Can pelvic floor muscle training reverse pelvic organ prolapse and reduce prolapse symptoms? An assessor-blinded, randomized, controlled trial
Objective The aim of this study was to investigate the effectiveness of pelvic floor muscle training in reversing pelvic organ prolapse and alleviating symptoms. Study Design This assessor-blinded, parallel group, randomized, controlled trial conducted at a university hospital and a physical therapy...
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Published in | American journal of obstetrics and gynecology Vol. 203; no. 2; pp. 170.e1 - 170.e7 |
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Main Authors | , , , |
Format | Journal Article |
Language | English |
Published |
New York, NY
Mosby, Inc
01.08.2010
Elsevier |
Subjects | |
Online Access | Get full text |
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Summary: | Objective The aim of this study was to investigate the effectiveness of pelvic floor muscle training in reversing pelvic organ prolapse and alleviating symptoms. Study Design This assessor-blinded, parallel group, randomized, controlled trial conducted at a university hospital and a physical therapy clinic randomly assigned 109 women with prolapse stages I, II, and III to pelvic floor muscle training (n = 59) or control (n = 50). Both groups received lifestyle advices and learned “the Knack.” In addition, pelvic floor muscle training comprised individual physical therapy sessions and home exercise. Student t test, Mann-Whitney U test, odds ratio, and effect size were used to compare groups. Results Eleven (19%) women in the pelvic floor muscle training group improved 1 Pelvic Organ Prolapse Quantification System stage vs 4 (8%) controls ( P = .035). Compared with controls, the pelvic floor muscle training group elevated the bladder (difference: 3.0 mm; 95% confidence interval, 1.5–4.4; P < .001) and rectum (5.5 mm; 95% confidence interval, 1.4–7.3; P = .022) and reduced frequency and bother of symptoms compared with controls. Conclusion Pelvic floor muscle training is without adverse effects and can be used as treatment for prolapse. |
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Bibliography: | ObjectType-Article-2 SourceType-Scholarly Journals-1 ObjectType-News-1 ObjectType-Feature-3 content type line 23 |
ISSN: | 0002-9378 1097-6868 |
DOI: | 10.1016/j.ajog.2010.02.037 |