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International Urogynecology Journal

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11.04.2018 | Review Article

Efficacy of pelvic floor muscle training in women with overactive bladder syndrome: a systematic review

verfasst von: Silvia Monteiro, Cassio Riccetto, Angélica Araújo, Laryssa Galo, Nathália Brito, Simone Botelho

Erschienen in: International Urogynecology Journal | Ausgabe 11/2018

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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.

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Abrams P, Cardozo L, Fall M, Griffiths D, Rosier P, Ulmsten U, et al. The standardization of terminology of lower urinary tract function: report from the standardization sub-committee of the international continence society. Neurourol Urodyn. 2002;21(2):167–78.CrossRef

Irwin DE, Kopp ZS, Agatep B, Milsom I, Abrams P. Worldwide prevalence estimates of lower urinary tract symptoms, overactive bladder, urinary incontinence and bladder outlet obstruction. BJU Int. 2011;108(7):1132–8. https://doi.org/10.1111/j.1464-410X.2010.09993.x.CrossRef

Stewart WF, Van Rooyen JB, Cundiff GW, Abrams P, Herzog AR, Corey R, et al. Prevalence and burden of overactive bladder in the United States. World J Urol. 2003;20:327–36. https://doi.org/10.1007/s00345-002-0301-4.CrossRef

Staski D, Kelleher C, Avery K, Bosch R, Cotterill N, Coyne K, et al. Initial assessment of urinary and faecal incontinence in adult male and female patients. In: Abrams P, Cardozo L, Khoury S, Wein A, editors. Incontinence. 4th International Consultation on Incontinence (2008), International Continence Society. 4th ed. Paris: Health Publications Ltd; 2009. p. 331–412.

Lapitan MC, Chye PL. The epidemiology of overactive bladder among females in Asia: a questionnaire survey. Int Urogynecol J Pelvic Floor Dysfunct. 2001;12(4):226–31.CrossRef

Milson Md, Altman D, Cartwright R, Lapitan MC, Nelson R, Sillén U, et al. Epidemiology of Urinary Incontinence (UI) and other Lower Urinary Tract Symptoms (LUTS), Pelvic Organ Prolapse (POP) and Anal Incontinence (AI). In: Abrams P, et al. editors. (2012) Incontinence. 5th International Consultation on Incontinence, International Continence Society, 2013. J et al (2010) An International Urogynecological Association (IUGA)/International Continence Society (ICS) joint report on the terminology for female pelvic floor dysfunction. 5th ed. Paris: Health Publications Ltd; 2012. p. 15–108.

Gormley EA, Lightner DJ, Burgio KL, Chai TC, Quentin Clemens J, Culkin DJ. Diagnosis and treatment of overactive bladder (non-neurogenic) in adults: AUA/SUFU guideline. Am Urol Assoc Educ Res. 2012;188:2455–63. https://doi.org/10.1016/j.juro.2012.09.079.CrossRef

Dumoulin C, Hay-Smith J, Habée-Séguin GM, Mercier J. Pelvic floor muscle training versus no treatment, or inactive control treatments, for urinary incontinence in women: a short version Cochrane systematic review with meta-analysis. Neurourol Urodyn. 2014;34(4):300–8. https://doi.org/10.1002/nau.22700.CrossRefPubMed

Burgio KL, Whitehead WE, Engel BT. Urinary incontinence in the elderly. Bladder-sphincter biofeedback and toileting skills training. Ann Intern Med. 1985;103(4):507–15.CrossRef

10.

Shafik A, Shafik IA. Overactive bladder inhibition in response to pelvic floor muscle exercises. World J Urol. 2003;20(6):374–7.PubMed

11.

Groat WC. A neurologic basis for the overactive bladder. Urology. 1997;50(6A Suppl):36–52. discussion 53-6.CrossRef

12.

Dumoulin C, Hay-Smith J. Pelvic floor muscle training versus no treatment, or inactive control treatments, for urinary incontinence in women. Cochrane Database Syst Rev. CD005654. 2010. https://doi.org/10.1002/14651858.CD005654.pub2.

13.

Sand PK, Goldberg RP, Dmochowski RR, McIlwain M, Dahl NV. The impact of the overactive bladder syndrome on sexual function: a preliminary report from the multicenter assessment of transdermal therapy in overactive bladder with oxybutynin trial. Am J Obstet Gynecol. 2006;195(6):1730–5. https://doi.org/10.1016/j.ajog.2006.08.013.CrossRefPubMed

14.

Berghmans B, Waalwijk V, Van Doorn E, Nieman F, De Bie R, Van den Brandt P, et al. Efficacy of physical therapeutic modalities in women with proven bladder overactivity. Eur Urol. 2002;41(6):581–7.CrossRef

15.

Greer JA, Smith AL, Arya LA. Pelvic floor muscle training for urgency urinary incontinence in women: a systematic review. Int Urogynecol J. 2012;23:687–97. https://doi.org/10.1007/s00192-011-1651-5.CrossRefPubMed

16.

Burgio KL, Goode PS, Locher JL, Umlauf MG, Roth DL, Richter HE, et al. Behavioral training with and without biofeedback in the treatment of urge incontinence in older women: a randomized controlled trial. JAMA. 2002;288(18):2293–9.CrossRef

17.

