Online citations, reference lists, and bibliographies.
← Back to Search

Short-term Effect Of Adding Pelvic Floor Muscle Training To Bladder Training For Female Urinary Incontinence: A Randomized Controlled Trial

S. Kaya, Turkan Akbayrak, Ceren Gursen, S. Beksaç
Published 2014 · Medicine

Cite This
Download PDF
Analyze on Scholarcy
Share
Introduction and hypothesisThe aim of this study was to assess whether bladder training (BT) combined with high-intensity pelvic floor muscle training (BT + PFMT) results in better outcomes in the short term than BT alone on female urinary incontinence (UI).MethodsWe randomly assigned 108 women with diagnoses of stress UI (SUI, n = 50), urgency UI (UUI, n = 16), or mixed UI (MUI, n = 42) to 6 weeks of BT + PFMT or BT alone (control group). The primary outcome measure was self-reported improvement. Secondary outcome measures were UI severity, symptom distress, quality of life (QOL), mean number of UI episodes and micturitions per day, and pelvic floor muscle strength and endurance (PFME).ResultsOverall and in the SUI and MUI subgroups, significantly more patients in the BT + PFMT group reported cured and improved symptoms. Overall and in SUI patients, the BT + PFMT group also improved to significantly greater degree in UI severity, symptom distress, QOL, daily UI episodes, and PFME. The only parameter showing more improvement in patients with UUI was QOL, and UI severity in patients with MUI (p < 0.05). There were no other significant differences between the two study groups in overall and subgroup analysis (p > 0.05).ConclusionsHigh-intensity PFMT combined with BT is more effective than BT alone in the short term for treating UI or SUI. It appears that the combination therapy may also lead to greater benefits for patients with UUI and MUI. Based on the results of this study, further studies with larger sample sizes (for UUI) and long-term follow-ups are warranted.
This paper references
10.1016/j.math.2010.01.008
An alternative intervention for urinary incontinence: retraining diaphragmatic, deep abdominal and pelvic floor muscle coordinated function.
Hsiu-Chuan Hung (2010)
10.1002/14651858.CD010551.pub3
Pelvic floor muscle training added to another active treatment versus the same active treatment alone for urinary incontinence in women.
Reuben Olugbenga Ayeleke (2015)
10.1016/S0002-9378(98)70206-6
Comparative efficacy of behavioral interventions in the management of female urinary incontinence. Continence Program for Women Research Group.
J. Wyman (1998)
10.1002/(SICI)1520-6777(1999)18:5<427::AID-NAU3>3.0.CO;2-0
The effect of bladder training, pelvic floor muscle training, or combination training on urodynamic parameters in women with urinary incontinence
D. Elser (1999)
Pelvic Floor Muscle Assessment: The PERFECT Scheme. Physiotherapy 87(12):631–642
J Laycock (2001)
10.1007/s00192-009-0976-9
An International Urogynecological Association (IUGA)/International Continence Society (ICS) joint report on the terminology for female pelvic floor dysfunction
B. Haylen (2009)
10.1016/j.jmig.2005.06.010
A new questionnaire for urinary incontinence diagnosis in women: development and testing.
C. Bradley (2005)
10.1016/S0031-9406(05)61108-X
Pelvic Floor Muscle Assessment: The PERFECT Scheme
Jo Laycock (2001)
10.1002/14651858.CD005654.PUB3
Pelvic floor muscle training versus no treatment, or inactive control treatments, for urinary incontinence in women.
E. J. Hay-Smith (2006)
10.2165/00003495-200666050-00002
Pharmacological Management of Women with Mixed Urinary Incontinence
H. Hashim (2012)
10.1002/NAU.1930140206
Short forms to assess life quality and symptom distress for urinary incontinence in women: The incontinence impact questionnaire and the urogenital distress inventory
J. S. Uebersax (1995)
10.1590/S1677-55382010000100032
An International Urogynecological Association (IUGA)/International Continence Society (ICS) joint report on the terminology for female pelvic floor dysfunction
S. Petrou (2010)
10.1016/J.ACUROE.2011.03.002
EAU guidelines on urinary incontinence
J. Thueroff (2011)
10.1093/FAMPRA/9.3.284
The effects of treatment of urinary incontinence in general practice.
A. Lagro-Janssen (1992)
Nonsurgical Treatments for Urinary Incontinence in Adult Women: Diagnosis and Comparative Effectiveness
T. Shamliyan (2012)
10.1016/S0090-4295(99)00246-0
Predictability of urodynamic findings based on the Urogenital Distress Inventory-6 questionnaire.
G. Lemack (1999)
Pelvic floor muscle training for urinary incontinence in women.
A. Wein (2002)
10.1002/(SICI)1520-6777(2000)19:2<137::AID-NAU4>3.0.CO;2-G
A severity index for epidemiological surveys of female urinary incontinence: Comparison with 48‐hour pad‐weighing tests
H. Sandvik (2000)
10.1002/NAU.20292
Validation of the short forms of the incontinence impact questionnaire (IIQ‐7) and the urogenital distress inventory (UDI‐6) in a Turkish population
Ç. Çam (2007)
The effects of treating urinary incontinence in general practice
AL Lagro-Janssen (1992)
10.1002/14651858.CD003195.pub2
Urodynamic studies for management of urinary incontinence in children and adults.
Cathryn MA Glazener (2012)
The effect of bladder training, pelvic floormuscle training, or combination training on urodynamic parameters in women with urinary incontinence
DM Elser (1999)



