What question did this study set out to answer?

To compare the therapeutic efficacy of an intensive, therapist-supervised pelvic floor muscle exercise program against home exercise alone in women with stress urinary incontinence.

January 1, 1990Neurourology and Urodynamics

Pelvic floor muscle exercise for the treatment of female stress urinary incontinence: III. Effects of two different degrees of pelvic floor muscle exercises

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Authors

KBKari BøAkershus University Hospital RHRolf H. HagenAkershus University Hospital BKBernt KvarsteinOslo University Hospital

Discussion

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Implication

Randomized trial demonstrates superior continence rates with supervised pelvic floor training in women with stress incontinence, indicating the importance of exercise intensity and clinical guidance.

Key Points

To compare the therapeutic efficacy of an intensive, therapist-supervised pelvic floor muscle exercise program against home exercise alone in women with stress urinary incontinence.
Randomized trial including 52 women (mean age 45.9 years, range 24–64) with clinically and urodynamically verified stress urinary incontinence treated for 6 months.
Both groups completed 8–12 maximal contractions 3 times daily, while the intensive group also received weekly 45-minute instructor-led sessions featuring endurance contractions followed by fast contractions.
Outcomes measured at baseline and 6 months included urinary leakage index, pad test, maximum urethral closure pressure, functional urethral profile length, and monthly vaginal pressure.
Continence or near-continence was achieved by 60% of the intensive exercise group compared to 17.3% in the home exercise group (P < .01).
Significant reduction in urine loss occurred only in the intensive group, dropping from a mean of 27 g to 7.1 g (P < .01), with a mean resting urethral closure pressure gain of 4.6 cm H2O (P = .02).
Pelvic floor muscle strength improved by a mean of 15.5 cm H2O in the intensive exercise group versus 7.4 cm H2O in the home exercise group (both P < .01).

Cite This Study

Bø et al. (1990) studied this question.

synapsesocial.com/papers/6a6febaa660549caf2c476ee https://doi.org/10.1002/nau.1930090505

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Implication

Randomized trial demonstrates superior continence rates with supervised pelvic floor training in women with stress incontinence, indicating the importance of exercise intensity and clinical guidance.

Pelvic floor muscle exercise for the treatment of female stress urinary incontinence: III. Effects of two different degrees of pelvic floor muscle exercises

Discussion

Member takes

Implication

Key Points

Cite This Study

Pelvic floor muscle exercise for the treatment of female stress urinary incontinence: III. Effects of two different degrees of pelvic floor muscle exercises

Discussion

Member takes

Implication

Key Points

Cite This Study

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