Document Detail

Pelvic floor muscle exercises utilizing trunk stabilization for treating postpartum urinary incontinence: randomized controlled pilot trial of supervised versus unsupervised training.
MedLine Citation:
PMID:  21849373     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To investigate the effect of supervised and unsupervised pelvic floor muscle exercises utilizing trunk stabilization for treating postpartum urinary incontinence and to compare the outcomes.
DESIGN: Randomized, single-blind controlled study.
SETTING: Outpatient rehabilitation hospital.
SUBJECTS: Eighteen subjects with postpartum urinary incontinence.
INTERVENTIONS: Subjects were randomized to either a supervised training group with verbal instruction from a physiotherapist, or an unsupervised training group after undergoing a supervised demonstration session.
MAIN MEASURES: Bristol Female Lower Urinary Tract Symptom questionnaire (urinary symptoms and quality of life) and vaginal function test (maximal vaginal squeeze pressure and holding time) using a perineometer.
RESULTS: The change values for urinary symptoms (-27.22 ± 6.20 versus -18.22 ± 5.49), quality of life (-5.33 ± 2.96 versus -1.78 ± 3.93), total score (-32.56 ± 8.17 versus -20.00 ± 6.67), maximal vaginal squeeze pressure (18.96 ± 9.08 versus 2.67 ± 3.64 mmHg), and holding time (11.32 ± 3.17 versus 5.72 ± 2.29 seconds) were more improved in the supervised group than in the unsupervised group (P < 0.05). In the supervised group, significant differences were found for all variables between pre- and post-test values (P < 0.01), whereas the unsupervised group showed significant differences for urinary symptom score, total score and holding time between the pre- and post-test results (P < 0.05).
CONCLUSIONS: These findings suggest that exercising the pelvic floor muscles by utilizing trunk stabilization under physiotherapist supervision may be beneficial for the management of postpartum urinary incontinence.
Eun-Young Kim; Suhn-Yeop Kim; Duck-Won Oh
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Publication Detail:
Type:  Journal Article; Randomized Controlled Trial     Date:  2011-08-17
Journal Detail:
Title:  Clinical rehabilitation     Volume:  26     ISSN:  1477-0873     ISO Abbreviation:  Clin Rehabil     Publication Date:  2012 Feb 
Date Detail:
Created Date:  2012-01-26     Completed Date:  2012-05-30     Revised Date:  2014-07-30    
Medline Journal Info:
Nlm Unique ID:  8802181     Medline TA:  Clin Rehabil     Country:  England    
Other Details:
Languages:  eng     Pagination:  132-41     Citation Subset:  IM    
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MeSH Terms
Ambulatory Care Facilities
Exercise Therapy / methods*
Follow-Up Studies
Muscle, Smooth / physiopathology*
Pelvic Floor Disorders / rehabilitation*
Physical Therapists
Physical Therapy Modalities
Pilot Projects
Postpartum Period*
Rehabilitation Centers
Risk Assessment
Single-Blind Method
Treatment Outcome
Urinary Incontinence / etiology,  rehabilitation*
Young Adult

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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