The Effects of home-based stabilization exercises focusing on the pelvic floor on postnatal stress urinary incontinence and low back pain: a randomized controlled trial
Introduction and hypothesis Stress urinary incontinence (SUI) and low back pain (LBP) are common postnatal problems. We aimed to compare the effects of stabilization exercises focusing on the pelvic floor on postnatal SUI and LBP. Methods This two-arm, single-blind, parallel, randomized controlled t...
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| Veröffentlicht in: | International Urogynecology Journal 2020-11, Vol.31 (11), p.2301-2307 |
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| creator | Khorasani, Fahime Ghaderi, Fariba Bastani, Parvin Sarbakhsh, Parvin Berghmans, Bary |
| description | Introduction and hypothesis
Stress urinary incontinence (SUI) and low back pain (LBP) are common postnatal problems. We aimed to compare the effects of stabilization exercises focusing on the pelvic floor on postnatal SUI and LBP.
Methods
This two-arm, single-blind, parallel, randomized controlled trial was done on 80 women (mean age: 30.5, range: 20–45 years), with postnatal SUI and LBP. They were randomized into two equal control and intervention groups. The control group received no treatment while the intervention group received home-based stabilization exercises focusing on pelvic floor muscles (PFM) 3 days a week for 12 weeks, three sets a day; each set included three different types of exercise each week. Outcome measures were UI severity, assessed by ICIQ-UI-SF, low back pain functional disability, assessed by the Oswestry Disability Index (ODI), LBP severity, assessed by visual analog scale (VAS), and PFM strength and endurance, assessed by vaginal examination. Transverse abdominis (TrA) muscle strength was assessed by manometric biofeedback. All outcomes were measured directly before and after treatment.
Results
In the intervention group, PFM strength, TrA muscle strength, functional disability and pain severity were significantly improved (
P
|
| doi_str_mv | 10.1007/s00192-020-04284-7 |
| format | Article |
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Stress urinary incontinence (SUI) and low back pain (LBP) are common postnatal problems. We aimed to compare the effects of stabilization exercises focusing on the pelvic floor on postnatal SUI and LBP.
Methods
This two-arm, single-blind, parallel, randomized controlled trial was done on 80 women (mean age: 30.5, range: 20–45 years), with postnatal SUI and LBP. They were randomized into two equal control and intervention groups. The control group received no treatment while the intervention group received home-based stabilization exercises focusing on pelvic floor muscles (PFM) 3 days a week for 12 weeks, three sets a day; each set included three different types of exercise each week. Outcome measures were UI severity, assessed by ICIQ-UI-SF, low back pain functional disability, assessed by the Oswestry Disability Index (ODI), LBP severity, assessed by visual analog scale (VAS), and PFM strength and endurance, assessed by vaginal examination. Transverse abdominis (TrA) muscle strength was assessed by manometric biofeedback. All outcomes were measured directly before and after treatment.
Results
In the intervention group, PFM strength, TrA muscle strength, functional disability and pain severity were significantly improved (
P
< 0.05). Within-group results showed that all outcomes except pain severity (
P
= 0.06) had directly improved in the intervention group after treatment (
P
< 0.05), while in the control group only PFM strength and endurance and UI severity had improved (
P
< 0.05).
Conclusions
Home-based stabilization exercises focusing on the pelvic floor muscles could be effective for postnatal LBP and SUI.
Trial registration
Iranian Registry of Clinical Trials (Code: IRCT2017050618760N4).</description><identifier>ISSN: 0937-3462</identifier><identifier>EISSN: 1433-3023</identifier><identifier>DOI: 10.1007/s00192-020-04284-7</identifier><identifier>PMID: 32274521</identifier><language>eng</language><publisher>Cham: Springer International Publishing</publisher><subject>Gynecology ; Medicine ; Medicine & Public Health ; Original Article ; Urology</subject><ispartof>International Urogynecology Journal, 2020-11, Vol.31 (11), p.2301-2307</ispartof><rights>The International Urogynecological Association 2020</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c347t-29f546789e750fee569ad6d924eff03f8e24957c3216f20290ac86dc2b5e6fc63</citedby><cites>FETCH-LOGICAL-c347t-29f546789e750fee569ad6d924eff03f8e24957c3216f20290ac86dc2b5e6fc63</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00192-020-04284-7$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00192-020-04284-7$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32274521$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Khorasani, Fahime</creatorcontrib><creatorcontrib>Ghaderi, Fariba</creatorcontrib><creatorcontrib>Bastani, Parvin</creatorcontrib><creatorcontrib>Sarbakhsh, Parvin</creatorcontrib><creatorcontrib>Berghmans, Bary</creatorcontrib><title>The Effects of home-based stabilization exercises focusing on the pelvic floor on postnatal stress urinary incontinence and low back pain: a randomized controlled trial</title><title>International Urogynecology Journal</title><addtitle>Int Urogynecol J</addtitle><addtitle>Int Urogynecol J</addtitle><description>Introduction and hypothesis
Stress urinary incontinence (SUI) and low back pain (LBP) are common postnatal problems. We aimed to compare the effects of stabilization exercises focusing on the pelvic floor on postnatal SUI and LBP.
