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

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  • Esther García-Sánchez

    (Department of Exercise Physiology, Universidad Católica de Murcia, 30107 Murcia, Spain
    Fundación para la Formación e Investigación Sanitarias de la Región de Murcia, 30003 Murcia, Spain
    Health Sciences PhD program, 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
    Fundación para la Formación e Investigación Sanitarias de la Región de Murcia, 30003 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
    Department of Health and Human Performance, Faculty of Physical Activity and Sport Science-INEF, Universidad Politécnica de Madrid, 28040 Madrid, Spain)

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.

Suggested Citation

  • Esther García-Sánchez & Vicente Ávila-Gandía & Javier López-Román & Alejandro Martínez-Rodríguez & Jacobo Á. Rubio-Arias, 2019. "What Pelvic Floor Muscle Training Load is Optimal in Minimizing Urine Loss in Women with Stress Urinary Incontinence? A Systematic Review and Meta-Analysis," IJERPH, MDPI, vol. 16(22), pages 1-15, November.
    • Handle: RePEc:gam:jijerp:v:16:y:2019:i:22:p:4358-:d:284849
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    References listed on IDEAS

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    1. David Moher & Alessandro Liberati & Jennifer Tetzlaff & Douglas G Altman & The PRISMA Group, 2009. "Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement," PLOS Medicine, Public Library of Science, vol. 6(7), pages 1-6, July.
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    Cited by:

    1. Lei Gao & Shiyan Wang & Di Zhang & Hongmei Zhu & Yuanyuan Jia & Haibo Wang & Suhong Li & Xiuhong Fu & Xiuli Sun & Jianliu Wang, 2022. "Pelvic Floor Muscle Strength in the First Trimester of Primipara: A Cross-Sectional Study," IJERPH, MDPI, vol. 19(6), pages 1-11, March.
    2. Anna Rutkowska & Silvia Salvalaggio & Sebastian Rutkowski & Andrea Turolla, 2022. "Use of Virtual Reality-Based Therapy in Patients with Urinary Incontinence: A Systematic Review with Meta-Analysis," IJERPH, MDPI, vol. 19(10), pages 1-11, May.
    3. Lei Gao & Di Zhang & Shiyan Wang & Yuanyuan Jia & Haibo Wang & Xiuli Sun & Jianliu Wang, 2021. "Effect of the App-Based Video Guidance on Prenatal Pelvic Floor Muscle Training Combined with Global Postural Re-education for Stress Urinary Incontinence Prevention: A Protocol for a Multicenter, Ran," IJERPH, MDPI, vol. 18(24), pages 1-10, December.

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