The effect of postpartum pelvic floor muscle exercise in the prevention and treatment of urinary incontinence

被引:77
|
作者
Mørkved S. [1 ,3 ]
Bø K. [2 ]
机构
[1] Sør-Trøndelag College, School of Health Education, Nursing and Social Work, Trondheim
[2] Norwegian Center for Physical Therapy Research, Oslo
[3] College of Sør-Trøndelag, Physical Therapy Department, 7005 Trondheim
关键词
Pelvic floor muscles; Physical therapy; Postpartum exercise; Prevention; Strength training; Urinary incontinence;
D O I
10.1007/BF02765817
中图分类号
学科分类号
摘要
The aim of this study was to evaluate the effect of postpartum pelvic floor muscle exercise in the prevention and treatment of urinary incontinence. A prospective comparison design of 99 matched pairs (n = 198) of mothers, a training group and a control group, was used. Eight weeks postpartum the training group attended an 8-week intensive pelvic floor muscle exercise course, training in groups led by a physical therapist for 45 minutes once a week. In addition they were asked to exercise at home at least three times per week. The control group followed the ordinary written postpartum instructions from the hospital. Pelvic floor muscle strength was measured pretreatment eighth, and post-treatment at the 16th week delivery, using a vaginal balloon catheter connected to a pressure transducer. Vaginal palpation and observation of inward movement of the balloon catheter during contraction were used to test the ability to perform correct the pelvic floor muscle contraction. Urinary leakage was registered by interview, specially designed instruments to measure how women perceive SUI, and a standardized pad test. At baseline (8 weeks postpartum) there was no significant difference in the number of women with urinary incontinence in the training group compared to the control group. At 16 weeks postpartum, after the 8-week treatment period, there was a significant (P < 0.01) difference in favor of the training group. In addition, a significantly greater improvement in pelvic floor muscle strength between test 1 and test 2 was found in the training group compared to the control group. The results show that a specially designed postpartum pelvic floor muscle exercise course is effective in increasing pelvic floor muscle strength and reducing urinary incontinence in the immediate postpartum period.
引用
收藏
页码:217 / 222
页数:5
相关论文
共 50 条
  • [21] A meta-analysis of pelvic floor muscle training for the treatment of urinary incontinence
    Nie, Xiao-Fei
    Ouyang, Yan-Qiong
    Wang, Lan
    Redding, Sharon R.
    INTERNATIONAL JOURNAL OF GYNECOLOGY & OBSTETRICS, 2017, 138 (03) : 250 - 255
  • [22] PELVIC FLOOR MUSCLE TRAINING IN THE TREATMENT OF URINARY INCONTINENCE AFTER RADICAL PROSTATECTOMY
    Demidko, Yu. L.
    Rapopert, L. M.
    Chalyi, M. E.
    Bezrukov, E. A.
    Tsarichenko, D. G.
    Demidko, L. S.
    Vinarov, A. Z.
    Levko, A. A.
    ONKOUROLOGIYA, 2010, 6 (01): : 45 - 49
  • [23] The effect of perioperative pelvic floor muscle exercise on urinary incontinence after radical prostatectomy: a meta-analysis
    Geng, Erkang
    Yin, Sifan
    Yang, Yulin
    Ke, Changxing
    Fang, Kewei
    Liu, Jianhe
    Wang, Daoqi
    INTERNATIONAL BRAZ J UROL, 2023, 49 (04): : 441 - 451
  • [24] The therapeutic effect of pelvic floor muscle exercise on urinary incontinence after radical prostatectomy: a meta-analysis
    Wu, Mei-Li-Yang
    Wang, Cheng-Shuang
    Xiao, Qi
    Peng, Chao-Hua
    Zeng, Tie-Ying
    ASIAN JOURNAL OF ANDROLOGY, 2019, 21 (02) : 170 - +
  • [25] FES-biofeedback versus intensive pelvic floor muscle exercise for the prevention and treatment of genuine stress incontinence
    Sung, MS
    Hong, JY
    Choi, YH
    Baik, SH
    Yoon, H
    JOURNAL OF KOREAN MEDICAL SCIENCE, 2000, 15 (03) : 303 - 308
  • [26] Effect of Pelvic Floor and Hip Muscle Strengthening in the Treatment of Stress Urinary Incontinence: A Randomized Clinical Trial
    Marques, Simone A. A.
    Silveira, Simone R. B.
    Passaro, Anice C.
    Haddad, Jorge M.
    Baracat, Edmund C.
    Ferreira, Elizabeth A. G.
    JOURNAL OF MANIPULATIVE AND PHYSIOLOGICAL THERAPEUTICS, 2020, 43 (03) : 247 - 256
  • [27] Pelvic floor exercise for urinary incontinence A systematic literature review
    Price, Natalia
    Dawood, Rehana
    Jackson, Simon R.
    MATURITAS, 2010, 67 (04) : 309 - 315
  • [28] Assessment of Efficacy of Pelvic Floor Muscle Exercise (PFME) on Urinary Incontinence among Middle Women
    Verma, Veena
    Mathew, Sinju
    JOURNAL OF PHARMACEUTICAL RESEARCH INTERNATIONAL, 2021, 33 (41B) : 156 - 162
  • [29] Pelvic floor muscle function and urinary incontinence in the female athlete
    Casey, Ellen K.
    Temme, Kate
    PHYSICIAN AND SPORTSMEDICINE, 2017, 45 (04): : 399 - 407
  • [30] The Pelvic Floor During Pregnancy and after Childbirth, and the Effect of Pelvic Floor Muscle Training on Urinary Incontinence - A Literature Review
    Hilde, Gunvor
    Bo, Kari
    CURRENT WOMENS HEALTH REVIEWS, 2015, 11 (01) : 19 - 30