Assessment of the Effectiveness of Pelvic Floor Muscle Training (PFMT) and Extracorporeal Magnetic Innervation (ExMI) in Treatment of Stress Urinary Incontinence in Women: A Randomized Controlled Trial

Objective. The purpose of this study is to assess the effectiveness of pelvic floor muscle training and extracorporeal magnetic innervation in treatment of urinary incontinence in women with stress urinary incontinence. Methods. The randomized controlled trial enrolled 128 women with stress urinary incontinence who were randomly allocated to either one out of two experimental groups (EG1 or EG2) or the control group (CG). Subjects in the experimental group 1 (EG1) received 12 sessions of pelvic floor muscle training, whereas subjects in the experimental group 2 (EG2) received 12 sessions of extracorporeal magnetic innervation. Subjects in the control group (CG) did not receive any therapeutic intervention. The following instruments were used to measure results in all study groups at the initial and final assessments: Revised Urinary Incontinence Scale (RUIS), Beck Depression Inventory (BDI-II), General Self-Efficacy Scale (GSES), and King’s Health Questionnaire (KHQ). Results. In both experimental groups, a statistically significant decline in depressive symptoms (BDI-II) and an improvement in urinary incontinence severity (RUIS) and quality of life (KHQ) were found in the following domains: “social limitations,” “emotions,” “severity measures,” and “symptom severity scale.” Moreover, self-efficacy beliefs (GSES) improved in the experimental group that received ExMI (EG2). No statistically significant differences were found between all measured variables in the control group. Comparative analysis of the three study groups showed statistically significant differences at the final assessment in the quality of life in the following domains: “physical limitations,” “social limitations,” “personal relationships,” and “emotions.” Conclusion. Pelvic floor muscle training and extracorporeal magnetic innervation proved to be effective treatment methods for stress urinary incontinence in women. The authors observed an improvement in both the physical and psychosocial aspects.

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A Randomized-Controlled Trial Pilot Study Examining the Effect of Pelvic Floor Muscle Training on the Irisin Concentration in Overweight or Obese Elderly Women with Stress Urinary Incontinence

BioMed Research International ◽

10.1155/2019/7356187 ◽

2019 ◽

Vol 2019 ◽

pp. 1-8 ◽

Cited By ~ 1

Author(s):

Magdalena Weber-Rajek ◽

Agnieszka Radzimińska ◽

Agnieszka Strączyńska ◽

Katarzyna Strojek ◽

Zuzanna Piekorz ◽

...

Keyword(s):

Urinary Incontinence ◽

Stress Urinary Incontinence ◽

Pelvic Floor ◽

Elderly Women ◽

Pelvic Floor Muscle Training ◽

Pelvic Floor Muscle ◽

Control Group ◽

Muscle Training ◽

Final Assessment ◽

Experimental Group

Objective. This study aimed to examine the effect of pelvic floor muscle training on the irisin (Ir) concentration in overweight or obese elderly women with stress urinary incontinence. Methods. The number of participants included in analysis was 49: 28 women in the experimental group and 21 women in the control group. The experimental group (EG) underwent pelvic floor muscle training, whereas no therapeutic intervention was applied to the control group (CG). Irisin concentration, severity of urinary incontinence (RUIS), and body mass index (BMI) were measured in all women at the initial and final assessments. Results. By comparing the initial and final assessment results we have been able to demonstrate statistically significant differences in the measured variables in the experimental group. No statistically significant differences in the measured variables were reported for the control group at the initial and final assessments. Moderate negative correlation was observed between the BMI results with the irisin concentration results in the EG at the initial assessment and no correlation at the final assessment. Weak positive correlation was observed between the BMI results with the irisin concentration in the CG at the initial and final assessment. Conclusion. Further studies are necessary to observe the regulation of irisin concentration and explain mechanisms underlying these effects.

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Pelvic Floor Muscle Training in Female Athletes: A Randomized Controlled Pilot Study

International Journal of Sports Medicine ◽

10.1055/a-1073-7977 ◽

2020 ◽

Vol 41 (04) ◽

pp. 264-270 ◽

Cited By ~ 2

Author(s):

Telma Filipa Pires ◽

Patricia Maria Pires ◽

Maria Helena Moreira ◽

Ronaldo Eugênio Calçadas Dias Gabriel ◽

Paulo Vicente João ◽

...

Keyword(s):

Urinary Incontinence ◽

Stress Urinary Incontinence ◽

Pelvic Floor ◽

Pelvic Floor Muscle Training ◽

Pelvic Floor Muscle ◽

Control Group ◽

Muscle Training ◽

King’S Health Questionnaire ◽

Urine Loss ◽

Experimental Group

AbstractThe aim of this study was to investigate the effects of pelvic floor muscles training in elite female volleyball athletes and whether it is an effective therapy for stress urinary incontinence. Fourteen athletes, both continent and incontinent, between 18 and 30 years of age, were randomly assigned to an experimental group or a control group. The experimental group received a protocol for pelvic floor muscle training for 4 months. This consisted of three phases: awareness/stabilization, strength training and power. The control group was not subject to any intervention during the same period. Measures were collected at the initial and final phase for both groups. Maximum voluntary contractions were evaluated with a perineometer, involuntary urine loss with a Pad test and quality of life with the King’s Health Questionnaire. Baseline sociodemographic and anthropometric characteristics were not significantly different. Comparing the two groups, the experimental group improved maximum voluntary pelvic contractions (p<0.001) and reduced urine loss (p=0.025), indicating the existence of significant differences between groups in the variation from the initial and final phases. The percentage of urine loss decreased in the experimental group, from 71.4–42.9%, suggesting that the protocol intervention for 16 weeks may help athletes with stress urinary incontinence.

