Pelvic Floor Muscle Training Included in a Pregnancy Exercise Program Is Effective in Primary Prevention of Urinary Incontinence: A Randomized Controlled Trial

Pelaez, Mireia and González-Cerrón, Silvia and Montejo, Rocío and Barakat Carballo, Ruben Omar (2014). Pelvic Floor Muscle Training Included in a Pregnancy Exercise Program Is Effective in Primary Prevention of Urinary Incontinence: A Randomized Controlled Trial. "Neurourology And Urodynamics", v. 33 (n. 1); pp. 67-71. ISSN 0733-2467. https://doi.org/10.1002/nau.22381.

Description

Title: Pelvic Floor Muscle Training Included in a Pregnancy Exercise Program Is Effective in Primary Prevention of Urinary Incontinence: A Randomized Controlled Trial
Author/s:
  • Pelaez, Mireia
  • González-Cerrón, Silvia
  • Montejo, Rocío
  • Barakat Carballo, Ruben Omar
Item Type: Article
Título de Revista/Publicación: Neurourology And Urodynamics
Date: 2014
ISSN: 0733-2467
Volume: 33
Subjects:
Freetext Keywords: gestation; nulliparous; physical exercise; physical therapy; prevention
Faculty: Facultad de Ciencias de la Actividad Física y del Deporte (INEF) (UPM)
Department: Ciencias Sociales de la Actividad Física, del Deporte y del Ocio
Creative Commons Licenses: Recognition - No derivative works - Non commercial

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Abstract

AIMS: To investigate the effect of pelvic floor muscle training (PFMT) taught in a general exercise class during pregnancy on the prevention of urinary incontinence (UI) in nulliparous continent pregnant women. METHODS: This was a unicenter two armed randomized controlled trial. One hundred sixty-nine women were randomized by a central computer system to an exercise group (EG) (exercise class including PFMT) (n = 73) or a control group (CG) (n = 96). 10.1% loss to follow-up: 10 from EG and 7 from CG. The intervention consisted of 70-75 sessions (22 weeks, three times per week, 55-60 min/session including 10 min of PFMT). The CG received usual care (which included follow up by midwifes including information about PFMT). Questions on prevalence and degree of UI were posed before (week 10-14) and after intervention (week 36-39) using the International Consultation on Incontinence Questionnaire-Urinary Incontinence Short Form (ICIQ-UI SF). RESULTS: At the end of the intervention, there was a statistically significant difference in favor of the EG. Reported frequency of UI [Never: CG: 54/60.7%, EG: 60/95.2% (P < 0.001)]. Amount of leakage [None: CG: 45/60.7%, EG: 60/95.2% (P < 0.001)]. There was also a statistically significant difference in ICIQ-UI SF Score between groups after the intervention period [CG: 2.7 (SD 4.1), EG: 0.2 (SD 1.2) (P < 0.001)]. The estimated effect size was 0.8. CONCLUSION: PFMT taught in a general exercise class three times per week for at least 22 weeks, without former assessment of ability to perform a correct contraction was effective in primary prevention of UI in primiparous pregnant women.

More information

Item ID: 29192
DC Identifier: http://oa.upm.es/29192/
OAI Identifier: oai:oa.upm.es:29192
DOI: 10.1002/nau.22381
Official URL: http://onlinelibrary.wiley.com/journal/10.1002/%28ISSN%291520-6777
Deposited by: Memoria Investigacion
Deposited on: 04 Feb 2015 16:59
Last Modified: 04 Feb 2015 16:59
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