This paper is referenced by
10.1002/nau.23835
An ideal e‐health system for pelvic floor muscle training adherence: Systematic review
Gustavo F S Latorre (2019)
A comparison of patient characteristics and urinary parameters in women with various types of urinary incontinence : a retrospective study
C. Orhan (2016)
Fekal inkontinansı olan erkek hastada pelvik taban kas eğitimi ile ekstrakorporeal manyetik stimülasyonun etkisi: vaka raporu
E. Baran (2018)
10.1055/s-0035-1571252
Conservative Treatment of Stress Urinary Incontinence: A Systematic Review with Meta-analysis of Randomized Controlled Trials.
R. M. Moroni (2016)
10.1088/2057-1976/AAB5D9
Calibration of a perineometer arbitrary scale into a standard measurement unit based on touch sensor
Cristina Roldán Jiménez (2018)
10.14288/1.0377236
Bilateral measurement of pelvic floor muscle dysfunction in females with lower urinary tract symptoms using near infrared spectroscopy
Emily G. Deegan (2019)
Efficacy of kegel exercise on urinary incontinence among elderly females
D. Nivethitha (2019)
10.1159/000488769
Effects of Bladder Training and Pelvic Floor Muscle Training in Female Patients with Overactive Bladder Syndrome: A Randomized Controlled Trial
R. M. Rizvi (2018)
10.1007/s11606-019-05028-0
Adverse Events Associated with Nonsurgical Treatments for Urinary Incontinence in Women: a Systematic Review
Ethan M. Balk (2019)
Effect of Posterior Tibial Nerve Superficial Stimulation with Kegel Exercises on the Frequency of Urination and Score of Quality of Life in Women with Overactivity of Bladder
Behnaz Ghanei (2018)
10.1080/09593985.2020.1750079
The effects of pelvic floor muscle training combined with Kinesio taping on bladder symptoms, pelvic floor muscle strength, and quality of life in women with overactive bladder syndrome: A randomized sham-controlled trial.
Seyda Toprak Celenay (2020)
10.5213/inj.1734956.478
Effects of Pelvic Floor Muscle Exercise on Urinary Incontinence in Elderly Women With Cognitive Impairment
Bo Ae Lee (2017)
Adult conservative management
C. Dumoulin (2017)
10.1007/s00192-018-3585-7
Effects of vaginal tampon training added to pelvic floor muscle training in women with stress urinary incontinence: randomized controlled trial
C. Orhan (2018)
10.17681/hsp.453427
Cerrahi Operasyon Geçirmemiş Jinekolojik Onkoloji Hastalarında Üriner İnkontinans Değerlendirmesi
Pınar Atak Çakir (2019)
10.1002/nau.24522
Which combination is most effective in women with idiopathic overactive bladder, including bladder training, biofeedback, and electrical stimulation? A prospective randomized controlled trial
Sule Firinci (2020)
10.1007/s00192-016-3129-y
Effects of laser procedure for female urodynamic stress incontinence on pad weight, urodynamics, and sexual function
Y. Tien (2016)
Pelvic floor muscle training combined acupuncture for treatment of urinary incontinence after stroke
Ruijuan Dong (2019)
10.23970/AHRQEPCCER212
Nonsurgical Treatments for Urinary Incontinence in Women: A Systematic Review Update
E. Balk (2018)
10.21613/GORM.2018.911
The Effect of Incontinence Severity on Symptom Distress, Quality of Life, and Pelvic Floor Muscle Function in Turkish Women with Urinary Incontinence
C. Orhan (2019)
The efficacy of BT/ PFMT in elderly women with any urinary incontinence refraining from surgery, a prospective study
B. Wadie (2018)
10.3390/ijerph16122143
The Use of Disposable Tampons as Visual Biofeedback in Pelvic Floor Muscle Training
María Zahara Pintos-Díaz (2019)
10.1002/nau.23285
Quantification of pelvic floor muscle strength in female urinary incontinence: A systematic review and comparison of contemporary methodologies
E. Deegan (2018)
10.1002/14651858.CD010551.pub3
Pelvic floor muscle training added to another active treatment versus the same active treatment alone for urinary incontinence in women.
Reuben Olugbenga Ayeleke (2015)
10.2147/CIA.S160057
The impact of pelvic floor muscle training on the quality of life of women with urinary incontinence: a systematic literature review
Agnieszka Radzimińska (2018)
10.1590/1806-9282.63.12.1032
Pelvic floor muscle training for overactive bladder symptoms - A prospective study.
Fátima Faní Fitz (2017)
Semantic Scholar Logo Some data provided by SemanticScholar