Pelvic floor muscle training for urinary incontinence in women

Does group training during pregnancy prevent lumbopelvic pain? A randomized clinical trial

“…In the present study daily PFM training was encouraged. The effect of PFM training on the treatment of urinary incontinence is well documented in systematic reviews (26, 27). An association between PFM strength and lumbopelvic pain is an open question.…”

Quality Indicators for the Screening and Care of Urinary Incontinence in Vulnerable Elders

“…Several types of behavioral treatments are available for UI; studies on pelvic floor muscle training (PFMT) and bladder training provide support for this indicator. A Cochrane review 43 that included only randomized trials concluded that PFMT improved outcomes for women with stress or mixed UI, although outcomes and methods differed between trials, and many of the trials were small. Meta‐analysis of two studies (one including patients with urge or mixed UI and another including only patients with stress UI) found that PFMT is associated with more reports of self‐cure than placebo (RR=3.1, 95% CI=1.56–6.2) 43 .…”

Can pelvic floor muscle training prevent and treat pelvic organ prolapse?

“…PT should continue to treat POP patients with PFMT, mainly because PFMT has no known side‐effects, has shown to be effective in RCT and systematic reviews in the treatment of SUI and mixed incontinence 20, 21, and many women present with both POP and SUI. Moreover occult SUI may be a common side‐effect of pessary use and surgery 16, 53, 54, and thus PFMT should also be advocated in combination with these other treatments.…”

“…According to Brubaker et al 16, the indication for the treatment of POP is uncertain. While systematic reviews and randomized controlled trials (RCT) have shown a convincing effect of PFMT for stress and mixed urinary incontinence 20, 21, there seem to be a paucity of research for other conditions caused by pelvic floor dysfunction.…”