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Involuntary reflexive pelvic floor muscle training in addition to standard training versus standard training alone for women with stress urinary incontinence: study protocol for a randomized controlled trial

Trials ◽

10.1186/s13063-015-1051-0 ◽

2015 ◽

Vol 16 (1) ◽

Cited By ~ 12

Author(s):

Helena Luginbuehl ◽

Corinne Lehmann ◽

Jean-Pierre Baeyens ◽

Annette Kuhn ◽

Lorenz Radlinger

Keyword(s):

Randomized Controlled Trial ◽

Urinary Incontinence ◽

Stress Urinary Incontinence ◽

Pelvic Floor ◽

Pelvic Floor Muscle Training ◽

Pelvic Floor Muscle ◽

Controlled Trial ◽

Muscle Training ◽

Randomized Controlled ◽

Standard Training

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197 Controlled trial of duloxetine alone, pelvic floor muscle training alone, combined treatment, and no treatment in women with stress urinary incontinence (SUI)

European Urology Supplements ◽

10.1016/s1569-9056(04)90198-4 ◽

2004 ◽

Vol 3 (2) ◽

pp. 52 ◽

Cited By ~ 10

Author(s):

J.H. Schagen van Leeuwen ◽

D. Elser ◽

R. Freeman ◽

G. Ghonien ◽

Y. Zhao ◽

...

Keyword(s):

Urinary Incontinence ◽

Stress Urinary Incontinence ◽

Pelvic Floor ◽

Pelvic Floor Muscle Training ◽

Pelvic Floor Muscle ◽

Controlled Trial ◽

Combined Treatment ◽

Muscle Training

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1239: Controlled Trial of Duloxetine Alone, Pelvic Floor Muscle Training Alone, Combined Treatment, and No Treatment in Women with Stress Urinary Incontinence (SUI)

The Journal of Urology ◽

10.1016/s0022-5347(18)38464-7 ◽

2004 ◽

Vol 171 (4S) ◽

pp. 326-326 ◽

Cited By ~ 2

Author(s):

Gamal M. Ghoniem ◽

Denise M. Elser ◽

Robert Freeman ◽

Jules Schagen van Leeuwen ◽

Yan Daniel Zhao ◽

...

Keyword(s):

Urinary Incontinence ◽

Stress Urinary Incontinence ◽

Pelvic Floor ◽

Pelvic Floor Muscle Training ◽

Pelvic Floor Muscle ◽

Controlled Trial ◽

Combined Treatment ◽

Muscle Training

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Effects of vaginal tampon training added to pelvic floor muscle training in women with stress urinary incontinence: randomized controlled trial

International Urogynecology Journal ◽

10.1007/s00192-018-3585-7 ◽

2018 ◽

Vol 30 (2) ◽

pp. 219-229

Author(s):

Ceren Orhan ◽

Türkan Akbayrak ◽

Serap Özgül ◽

Emine Baran ◽

Esra Üzelpasaci ◽

...

Keyword(s):

Randomized Controlled Trial ◽

Urinary Incontinence ◽

Stress Urinary Incontinence ◽

Pelvic Floor ◽

Pelvic Floor Muscle Training ◽

Pelvic Floor Muscle ◽

Controlled Trial ◽

Muscle Training ◽

Randomized Controlled

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The effects of individual pelvic floor muscle training versus individual treatment with progression to group versus group training for women with stress urinary incontinence: protocol for a randomized controlled trial

International Journal of Clinical Trials ◽

10.18203/2349-3259.ijct20163962 ◽

2016 ◽

Vol 3 (4) ◽

pp. 233 ◽

Cited By ~ 2

Author(s):

Vilena Barros de Figueiredo ◽

Cristine Homsi Jorge Ferreira ◽

Patrícia Driusso

Keyword(s):

Urinary Incontinence ◽

Stress Urinary Incontinence ◽

Pelvic Floor ◽

Pelvic Floor Muscle Training ◽

Pelvic Floor Muscle ◽

Controlled Trial ◽

Group Training ◽

Muscle Training ◽

Or Groups ◽

Individualized Training

Background: Pelvic floor muscle training can be practiced in an individual format or in a group. The research question for this randomised, controlled trial will be: pelvic floor muscle training format including individualized and group training, would be more effective than an individualized training only or groups only? Additionally, it will be evaluated the adherence and follow up (results after 3 and 6 months of the end of training). Methods: This is a randomized clinical trial. Data collection will be performed at the Women's Health Research Laboratory, allocated in the Department of Physical Therapy of Federal University of São Carlos, from January 2016 to December 2016. It will be included, women with stress urinary incontinence, older than 18 years old. The participants will be will be allocated into three groups. In Group 1 sessions will be only individualized and Group 2 will perform individualized treatment and then the volunteer will be referred to join the group training sessions. Group 3 only group treatment. Later, all volunteers will be reassessed after 12 sessions, three months and six months from the discharge date. The primary outcome is the severity measures of the King's Health Questionnaire. The secondary outcomes are miccional diary, PERFECT scheme, perineometry, self-efficacy scale for pelvic floor exercises practice, exercise diary and presence of the participants in the surpevisioned sessions. Data normality will be tested by the Shapiro-Wilk test. The comparison between the evaluations will be performed by ANOVA, and the comparison between groups will be performed by Student t-test (independent Measures). In order to measure the practical significance of the date, the size effect and the confidence interval will be calculated. A 5% significance level will be assumed. The data are presented as mean ± standard deviation.Conclusions: A combined treatment format including individualized and group training, would be more effective than an individualized training only or groups only.Trial registration: The study was approved by the Research Ethics Committee of Federal University of São Carlos (UFSCar) (Number 1207393) and Clinical Trials (NCT02664714).

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