Silvia Monteiro1, Cassio Riccetto2, Angélica Araújo1, Laryssa Galo1, Nathália Brito1, Simone Botelho3,4,5. 1. Pontifical Catholic University of Minas Gerais (Pontifícia Universidade Católica de Minas Gerais- PUC-Minas), Belo Horizonte, Minas Gerais State, Brazil. 2. State University of Campinas (Universidade Estadual de Campinas - UNICAMP), Campinas, São Paulo State, Brazil. 3. State University of Campinas (Universidade Estadual de Campinas - UNICAMP), Campinas, São Paulo State, Brazil. simone.botelho@unifal-mg.edu.br. 4. Federal University of Alfenas (Universidade Federal de Alfenas - UNIFAL-MG), Alfenas, Minas Gerais State, Brazil. simone.botelho@unifal-mg.edu.br. 5. UroFisioterapia Laboratory of the Postgraduate Program in Rehabilitation Sciences, Federal University of Alfenas - UNIFAL/MG, Av. Jovino Fernandes Sales, 2600 Santa Clara, Building C, Room 101-K, Alfenas, MG, 37130-000, Brazil. simone.botelho@unifal-mg.edu.br.
Abstract
INTRODUCTION AND HYPOTHESIS: Our objective was to evaluate the effectiveness of pelvic floor muscle training (PFMT) in reducing overactive bladder (OAB) symptoms in women. METHODS: Searches were performed at MEDLINE, PubMed, Physiotherapy Evidence Database (PEDro), Scielo, and Central Cochrane Library PubMed until January 2017. Controlled trials were researched by two independent reviewers. Eligible studies were restricted to random and controlled clinical trials that investigated the effectiveness of PFMT in decreasing OAB symptoms. Qualitative methodology was evaluated using the PEDro scale. Data was analyzed and interpreted qualitatively. RESULTS: The final search retrieved eight studies (n = 1161 women with urgency symptoms), which were published between 2002 and 2016. The methodological scores varied between 4 and 7 in the PEDro scale. PFMT, with the objective of controlling urgent micturition, demonstrated improvements in quality of life in women with OAB. Most data in this revision came from small- to moderate-sized trials, with different and inconsistent outcome measures, which could have impacted the end results. CONCLUSIONS: The literature regarding the effectiveness of PFMT in OAB remains heterogeneous and inconclusive.
INTRODUCTION AND HYPOTHESIS: Our objective was to evaluate the effectiveness of pelvic floor muscle training (PFMT) in reducing overactive bladder (OAB) symptoms in women. METHODS: Searches were performed at MEDLINE, PubMed, Physiotherapy Evidence Database (PEDro), Scielo, and Central Cochrane Library PubMed until January 2017. Controlled trials were researched by two independent reviewers. Eligible studies were restricted to random and controlled clinical trials that investigated the effectiveness of PFMT in decreasing OAB symptoms. Qualitative methodology was evaluated using the PEDro scale. Data was analyzed and interpreted qualitatively. RESULTS: The final search retrieved eight studies (n = 1161 women with urgency symptoms), which were published between 2002 and 2016. The methodological scores varied between 4 and 7 in the PEDro scale. PFMT, with the objective of controlling urgent micturition, demonstrated improvements in quality of life in women with OAB. Most data in this revision came from small- to moderate-sized trials, with different and inconsistent outcome measures, which could have impacted the end results. CONCLUSIONS: The literature regarding the effectiveness of PFMT in OAB remains heterogeneous and inconclusive.
Authors: Paul Abrams; Linda Cardozo; Magnus Fall; Derek Griffiths; Peter Rosier; Ulf Ulmsten; Philip van Kerrebroeck; Arne Victor; Alan Wein Journal: Neurourol Urodyn Date: 2002 Impact factor: 2.696
Authors: Raquel M Arruda; Rodrigo A Castro; Gabriela C Sousa; Marair G F Sartori; Edmund C Baracat; Manoel J B C Girão Journal: Int Urogynecol J Pelvic Floor Dysfunct Date: 2008-03-11
Authors: W F Stewart; J B Van Rooyen; G W Cundiff; P Abrams; A R Herzog; R Corey; T L Hunt; A J Wein Journal: World J Urol Date: 2002-11-15 Impact factor: 4.226