence (UI), and fecal incontinence (FI) using physiotherapy and pelvic floor muscle exercises (PFMEs). With regard to the breadth of the problem, there is not much evidence grounded on the best management. The main purpose of this systematic review was to evaluate the effects of physiotherapy and PFMEs on the prevention and treatment of pregnancy-related PFDs; namely, POP, FI, and UI. Therefore, this review incorporated studies comparing the use of physiotherapy and PFMEs with every other existing interventions. Methods: This systematic review and meta-analysis was conducted on randomized-controlled-trial (RCT) articles and quasi-RCT designs through a search in the studies published with no time limits until December 2017 in the databases of PubMed (Medline), Web of Science, Scopus, Embase, Cochrane Library, and ProQuest. The meta-analysis was also applied for data synthesis. Moreover, heterogeneity was assessed using Cochran’s Q test and I2 index. Results: A total number of 26 RCTs were examined in this review in which the outcome variables were related to POP, UI, and FI prevalence; POP, UI, and FI severity, as well as pelvic floor muscle (PFM) strength and endurance. In most articles, UI prevalence or severity in intervention groups had significantly improved compared with those in controls. The number of studies examining POP and FI was also relatively low. In two studies, FI severity or prevalence in intervention groups had significantly enhanced in comparison with those in control groups; however, FI prevalence in two articles had been reported lower in intervention groups than that in control groups although no significant difference had been observed. There was also no significant improvement in intervention groups in two other studies in this respect. Besides, three articles had not reported traces of improvement in POP, as well as a significant difference between intervention and control groups. Nevertheless, two studies had found a significant improvement in POP in this regard. Based on meta-analysis results for the variable of PFM strength, Cochran’s Q test (P<0.001) and I2 index (90.02) indicated heterogeneity between studies; so, a random-effect meta-analysis was applied to estimate overall effect sizes. The overall mean differences following intervention between the study groups were also equal to 6.94, with a 95% CI (1.36 to 12.52). Conclusions: It was concluded that physiotherapy and PFMEs might have effects on pregnancy-related UI, but they had not consistently reduced FI severity or prevalence and failed to constantly improve POP.

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Impact of Pelvic Floor Physical Therapy on Quality of Life and Function After Obstetric Anal Sphincter Injury: A Randomized Controlled Trial

Abstract: All women showed improvements in quality of life and function at 12 weeks after delivery, regardless of treatment allocation. Further study is needed to determine whether PFPT provides a significant benefit to women having OASIS.

Cited by 31 publications

References 55 publications

Do we need a core outcome set for childbirth perineal trauma research? A systematic review of outcome reporting in randomised trials evaluating the management of childbirth trauma

Do we need a core outcome set for childbirth perineal trauma research? A systematic review of outcome reporting in randomised trials evaluating the management of childbirth trauma

Tools for fecal incontinence assessment: lessons for inflammatory bowel disease trials based on a systematic review

Physiotherapy and Pelvic Floor Muscle Exercises for the Prevention and Treatment of Pregnancy-Related Pelvic Floor Dysfunctions: A Systematic Review and Meta-analysis

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