Involuntary reflexive pelvic floor muscle training in addition to standard training versus standard training alone for women with stress urinary incontinence: a randomized controlled trial

Luginbühl, Helena; Lehmann, Corinne; König, Irene; Kuhn, Annette; Buergin, Reto; Radlinger, Lorenz (2022). Involuntary reflexive pelvic floor muscle training in addition to standard training versus standard training alone for women with stress urinary incontinence: a randomized controlled trial International Urogynecology Journal, 33(3), pp. 531-540. Springer 10.1007/s00192-021-04701-5

[img]
Preview
Text
192_2021_Article_4701.pdf - Published Version
Available under License Creative Commons: Attribution (CC-BY).

Download (431kB) | Preview

Introduction and hypothesis Although involuntary reflexive pelvic floor muscle contractions seem crucial during stress urinary incontinence-provoking situations, hitherto existing guidelines feature voluntary pelvic floor muscle training only. Two pelvic floor muscle protocols were compared regarding their effect on stress urinary incontinence in women: one focusing on standard physiotherapy with voluntary pelvic floor muscle training, the other additionally including involuntary reflexive pelvic floor muscle training. Methods This study was designed as a triple-blind prospective randomized controlled trial with women suffering from stress urinary incontinence with two physiotherapy intervention groups (control group: standard physiotherapy, n = 48, experimental group: standard physiotherapy plus involuntary reflexive pelvic floor muscle training triggered by whole-body movements such as jumps n = 48). Both interventions lasted 16 weeks (9 personal physiotherapy consultations and 78 home training sessions). Group differences and development over time were analyzed concerning the primary outcome International Consultation on Incontinence Modular Questionnaire Urinary Incontinence short form (ICIQ-UIsf) by mixed effect regression models. Results The ICIQ-UIsf score decreased significantly over time for both groups by about 3 points from about 10 to about 7 points with no group differences at any point in time. Discussion This trial did not find any additional benefit for stress urinary incontinence by adding involuntary reflexive pelvic floor muscle training to standard training. Both training protocols showed similar clinically relevant improvements; however, there was still moderate incontinence after interventions. Future studies should test and apply pelvic floor muscle function- oriented training methods for pelvic floor muscle hypertrophy, intramuscular coordination, and power, which are more in line with conventional skeletal muscle training, i.e., performed with higher intensities and workout.

Item Type:

Journal Article (Original Article)

Division/Institute:

School of Health Professions
School of Health Professions > Physiotherapy > Pelvic Floor and Continence

Name:

Luginbühl, Helena0000-0002-9865-7144;
Lehmann, Corinne;
König, Irene0000-0002-6032-0255;
Kuhn, Annette;
Buergin, Reto and
Radlinger, Lorenz0000-0002-0326-6264

Subjects:

R Medicine > RG Gynecology and obstetrics

ISSN:

0937-3462

Publisher:

Springer

Language:

English

Submitter:

Irene König

Date Deposited:

05 Dec 2022 12:50

Last Modified:

05 Dec 2022 12:50

Publisher DOI:

10.1007/s00192-021-04701-5

Uncontrolled Keywords:

Exercise . Muscle contraction . Physical therapy modalities . Reflex

ARBOR DOI:

10.24451/arbor.18277

URI:

https://arbor.bfh.ch/id/eprint/18277

Actions (login required)

View Item View Item
Provide Feedback