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Graded pelvic muscle exercise. Effect on stress urinary incontinence.
J Reprod Med. 1993 Sep; 38(9):684-91.JR

Abstract

The purpose of this research was to determine the effect of pelvic muscle exercise (PME) on stress urinary incontinence in middle-aged and elderly women. The protocol required 16 weeks of exercise three times per week, for a total of 48 sessions. Measures were taken at baseline, after a 4-week control period and after 4, 8, 12 and 16 weeks of PME, corresponding to PME levels 1, 2, 3 and 4, respectively. Urine loss was evaluated using a urinary diary and 24-hour pad test at baseline, after the control period and after PME levels 2 and 4. Pelvic muscle function was evaluated every four weeks. Sixty-five parous women 35-75 years of age (mean, 51.3) with mild to moderate stress urinary incontinence were studied. No significant changes in the outcome variables were found after the control period. The results showed significant reductions in urine loss on the 24-hour pad test (t = -4.7, P < or = .0001), and episodes of urine loss decreased from 2.6 to 1.0 between the control period and PME level 4. In addition, a significant improvement occurred in pressures developed by the pelvic muscles in response to PME (t = 6.8, P < or = .0001). Significant correlations between changes in pelvic muscle pressure and in urine loss variables were not found. Women who completed the study experienced a significant reduction in the amount of urine loss as well as a significant increase in pelvic muscle characteristics.(

ABSTRACT

TRUNCATED AT 250 WORDS)

Authors+Show Affiliations

College of Nursing, University of Florida, Gainesville 32610-0197.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, U.S. Gov't, P.H.S.

Language

eng

PubMed ID

8254589

Citation

Dougherty, M, et al. "Graded Pelvic Muscle Exercise. Effect On Stress Urinary Incontinence." The Journal of Reproductive Medicine, vol. 38, no. 9, 1993, pp. 684-91.
Dougherty M, Bishop K, Mooney R, et al. Graded pelvic muscle exercise. Effect on stress urinary incontinence. J Reprod Med. 1993;38(9):684-91.
Dougherty, M., Bishop, K., Mooney, R., Gimotty, P., & Williams, B. (1993). Graded pelvic muscle exercise. Effect on stress urinary incontinence. The Journal of Reproductive Medicine, 38(9), 684-91.
Dougherty M, et al. Graded Pelvic Muscle Exercise. Effect On Stress Urinary Incontinence. J Reprod Med. 1993;38(9):684-91. PubMed PMID: 8254589.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Graded pelvic muscle exercise. Effect on stress urinary incontinence. AU - Dougherty,M, AU - Bishop,K, AU - Mooney,R, AU - Gimotty,P, AU - Williams,B, PY - 1993/9/1/pubmed PY - 1993/9/1/medline PY - 1993/9/1/entrez SP - 684 EP - 91 JF - The Journal of reproductive medicine JO - J Reprod Med VL - 38 IS - 9 N2 - The purpose of this research was to determine the effect of pelvic muscle exercise (PME) on stress urinary incontinence in middle-aged and elderly women. The protocol required 16 weeks of exercise three times per week, for a total of 48 sessions. Measures were taken at baseline, after a 4-week control period and after 4, 8, 12 and 16 weeks of PME, corresponding to PME levels 1, 2, 3 and 4, respectively. Urine loss was evaluated using a urinary diary and 24-hour pad test at baseline, after the control period and after PME levels 2 and 4. Pelvic muscle function was evaluated every four weeks. Sixty-five parous women 35-75 years of age (mean, 51.3) with mild to moderate stress urinary incontinence were studied. No significant changes in the outcome variables were found after the control period. The results showed significant reductions in urine loss on the 24-hour pad test (t = -4.7, P < or = .0001), and episodes of urine loss decreased from 2.6 to 1.0 between the control period and PME level 4. In addition, a significant improvement occurred in pressures developed by the pelvic muscles in response to PME (t = 6.8, P < or = .0001). Significant correlations between changes in pelvic muscle pressure and in urine loss variables were not found. Women who completed the study experienced a significant reduction in the amount of urine loss as well as a significant increase in pelvic muscle characteristics.(ABSTRACT TRUNCATED AT 250 WORDS) SN - 0024-7758 UR - https://www.unboundmedicine.com/medline/citation/8254589/Graded_pelvic_muscle_exercise__Effect_on_stress_urinary_incontinence_ L2 - http://www.diseaseinfosearch.org/result/3797 DB - PRIME DP - Unbound Medicine ER -