Abstract
Objective
To evaluate the effect of pelvic floor muscle training (PFMT) or Kegel exercise with
and without assistance by a resistance device (Kegelmaster device) on the urinary
incontinence in women.
Study design
A randomized clinical trial was performed on 91 women with the complaint of urinary
incontinence.
In the assisted pelvic floor muscle training (APFMT) group (n = 41), after complete training, Kegelmaster device were used twice daily for 15 min each session, for a total duration of 12 weeks.
In the pelvic floor muscle training (PFMT) group (n = 50) after complete training, kegel exercises were done (including perineal muscle
contractions for 6–8 s with 6 s rest in between), twice daily for 15 min each session and for a total duration of 12 weeks.
These two groups were then compared according to the scores of special questionnaires
for quality of life, strength of pelvic floor muscles, capability to participate in
social activities, severity of urinary incontinence, and the number of involuntary
urine passage, taken before, and after 1 and 3 months after finishing interventions.
Results
85 women out of 91 women finished the study (46 in the PFMT group and 39 in the APFMT
group). Strength of pelvic floor muscles, capability to participate in social activities,
score of quality of life according to three world questionnaires of IQOL (incontinence
Quality Of Life), IIQ (Incontinence Impact Questionnaire), UDI (Urogenital Distress
Inventory), showed no difference between the two groups 1 and 3 months after interventions.
Pair t test showed a significant improvement in both groups 1 and 3 months after intervention,
according to IQOL score (P = 0.000), UDI score (P = 0.000), IIQ score (P = 0.000), strength of pelvic floor muscles, (P = 0.000), capability to participate in social activities (P = 0.000), severity of urinary incontinence (P = 0.000) and the number of involuntary urine passage (P = 0.000).
Conclusion
Pelvic floor muscle training with or without Kegelmaster show no apparent difference
to each other, however, these two methods are effective for improvement of urinary
incontinence in women.
Keywords
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References
- Rationale for pelvic floor muscles training in women with urinary incontinence.Minerva Ginecol. 2008; 60: 529-541
- Risk factors for urinary incontinence in both sexes. Analysis of a health-screening project.Eur Urol. 2001; 39: 565-570
- Epidemiology and classification of urinary incontinence.Baillieres Best Pract Res Clin Obstet Gynaecol. 2000; 14: 183-205
- Parturition and urinary incontinence in primiparas.Obstet Gynecol. 2001; 97: 350-356
- Hysterectomy and urinary incontinence: a systematic review.Lancet. 2000; 356: 535-539
- Is incontinence associated with menopause?.Obstet Gynecol. 2001; 98: 628-633
- The risk of stress incontinence 5 year after first delivery.Am J Obstet Gynecol. 2001; 85: 82-87
- Incidence and remission of lower urinary tract symptoms during 12 years after the first delivery: a cohort study.J Urol. 2008; 180: 992-997
- Does cesarean section reduce post partum urinary incontinence? A systematic review.Birth. 2007; 34: 228-237
- The risk of urinary incontinence of parous women who delivered only by cesarean section.Int J Gynaecol Obstet. 2001; 72: 41-46
- Pelvic floor muscle training versus no treatment, or inactive control treatments, for urinary incontinence in women.Cochran Database Syst Rev. 2010; 1: CD005654
- The effect of pelvic floor muscle training on stress and mixed urinary incontinence and quality of life.J Wound Ostomy Continence Nurs. 2009; 36: 422-435
- Pelvic floor muscle training for prevention and treatment of urinary and fecal incontinence in antenatal and postnatal women.Cochrane Database Syst Rev. 2008; 8: CD007471
- Bladder training and kegel exercises for women with urinary complaints living in a rest home.Gerontology. 2008; 54: 224-231
- Progressive resistance exercise in the functional restoration of the perineal muscles.AMJ Obstet Gynecol. 1948; 56: 238-249
- Single blind, randomized controlled trial of pelvic floor exercises, electrical stimulation, vaginal cones, and no treatment in management of genuine stress incontinence in women.BMJ. 1999; 318: 487-493
- Stress urinary incontinence: effect of pelvic muscle exercise.Obstet Gynecol. 1990; 75: 671-675
- Quality of life of women with urinary incontinence: further development of the incontinence quality of life instrument (IQOL).Urology. 1999; 53: 71-76
- Health related quality of life measures for women with urinary incontinence. The Incontinence Impact Questionnaire and the Urogenital Distress Inventory.Qual Life Res. 1994; 3: 291-306
- Managing and treating urinary incontinence.Health Professions Pess, Baltimore, MD2002
- Incontinence quality of life questionnaire (IQOL), translation and validation study of Iranian version.Int Urol. 2009; 13: 1495-2163
- Validation of the short forms of the incontinence impact questionnaire (IIQ-7) and urogenital distress inventory (UDI-6) in a Turkish population.Neurourol Urodyn. 2007; 26: 129-133
- Test-retest reliability, validity, and sensitivity to change of the urogenital distress inventory and the incontinence impact questionnaire.Neurourol Urodyn. 2002; 21: 534-539
- Arabic validation of the Urogenital Distress Inventory and Adapted Incontinence Impact Questionnaires-short forms.Neurourol Urodyn. 2009; 28: 33-39
- Arabic validation of the short form of Urogenital Distress Inventory (UDI-6) questionnaire.Neurourol Urodyn. 2009; 28: 330-334
- The incontinence impact questionnaire: results in an Italian female population stratified by educational status.Urol Int. 2009; 83: 187-192
- Single-blind, randomized, controlled trial of pelvic floor muscle training, electrical stimulation, vaginal cones and no active treatment in the management of stress urinary incontinence.Clinics (Sao Paulo). 2008; 63: 465-472
- Pelvic floor muscle training versus no treatment, or inactive control treatments, for urinary incontinence in women.Cochrane Database Syst Rev. 2006; 1: CD005654
- Behavioral treatment of urinary incontinence, voiding dysfunction, and overactive bladder.Obstet Gynecol Clin North Am. 2009; 36: 475-491
- Urge urinary incontinence in women: a systematic review of randomized clinical trials.BJU Int. 2000; 85: 254-263
- Continence and quality – of-life outcomes 6 months following an intensive pelvic-floor muscle exercise program for female stress urinary incontinence: a randomized trial comparing low and high-frequency maintenance exercise.Phys Ther. 2008; 88: 1545-1553
- Vaginal weight cone versus assisted pelvic floor muscle training in the treatment of female urinary incontinence. A prospective, single-blind, randomized trial.Int Urogynencol J Pelvic Floor Dysfunct. 2010, January 6; ([Epub Ahead of Print])
Article info
Publication history
Published online: June 27, 2011
Accepted:
June 9,
2011
Received in revised form:
May 19,
2011
Received:
September 1,
2010
Identification
Copyright
© 2011 Elsevier Ireland Ltd. Published by Elsevier Inc. All rights reserved.
