Management of urinary incontinence in athletic women: the POsITIve feasibility study

Campbell, Kikuko; Nouri, Fiona; Batt, Mark E; Drummond, Avril

doi:10.1016/j.physio.2021.12.001

Cited by 2 publications

(1 citation statement)

References 23 publications

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“…This may possibly be due to beliefs that UI is normal and prevalent among their peers. Campbell et al 37 investigated the feasibility and acceptability of conducting a future trial of physical therapy to manage UI in athletic women. Participants reported that although they experienced UI symptoms for many years, they do not seek professional assistance as they considered UI to be too trivial to seek treatment.…”

Section: Impact Of Uimentioning

confidence: 99%

Prevalence, Knowledge, and Perceived Impact of Urinary Incontinence in Female Collegiate Athletes

Stickley,

McDowell

2023

Journal of Women's &Amp; Pelvic Health Physical Therapy

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Background: Urinary incontinence (UI) is prevalent among collegiate female athletes at much higher rates than in sedentary women. Athletes participating in high-impact sports have a greater risk of UI, which can negatively impact performance. Objectives: The objectives of this study were (1) to assess the prevalence of UI among female collegiate athletes, (2) to evaluate the impact of incontinence on individual function and perceived athletic performance, and (3) to determine athletes' awareness of physical therapist management of UI. Study Design: An observational, cross-sectional design with convenience sampling was used. Methods: Two hundred seventy-nine female collegiate student athletes were invited to participate in an online survey. The survey included informed consent, questions about age and athletic participation, and questions about participants' experience with UI and knowledge of pelvic floor physical therapy. Descriptive statistics were performed to identify frequencies for age and sports/athletic participation. Frequencies for all variables were used as an exploratory measure to assess sample characteristics. Pearson correlation analyses were used to examine relationships between demographic variables and survey responses. Results: Online surveys were received from 52 respondents. Twenty-one (40.4%) reported never experiencing UI. In those who did report UI, it was consistent with activities related to stress UI. Most respondents were not aware that physical therapists treat pelvic floor dysfunction including UI. Conclusion: Prevalence of UI among female college athletes was consistent with prior research. More education is needed in this population on the impact and treatment of UI, including the role of physical therapists.

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Section: Impact Of Uimentioning

confidence: 99%

Prevalence, Knowledge, and Perceived Impact of Urinary Incontinence in Female Collegiate Athletes

Stickley,

McDowell

2023

Journal of Women's &Amp; Pelvic Health Physical Therapy

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Conservative interventions for female exercise‐induced urinary incontinence: a systematic review

Petter Rodrigues,

Bérubé,

Charette

et al. 2024

BJU International

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ObjectiveTo systematically review and synthesise what is known about the effectiveness of non‐pharmaceutical conservative interventions for the management of urinary incontinence (UI) experienced by women during physical exercise.MethodsA systematic search was performed in the following databases in September 2023: the Medical Literature Analysis and Retrieval System Online (MEDLINE), Cumulative Index to Nursing and Allied Health Literature (CINAHL), Excerpta Medica dataBASE (EMBASE), Scientific Electronic Library Online (SciELO), Latin American and Caribbean Health Sciences Literature (LILACS), and Physiotherapy Evidence Database (PEDro). Studies were deemed eligible if population consisted of females who reported symptoms of UI while participating in physical exercise, and the interventions involved any non‐pharmaceutical conservative treatment to manage symptoms during exercise. The primary outcome was severity of UI signs and symptoms. The protocol was registered in the International Prospective Register of Systematic Reviews (PROSPERO identifier: CRD42022379138).ResultsOf the 3429 abstracts screened, 19 studies were retained. Pelvic floor muscle training (PFMT) and intravaginal devices were the most commonly investigated modalities. Only two randomised controlled trials (RCTs), both among volleyball players, compared PFMT with no PFM exercise, showing a reduction in pad weight gain after the intervention in the experimental groups only. PFMT with and without biofeedback randomised among soldiers demonstrated a reduction in the frequency of urine leakage episodes in both groups, while supervised and unsupervised PFMT randomised among athletes from different sports showed pad weight gain reduction in the supervised group only. Seven single‐arm studies suggested that PFMT alone or combined with other modalities may reduce UI severity in active women based on questionnaires, bladder diaries, and self‐reported symptoms. A single‐arm and a crossover study found pessary use beneficial in reducing urine leakage based on questionnaires and pad weight gain, respectively. When comparing pessary, tampon, and no intervention, two repeated‐measures studies found tampons may reduce leakage more than pessaries in CrossFit exercisers and women performing aerobic exercises. A vaginal sponge also reduced pad weight gain during aerobic exercises. Other modalities (i.e., an intraurethral device, photobiomodulation, and combined therapies) were investigated using case series or single case studies. While all interventions showed some evidence of effectiveness, the results must be interpreted with caution due to methodological limitations and high risk of bias. In particular, despite a high reliance on pad tests as a primary outcome, we identified inconsistencies in how pad tests were administered and interpreted.ConclusionOnly the effectiveness of PFMT to reduce urine leakage during exercise has been evaluated through RCTs, with some evidence of effectiveness. We identified a clear need for higher quality studies, with better reporting on the interventions, and more judicious use and interpretation of outcome measures.

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Management of urinary incontinence in athletic women: the POsITIve feasibility study

Cited by 2 publications

References 23 publications

Prevalence, Knowledge, and Perceived Impact of Urinary Incontinence in Female Collegiate Athletes

Prevalence, Knowledge, and Perceived Impact of Urinary Incontinence in Female Collegiate Athletes

Conservative interventions for female exercise‐induced urinary incontinence: a systematic review

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