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

  • Silvia Monteiro
  • Cassio Riccetto
  • Angélica Araújo
  • Laryssa Galo
  • Nathália Brito
  • Simone Botelho
Review Article
  • 54 Downloads

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.

Keywords

Overactive detrusor Urinary bladder Urinary incontinence Urge Urinary bladder Overactive Exercise and exercise therapy 

Abbreviations

BFB

Biofeedback

BT

Bladder training

CPFR

PFMT + BT: pelvic floor muscle training and combined pelvic floor rehabilitation

DeCS

Descritores em Ciências da Saúde, Health Science descriptors

DO

Detrusor overactivity

DT

Drug therapy

FES

Functional electrical stimulation

ICF

International classification of functioning, disability and health

ICS

International Continence Society

I-QOL

Incontinence Quality of Life Questionnaire

ISI

Incontinence Severity Index

KHQ

King’s Health Questionnaire

MeSH

Medical Subject Headings of the National Library of Medicine

MUI

Mixed urinary incontinence

OAB

Overactive bladder

PFM

Pelvic floor muscle(s)

PFMT

Pelvic floor muscle training

PEDro

Physiotherapy Evidence Database

PPIU-S

Patient’s Perception of Intensity of Urgency Scale

RCTs

Randomized controlled trials

SF-36

Short-Form Health Survey

SUI

Stress urinary incontinence

UI

Urinary incontinence

UUI

Urgency urinary incontinence

VC

Vaginal cone

Notes

Compliance with ethical standards

Conflicts of interest

None.

Supplementary material

192_2018_3602_MOESM1_ESM.docx (16 kb)
ESM 1 (DOCX 16 kb)

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Copyright information

© The International Urogynecological Association 2018

Authors and Affiliations

  1. 1.Pontifical Catholic University of Minas Gerais (Pontifícia Universidade Católica de Minas Gerais– PUC-Minas)Belo HorizonteBrazil
  2. 2.State University of Campinas (Universidade Estadual de Campinas – UNICAMP)CampinasBrazil
  3. 3.Federal University of Alfenas (Universidade Federal de Alfenas – UNIFAL-MG)AlfenasBrazil
  4. 4.UroFisioterapia Laboratory of the Postgraduate Program in Rehabilitation SciencesFederal University of Alfenas - UNIFAL/MGAlfenasBrazil

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