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Randomized Controlled Trial
. 2023 Sep;34(9):2067-2080.
doi: 10.1007/s00192-023-05499-0. Epub 2023 Mar 23.

Does multiple-component intensive pelvic floor muscle training decrease muscle fatigue and symptoms in women with urinary incontinence?

Ozge Celiker Tosun  1 , Irem Keser  2 , Damla Korkmaz Dayican  3 , Onur Yavuz  4 , Gokhan Tosun  5 , Sefa Kurt  4
Affiliations
Randomized Controlled Trial

Does multiple-component intensive pelvic floor muscle training decrease muscle fatigue and symptoms in women with urinary incontinence?

Ozge Celiker Tosun et al. Int Urogynecol J. 2023 Sep.

Abstract

Introduction and hypothesis: A multiple-component intensive pelvic floor muscle training (MCI-PFMT) protocol was developed as a neurophysiological-based rehabilitation model to improve neuroplasticity. This study aimed to investigate the effects of the MCI-PFMT protocol on muscle fatigue and symptoms in women with urinary incontinence.

Methods: This randomized controlled trial included 49 female patients with mixed urinary incontinence. Participants were divided into the MCI-PFMT group and the control group. The MCI-PFMT group performed supervised intensive pelvic floor muscle training, while the control group received bladder training and standard pelvic floor muscle training as a home program. Both training sessions were conducted 5 days a week for a single week. Participants' symptoms were evaluated with questionnaires, bladder diary, and pad tests. Superficial electromyography, ultrasonography, and the PERFECT scale were used to evaluate pelvic floor and abdominal muscle functions.

Results: In the post-treatment evaluation, symptoms were decreased in both groups, with a significant decrease in the MCI-PFMT group (p < 0.05). While average and peak work values of pelvic floor muscles, transversus abdominus, and internal oblique muscles increased in both groups, maximum voluntary contraction values of these muscles decreased (p < 0.05). A 12.7% decrease was observed in the maximum voluntary contraction values of pelvic floor muscles in the control group, while a 9.6% decrease was observed in the MCI-PFMT group.

Conclusions: The MCI-PFMT protocol can lead to pelvic floor and abdominal muscle fatigue. However, it may be effective at decreasing symptoms in women with urinary incontinence. Additional studies on this issue are needed.

Keywords: Fatigue; Pelvic floor muscle training; Symptoms; Urinary incontinence.

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References

    1. Haylen BT, Freeman RM, Swift SE, Cosson M, Davila GW, Deprest J, et al. An International Urogynecological Association (IUGA)/International Continence Society (ICS) joint terminology and classification of the complications related directly to the insertion of prostheses (meshes, implants, tapes) & grafts in female pelvic floor surgery. Neurourol Urodyn. 2011;22(1):3–15. https://doi.org/10.1002/nau.21036 . - DOI
    1. Woodley SJ, Lawrenson P, Boyle R, Cody JD, Mørkved S, Kernohan A, et al. (2020). Pelvic floor muscle training for preventing and treating urinary and faecal incontinence in antenatal and postnatal women. Cochrane Database Syst Rev. 5(5). https://doi.org/10.1002/14651858.CD007471.pub4
    1. Charette M, Bérubé MÈ, Brooks K, O'Neil J, Brosseau L, McLean L. How well do published randomized controlled trials on pelvic floor muscle training interventions for urinary incontinence describe the details of the intervention? A review Neurourol Urodyn. 2020;39(1):35–44. https://doi.org/10.1002/nau.24208 . - DOI - PubMed
    1. Nie X-F, Ouyang Y-Q, Wang L, Redding SR. A meta-analysis of pelvic floor muscle training for the treatment of urinary incontinence. Int J Gynaecol Obstet: the official organ of the International Federation of Gynaecology and Obstetrics. 2017;138(3):250–5. https://doi.org/10.1002/ijgo.12232 . - DOI
    1. García-Sánchez E, Ávila-Gandía V, López-Román J, Martínez-Rodríguez A, Rubio-Arias JÁ. What pelvic floor muscle training load is optimal in minimizing urine loss in women with stress urinary incontinence? A systematic review and meta-analysis. Int J Environ Res Public Health. 2019;16(22):4358. https://doi.org/10.3390/ijerph16224358 . - DOI - PubMed - PMC

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