Pelvic Muscle Exercises: When Do They Work?

Paper

Pelvic Muscle Exercises: When Do They Work?

Published Feb 1, 1993 · G. Elia, A. Bergman

Obstetrics & Gynecology

Q1 SJR score

61

Citations

1

Influential Citations

Semantic Scholar

Abstract

Objective: To identify urodynamic indices that can predict the outcome of pelvic muscle exercises in women with genuine stress urinary incontinence. Methods: Thirty-six women with genuine stress urinary incontinence were evaluated during a 6-month period. Urodynamic studies were performed before and 3 months after completion of a program of Kegel pelvic muscle exercises. Subjective symptoms and objective loss of urine as well as pad count were used to evaluate the outcome of the exercise program. A receiver-operating characteristic curve was used to assess the prognostic value of the pressure transmission ratio between the abdomen and urethra. Results: Twenty patients (56%) were cured or substantially improved 3 months after completing the pelvic muscle training, whereas 16 were unchanged. The urethral closure pressure significantly increased in the subjects cured or improved. After successful training, significant changes were noted in the pressure transmission ratio between the abdomen and urethra on cough. Six of seven subjects with mild incontinence responded favorably, whereas 13 of 15 with severe incontinence did not improve after the training. The pressure transmission ratio plotted on a receiveroperating characteristic curve was found to have optimal predictive value at the 80% level. Conclusion: Kegel pelvic muscle exercises give a better outcome in women with mild stress urinary incontinence and/or with a pressure transmission ratio between the abdomen and urethra of 80% or more. (Obstet Gynecol 1993;81: 283-6)

Non-RCT

Study Snapshot

Key takeawayKegel pelvic muscle exercises are more effective for women with mild stress urinary incontinence or a pressure transmission ratio between the abdomen and urethra of 80% or more.

PopulationOlder adults (50-71 years)

Sample size24

MethodsObservational

OutcomesBody Mass Index projections

ResultsSocial networks mitigate obesity in older groups.

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Pelvic Muscle Exercises: When Do They Work?

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References

Citations

Efficacy of magnetic stimulation for female stress urinary incontinence: a meta-analysis

Magnetic stimulation is an effective and safe treatment for female stress urinary incontinence, providing an alternative for patients unwilling to undergo surgery.

Meta-analysis of the Efficacy of Magnetic Stimulation for Female Stress Urinary Incontinence

Magnetic stimulation shows a positive effect in treating female stress urinary incontinence, improving quality of life and reducing episodes and urine loss without significant adverse reactions.

Evaluation of flatulence of Uterus (Nafkhat-ol-rahem) as One of the Causes of Infertility in Women from the Viewpoint of Ali ibn Abbas Ahvazi and Modern Medicine

Uterus flatulence is one of the causes of infertility in women, as identified by Iranian traditional medicine and modern medicine.

The effect of pelvic floor muscle training in urinary incontinent elderly women: a sistematic review

PFMT shows weak evidence for improving urinary symptoms in elderly women, with only one high-quality study showing significant improvement.

Adherence to Behavioral Interventions for Stress Incontinence: Rates, Barriers, and Predictors

Adherence to pelvic-floor muscle exercises and bladder control strategies for stress urinary incontinence can be high and sustained over time, but behavioral interventions linking exercise to environmental cues may only be beneficial short-term.

Effect of a pelvic floor muscle training program on gynecologic cancer survivors with pelvic floor dysfunction: a randomized controlled trial.

The pelvic floor rehabilitation program (PFRP) improved pelvic floor dysfunction and quality of life in gynecological cancer patients compared to usual healthcare.

Additive effect of interferential therapy over pelvic floor exercises

Interferential therapy combined with pelvic floor exercises significantly improves the management of genuine stress urinary incontinence compared to pelvic floor exercises alone.

Pelvic floor muscle function in women presenting with pelvic floor disorders

Most women with pelvic floor disorders are familiar with pelvic floor muscle exercises, but less than one-fourth could perform adequate contractions at initial evaluation.