Millard RJ. Clinical efficacy of tolterodine with or without a simplified pelvic floor exercise regimen. Neurourol Urodyn. 2004;23(1):48–53. https://doi.org/10.1002/nau.10167.CrossRefPubMed

18.

Kafri R, Langer R, Dvir Z, Katz-Leurer M. Rehabilitation vs drug therapy for urge urinary incontinence: short-term outcome. Int Urogynecol J. 2007;18(4):407–11. https://doi.org/10.1007/s00192-006-0163-1.CrossRef

19.

Arruda MR, Castro RA, Sousa GC, Sartori MG, Baracat EC, Girão MJ. Prospective randomized comparison of oxybutynin, functional electrostimulation, and pelvic floor training for treatment of detrusor overactivity in women. Int Urogynecol J. 2008;19(8):1055–61. https://doi.org/10.1007/s00192-008-0586-y.CrossRef

20.

Kafri R, Deutscher D, Shames J, Golombp J, Melzer I. Randomized trial of a comparison of rehabilitation or drug therapy for urgency urinary incontinence: 1-year follow-up. Int Urogynecol J. 2013;24(7):1181–9. https://doi.org/10.1007/s00192-012-1992-8.CrossRefPubMed

21.

Yuce T, Dökmeci F, Çetinkaya SE. A prospective randomized trial comparing the use of tolterodine or weighted vaginal cones in women with overactive bladder syndrome. Eur J Obstet Gynecol Reprod Biol. 2016;197:91–7. https://doi.org/10.1016/j.ejogrb.2015.11.034.CrossRefPubMed

22.

Voorham CJ, Wachter SD, Van de Bos TWL, Putter H, Nijeholt GAL, Voorham PJ. The effect of EMG biofeedback assisted pelvic floor muscle therapy on symptoms of the overactive bladder syndrome in women: a randomized controlled trial. Neurourol Urodyn. 2016;36(7):1796–803. https://doi.org/10.1002/nau.23180.CrossRefPubMed

23.

Moseley AM, Herbert RD, Sherrington C, Maher CG. Evidence for physiotherapy practice: a survey of the physiotherapy evidence database (PEDro). Aust J Physiother. 2002;48(1):43–9.CrossRef

24.

Van Tulder M, Furlan A, Bombardier C, Bouter L, the Editorial Board of the Cochrane Collaboration Back Review Group. Updated method guidelines for systematic reviews in the Cochrane collaboration back review group. Spine. 2003;28(12):1290–9. https://doi.org/10.1097/01.BRS.0000065484.95996.AF.CrossRefPubMed

25.

Wang AC, Wang YY, Chen MC. Single-blind, randomized trial of pelvic floor muscle training, biofeedback-assisted pelvic floor muscle training, and electrical stimulation in the management of overactive bladder. Urology. 2004;63(1):61–6. https://doi.org/10.1016/j.urology.2003.08.047.CrossRefPubMed

26.

Lai HH, Rawal A, Shen B, Vetter J. The relationship between anxiety and overactive bladder or urinary incontinence symptoms in the clinical population. Urol J. 2016;98:50–7. https://doi.org/10.1016/j.urology.2016.07.013.CrossRef

27.

World Health Organization / PAHO. CIF international classification of functioning, disability and health. 1st ed. São Paulo: EdUSP; 2003. p. 37–8.

28.

Hay Smith J, Berghmans B, Burgio K, Dumoulin C, Hagen S, Moore K, et al. Adult conservative management. In: Abrams P, Cardozo L, Khoury S, Wein A, editors. Incontinence, 4th international consultation on incontinence. 4th ed. Paris: Health Publications Ltd; 2009. p. 1027–120.

29.

Bø K, Berghmans B, Morkved S, Van Kampen M. Evidence-based physical therapy for the pelvic floor: bridging science and clinical practice. 2nd ed. Edinburgh: Churchill Livingstone; 2015. p. 111–30.

30.

American College of Sports Medicine. Position stand progression models in resistance training for healthy adults. Med Sci Sports Exerc. 2009;41(3):687–708. https://doi.org/10.1249/MSS.0b013e3181915670.CrossRef

31.

Salvatore S, Delancey J, Igawa Y, Koelbl H, Laterza RM, Serati M, et al. Pathophysiology of urinary incontinence, fecal incontinence and pelvic organ prolapse. In: Abrams P, Cardozo L, Wagg A, Wein A, editors. Incontinence. 6th International Consultation on Incontinence (2016), International Continence Society, 6th ed. Paris: Health Publications Ltd; 2017. p. 365–66.

Titel: Efficacy of pelvic floor muscle training in women with overactive bladder syndrome: a systematic review
verfasst von: Silvia Monteiro
Cassio Riccetto
Angélica Araújo
Laryssa Galo
Nathália Brito
Simone Botelho
Publikationsdatum: 11.04.2018
Verlag: Springer London
Erschienen in: International Urogynecology Journal / Ausgabe 11/2018
Print ISSN: 0937-3462
Elektronische ISSN: 1433-3023
DOI: https://doi.org/10.1007/s00192-018-3602-x

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Efficacy of pelvic floor muscle training in women with overactive bladder syndrome: a systematic review

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Methods

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Conclusions

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Conclusions

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