What Pelvic Floor Muscle Training Load is Optimal in Minimizing Urine Loss in Women with Stress Urinary Incontinence? A Systematic Review and Meta-Analysis

Esther García-Sánchez, Vicente Ávila-Gandía, Javier López-Román, Alejandro Martínez-Rodríguez and Jacobo Á. Rubio-Arias
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Esther García-Sánchez: Department of Exercise Physiology, Universidad Católica de Murcia, 30107 Murcia, Spain
Vicente Ávila-Gandía: Department of Exercise Physiology, Universidad Católica de Murcia, 30107 Murcia, Spain
Javier López-Román: Department of Exercise Physiology, Universidad Católica de Murcia, 30107 Murcia, Spain
Alejandro Martínez-Rodríguez: Department of Analytical Chemistry, Nutrition and Food Science, Faculty of Science, Alicante University, 03690 Alicante, Spain
Jacobo Á. Rubio-Arias: Faculty of Sports, UCAM, Universidad Católica de Murcia, 30107 Murcia, Spain

IJERPH, 2019, vol. 16, issue 22, 1-15

Abstract: Pelvic floor muscle training is commonly used for urine loss. However, research studies have not determined which training load is the most effective for women with stress urinary incontinence (SUI). Moreover, none of the previous reviews or studies have described the total effectiveness of pelvic floor muscle training (PFMT) with an objective test such as the pad test. The objectives were to analyze the effectiveness of pelvic floor muscle training in women with SUI and to determine which training load produces the greatest adaptations for decreasing urine loss. The search was conducted in three databases (PubMed, Web of Science and Cochrane), for randomized controlled trials (RCTs) that evaluated the effects of PFMT. Studies were included if they met the following criteria: participants were women; were older than 18; had SUI; were treated with PFMT; and the assessments of the effects were measured with a pad test. Finally, 10 articles (293 women) analyzed the pad test in women with SUI who performed PFMT. The meta-analysis showed that PFMT, independent of the protocol used in the study, resulted in decreased urine loss in women suffering from SUI. However, for large effects, the program should last 6–12 weeks, with >3 sessions/week and a length of session <45 min.

Keywords: exercise; incontinence; training; training load; women’s health issues (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2019
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (3)

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