Effects of Pelvic Floor Muscle Training During Pregnancy and After Childbirth on Prevention & Treatment of Urinary Incontinence: A Scoping Review

2021 ◽  
Vol 11 (7) ◽  
pp. 129-136
Author(s):  
Pranjal Kharde ◽  
Vishnu Vardhan
Keyword(s):  
Urinary Incontinence ◽  
Pelvic Floor ◽  
Pregnant Women ◽  
Scoping Review ◽  
Pelvic Floor Muscle Training ◽  
Pelvic Floor Muscle ◽  
Muscle Training ◽  
Pelvic Floor Muscle Exercises ◽  
Randomized Control ◽  
Key Words Pelvic Floor

Background: Urinary incontinence is defined as the complaint of involuntary loss of urine. It is a common and embarrassing problem. Pelvic floor muscle training has been effective for the prevention and treatment of urinary incontinence during pregnancy and after childbirth. Thus, the aim of this study is to explore the effectiveness & outcome of physiotherapy in pelvic floor muscle training during pregnancy & childbirth in urinary incontinence. Methodology: In this scoping review articles are searched from the search engines like PUBMED, GOOGLE SCHOLAR, etc. These articles are reviewed according to the inclusion criteria which include articles from last 10 years, randomized control trials, systematic review, experimental study, etc. 7 articles were selected according to it. Later the qualities of these articles were analyzed using PEDRO Scale. Conclusion: In conclusion our study demonstrates that the pelvic floor muscle training might be effective in solving the problems of urinary incontinence during pregnancy and after childbirth. Pelvic floor muscle training can be advised by the physiotherapist or the pregnant women can be trained on how to perform the pelvic floor muscle exercises. Thus, pregnant women can take care of themselves and independently perform pelvic floor muscle exercises, thereby eliminating the problems of urinary incontinence. Key words: Pelvic Floor Muscle Training, Pregnancy, After Childbirth, Prevention, Treatment, Urinary Incontinence.

scholarly journals Biofeedback-assisted pelvic floor muscle training in patients with urinary incontinence after laparoscopic and robot-assisted radical prostatectomy

2018 ◽  
Vol 14 (2) ◽  
pp. 102-108
Author(s):  
A. Z. Vinarov ◽  
L. M. Rapoport ◽  
G. E. Krupinov ◽  
Yu. L. Demidko ◽  
D. G. Tsarichenko ◽  
...  
Keyword(s):  
Urinary Incontinence ◽  
Radical Prostatectomy ◽  
Pelvic Floor ◽  
Pelvic Floor Muscle Training ◽  
Pelvic Floor Muscle ◽  
Muscle Contractions ◽  
Muscle Training ◽  
Robot Assisted ◽  
Pelvic Floor Muscle Exercises ◽  
Significant Difference

Background. Pelvic floor muscle exercises are used as a first-line treatment for urinary incontinence after radical prostatectomy. Their efficacy is still being investigated. The use of biofeedback when teaching pelvic floor muscle exercises to patients increases the effectiveness of therapy.Objective: to assess the efficacy of biofeedback-assisted pelvic floor muscle training in patients with urinary incontinence after laparoscopic and robot-assisted radical prostatectomy and to compare the results of teaching.Materials and methods. A total of 64 patients with urinary incontinence after nerve sparing prostatectomy underwent biofeedback-assisted pelvic floor muscle rehabilitation. Radical laparoscopic surgery was performed in 48 (75 %) patients, whereas robot-assisted surgery was performed in 16 (25 %) patients. The patients started their training 2 months postoperatively. We used two-channel electromyography with the Neurotrack ETS system (United Kingdom) to teach the patients isolated pelvic floor muscle contractions. After achieving a minimum activity of abdominal muscles during pelvic floor muscle contractions, the patients started exercises.Results. There was no significant difference in age between patients who underwent laparoscopic and robot-assisted radical prostatectomy (р = 0.79). Fifty-five patients (85.9%) acquired the skill of isolated pelvic floor muscle contractions and could perform training on their own. The remaining 9 patients (14.1 %) required regular support from healthcare professionals at an outpatient unit (1–2 biofeedback-assisted trainings per month). Thus, the type of surgery did not affect the process of training. The type of radical prostatectomy had no impact on the acquisition of the pelvic floor muscle contraction skill.Conclusion. The time for restoration of urinary continence by biofeedback-assisted pelvic floor muscle training did not vary between patients after laparoscopic and robot-assisted radical prostatectomy.

scholarly journals Performance of self-reported and unsupervised antenatal pelvic floor muscle training and its effects on postpartum stress urinary incontinence among Chinese women: a cohort study

