eprintid: 29192 rev_number: 13 eprint_status: archive userid: 1903 dir: disk0/00/02/91/92 datestamp: 2015-02-04 16:59:32 lastmod: 2015-02-04 16:59:32 status_changed: 2015-02-04 16:59:32 type: article metadata_visibility: show item_issues_count: 0 creators_name: Pelaez, Mireia creators_name: González-Cerrón, Silvia creators_name: Montejo, Rocío creators_name: Barakat Carballo, Ruben Omar creators_id: rubenomar.barakat@upm.es title: Pelvic Floor Muscle Training Included in a Pregnancy Exercise Program Is Effective in Primary Prevention of Urinary Incontinence: A Randomized Controlled Trial publisher: Wiley rights: by-nc-nd ispublished: pub subjects: deportes subjects: medicina full_text_status: public keywords: gestation; nulliparous; physical exercise; physical therapy; prevention 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. date_type: published date: 2014 publication: Neurourology And Urodynamics volume: 33 number: 1 pagerange: 67-71 id_number: 10.1002/nau.22381 institution: Ciencias department: Csocinef refereed: TRUE issn: 0733-2467 official_url: http://onlinelibrary.wiley.com/journal/10.1002/%28ISSN%291520-6777 citation: 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 . document_url: https://oa.upm.es/29192/1/INVE_MEM_2013_169567.pdf