Pelvic floor muscle activation and strength components influencing female urinary continence and stress incontinence: A systematic review
2014; Wiley; Volume: 34; Issue: 6 Linguagem: Inglês
10.1002/nau.22612
ISSN1520-6777
AutoresHelena Luginbuehl, Jean‐Pierre Baeyens, Jan Taeymans, Ida-Maria Maeder, Annette Kühn, Lorenz Radlinger,
Tópico(s)Anorectal Disease Treatments and Outcomes
ResumoNeurourology and UrodynamicsVolume 34, Issue 6 p. 498-506 Clinical Science Pelvic floor muscle activation and strength components influencing female urinary continence and stress incontinence: A systematic review Helena Luginbuehl, Corresponding Author Helena Luginbuehl Bern University of Applied Sciences, Health, Bern, Switzerland Vrije Universiteit Brussel, Faculty of Physical Education and Physiotherapy, Brussel, BelgiumCorrespondence to: Helena Luginbuehl, Bern University of Applied Sciences Health, Murtenstrasse 10, 3008 Bern, Switzerland. E-mail [email protected]Search for more papers by this authorJean-Pierre Baeyens, Jean-Pierre Baeyens Vrije Universiteit Brussel, Faculty of Physical Education and Physiotherapy, Brussel, BelgiumSearch for more papers by this authorJan Taeymans, Jan Taeymans Bern University of Applied Sciences, Health, Bern, Switzerland Vrije Universiteit Brussel, Faculty of Physical Education and Physiotherapy, Brussel, BelgiumSearch for more papers by this authorIda-Maria Maeder, Ida-Maria Maeder University of Bern, University Library of Bern, Bern, SwitzerlandSearch for more papers by this authorAnnette Kuhn, Annette Kuhn Women's Hospital, Urogynaecology, Bern University Hospital and University of Bern, Bern, SwitzerlandSearch for more papers by this authorLorenz Radlinger, Lorenz Radlinger orcid.org/0000-0002-2960-9931 Bern University of Applied Sciences, Health, Bern, SwitzerlandSearch for more papers by this author Helena Luginbuehl, Corresponding Author Helena Luginbuehl Bern University of Applied Sciences, Health, Bern, Switzerland Vrije Universiteit Brussel, Faculty of Physical Education and Physiotherapy, Brussel, BelgiumCorrespondence to: Helena Luginbuehl, Bern University of Applied Sciences Health, Murtenstrasse 10, 3008 Bern, Switzerland. E-mail [email protected]Search for more papers by this authorJean-Pierre Baeyens, Jean-Pierre Baeyens Vrije Universiteit Brussel, Faculty of Physical Education and Physiotherapy, Brussel, BelgiumSearch for more papers by this authorJan Taeymans, Jan Taeymans Bern University of Applied Sciences, Health, Bern, Switzerland Vrije Universiteit Brussel, Faculty of Physical Education and Physiotherapy, Brussel, BelgiumSearch for more papers by this authorIda-Maria Maeder, Ida-Maria Maeder University of Bern, University Library of Bern, Bern, SwitzerlandSearch for more papers by this authorAnnette Kuhn, Annette Kuhn Women's Hospital, Urogynaecology, Bern University Hospital and University of Bern, Bern, SwitzerlandSearch for more papers by this authorLorenz Radlinger, Lorenz Radlinger orcid.org/0000-0002-2960-9931 Bern University of Applied Sciences, Health, Bern, SwitzerlandSearch for more papers by this author First published: 09 April 2014 https://doi.org/10.1002/nau.22612Citations: 44 Heinz Koelbl led the peer-review process as the Associate Editor responsible for the paper. Conflict of interest: none. Read the full textAboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onFacebookTwitterLinkedInRedditWechat Abstract Aims A better understanding of pelvic floor muscle (PFM) activation and strength components is a prerequisite to get better insight in PFM contraction mechanisms and develop more specific PFM-training regimens for female stress urinary incontinence (SUI) patients. The aim of this systematic review (2012:CRD42012002547) was to evaluate and summarize existing studies investigating PFM activation and strength components influencing female continence and SUI. Methods PubMed, EMBASE, and Cochrane databases were systematically searched for literature from January 1980 to November 2013 for cross-sectional studies comparing female SUI patients with healthy controls and intervention studies with SUI patients reporting on the association between PFM activation and strength components and urine loss. Trial characteristics, evaluated PFM components, their definitions, measurement methods, study outcomes, as well as quality measures, based on the Cochrane risk of bias tool, were independently extracted. The high heterogeneity of the retrieved data made pooling of results impossible and therefore restricted the analysis to a systematic review. Results Cross-sectional studies showed group differences in favor of the continent women compared to SUI patients for PFM activation or PFM maximal strength, mean strength or sustained contraction. All intervention studies showed an improvement of PFM strength and decrease in urine loss in SUI patients after physical therapy. Conclusions Higher PFM activation and strength components influence female continence positively. This systematic review underscored the need for a standardized PFM components' terminology (similar to rehabilitation and training science), standardized test procedures and well matched diagnostic instruments. Neurourol. Urodynam. 34:498–506, 2015. © 2014 Wiley Periodicals, Inc. Citing Literature Supporting Information Additional supporting information may be found in the online version of this article at the publisher's web-site. Filename Description nau22612-sup-0001-SupTable-S1.pdf29.4 KB Table SI. PubMed Search Strategy Please note: The publisher is not responsible for the content or functionality of any supporting information supplied by the authors. Any queries (other than missing content) should be directed to the corresponding author for the article. Volume34, Issue6August 2015Pages 498-506 RelatedInformation
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