2020 ◽  
Vol 48 (6) ◽  
pp. 030006052091422
Author(s):  
Ling Chen ◽  
Xiaomin Chen ◽  
Dan Luo ◽  
Mei Jin ◽  
Yingjie Hu ◽  
...  
Keyword(s):  
Urinary Incontinence ◽  
Cohort Study ◽  
Stress Urinary Incontinence ◽  
Pelvic Floor ◽  
Pregnant Women ◽  
Pelvic Floor Muscle Training ◽  
Chinese Women ◽  
Pelvic Floor Muscle ◽  
Muscle Training ◽  
Postpartum Stress

Objectives We investigated performance of antenatal pelvic floor muscle training (PFMT) among Chinese pregnant women, to explore its effects on postpartum stress urinary incontinence (SUI). Methods We conducted a prospective cohort study in Shenzhen, China among 815 singleton pregnant women age ≥18 years, who were continent before pregnancy. Telephone follow-up was conducted at 6 weeks postpartum. Logistic univariable and multivariable regression analyses were used to estimate effects of antenatal PFMT (frequency and duration) on SUI postpartum among subgroups defined by SUI during pregnancy. The interactions of antenatal PFMT and PFMT duration on SUI postpartum were tested. Results Among 798 women included in the analysis, 127 (15.91%) had SUI at 6 weeks postpartum. Only 157 (19.67%) women performed antenatal PFMT, none under supervision. After adjusting potential confounders, neither frequency (odds ratio (OR) = 1.08, 95% confidence interval (CI) 0.89–1.32) nor duration (OR = 1.03, 95% CI 0.87–1.23) of antenatal PFMT was a significant factor in postpartum SUI. No interactions of antenatal PFMT and PFMT duration on SUI postpartum were found in any participants or subgroups. Conclusion No effect of self-reported, unsupervised, self-initiated antenatal PFMT on SUI 6 weeks postpartum was found. Low doses and no supervision may have contributed to the negative results.

scholarly journals KEPT-app trial: a pragmatic, single-blind, parallel, cluster-randomised effectiveness study of pelvic floor muscle training among incontinent pregnant women: study protocol

BMJ Open ◽  
2021 ◽  
Vol 11 (1) ◽  
pp. e039076 ◽  
Author(s):  
Sherina Mohd Sidik ◽  
Aida Jaffar ◽  
Chai Nien Foo ◽  
Noor Azimah Muhammad ◽  
Rosliza Abdul Manaf ◽  
...  
Keyword(s):  
Urinary Incontinence ◽  
Cost Effectiveness ◽  
Pelvic Floor ◽  
Pregnant Women ◽  
Pelvic Floor Muscle Training ◽  
Pelvic Floor Muscle ◽  
Ethics Committee ◽  
Muscle Training ◽  
Cluster Randomised ◽  
Secondary Outcomes

IntroductionPelvic floor muscle training (PFMT) strongly recommended to incontinent pregnant women. The Kegel Exercise Pregnancy Training-app trial is a multicentre cluster-randomised study aims to assess the effectiveness and its cost-effectiveness of the mobile app guidance in PFMT among incontinent pregnant women.Methods and analysis370 pregnant women (aged 18 years old and above) will be recruited with International Consultation on Incontinence Questionnaire-Urinary Incontinence-Short Form. Ten clusters (primary care clinics) will be randomly assigned to either PFMT or usual care in a 1:1 ratio by an independent researcher (sealed envelope). The primary outcome will be urinary incontinence, and the secondary outcomes (quality of life; PFMT adherence, psychological status and mobile apps’ usability) will be assessed at four measurement time points (t0: baseline) and postintervention (t1: 4 weeks, t2: 8 weeks and t3: 8 weeks postnatal). T-test analysis will determine any significant differences at the baseline between the control and intervention groups. The mixed-model analysis will determine the effectiveness of the intervention at the population-average level for both the primary and secondary outcomes. For the cost-effectiveness analysis, expenditures during the study and 6 months after the intervention will be compared between the groups using the multiway sensitivity analysis. The recruitment planned will be in December 2020, and the planned end of the study will be in August 2021.Ethics and disseminationThis study protocol was approved by the Ethics Committee for Research Involving Human Subjects, Universiti Putra Malaysia (JKEUPM-2019–368) and Medical Research and Ethics Committee (MREC), Ministry of Health Malaysia, NMRR-19-412-47116 (IIR) with the ANZCTR registration. This study will obtain informed written consent from all the study participants. The results which conform with the Consolidated Standards of Reporting Trials and the Recommendations for Interventional Trials will be published for dissemination in peer-reviewed journals and conference proceedings.Trial registration numberACTRN12619000379112.

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