Methods
This two-arm, single-blind, parallel, randomized controlled trial was done on 80 women (mean age: 30.5, range: 20–45 years), with postnatal SUI and LBP. They were randomized into two equal control and intervention groups. The control group received no treatment while the intervention group received home-based stabilization exercises focusing on pelvic floor muscles (PFM) 3 days a week for 12 weeks, three sets a day; each set included three different types of exercise each week. Outcome measures were UI severity, assessed by ICIQ-UI-SF, low back pain functional disability, assessed by the Oswestry Disability Index (ODI), LBP severity, assessed by visual analog scale (VAS), and PFM strength and endurance, assessed by vaginal examination. Transverse abdominis (TrA) muscle strength was assessed by manometric biofeedback. All outcomes were measured directly before and after treatment.
Results
In the intervention group, PFM strength, TrA muscle strength, functional disability and pain severity were significantly improved (
P
< 0.05). Within-group results showed that all outcomes except pain severity (
P
= 0.06) had directly improved in the intervention group after treatment (
P
< 0.05), while in the control group only PFM strength and endurance and UI severity had improved (
P
< 0.05).
Conclusions
Home-based stabilization exercises focusing on the pelvic floor muscles could be effective for postnatal LBP and SUI.
Trial registration
Iranian Registry of Clinical Trials (Code: IRCT2017050618760N4).</description><subject>Gynecology</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Original Article</subject><subject>Urology</subject><issn>0937-3462</issn><issn>1433-3023</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><recordid>eNp9kc1uFiEUhonR2M_qDbgwLN2gZ4D5c2ea2po0cVPXhGEO_agMjMD406tx6214ZfL5VZeuIC_PecnJQ8jzBl41AP3rDNCMnAEHBpIPkvUPyK6RQjABXDwkOxhFz4Ts-Al5kvMtAEho4TE5EZz3suXNjvy83uOvH-fWoimZRkv3cUE26YwzzUVPzrs7XVwMFL9hMi5jpjaaLbtwQ2ta9khX9F-codbHmA7ZGnMJumhfGxLmTLfkgk7fqQsmhuICBoNUh5n6-JVO2nyiq3bhDdU01TQu7q7-fkBT9L5eS3LaPyWPrPYZn92fp-Tju_Prs0t29eHi_dnbK2aE7Avjo21l1w8j9i1YxLYb9dzNI5doLQg7IJdj2xvBm85y4CNoM3Sz4VOLnTWdOCUvj71rip83zEUtLhv0XgeMW1ZcDMPAh1YOFeVH1KSYc0Kr1uSWuqlqQB0UqaMiVRWpP4pUX4de3Pdv04Lzv5G_TiogjkCuT-EGk7qNWwp15__V_gZ6nKDz</recordid><startdate>20201101</startdate><enddate>20201101</enddate><creator>Khorasani, Fahime</creator><creator>Ghaderi, Fariba</creator><creator>Bastani, Parvin</creator><creator>Sarbakhsh, Parvin</creator><creator>Berghmans, Bary</creator><general>Springer International Publishing</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20201101</creationdate><title>The Effects of home-based stabilization exercises focusing on the pelvic floor on postnatal stress urinary incontinence and low back pain: a randomized controlled trial</title><author>Khorasani, Fahime ; Ghaderi, Fariba ; Bastani, Parvin ; Sarbakhsh, Parvin ; Berghmans, Bary</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c347t-29f546789e750fee569ad6d924eff03f8e24957c3216f20290ac86dc2b5e6fc63</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Gynecology</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Original Article</topic><topic>Urology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Khorasani, Fahime</creatorcontrib><creatorcontrib>Ghaderi, Fariba</creatorcontrib><creatorcontrib>Bastani, Parvin</creatorcontrib><creatorcontrib>Sarbakhsh, Parvin</creatorcontrib><creatorcontrib>Berghmans, Bary</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>International Urogynecology Journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Khorasani, Fahime</au><au>Ghaderi, Fariba</au><au>Bastani, Parvin</au><au>Sarbakhsh, Parvin</au><au>Berghmans, Bary</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The Effects of home-based stabilization exercises focusing on the pelvic floor on postnatal stress urinary incontinence and low back pain: a randomized controlled trial</atitle><jtitle>International Urogynecology Journal</jtitle><stitle>Int Urogynecol J</stitle><addtitle>Int Urogynecol J</addtitle><date>2020-11-01</date><risdate>2020</risdate><volume>31</volume><issue>11</issue><spage>2301</spage><epage>2307</epage><pages>2301-2307</pages><issn>0937-3462</issn><eissn>1433-3023</eissn><abstract>Introduction and hypothesis
Stress urinary incontinence (SUI) and low back pain (LBP) are common postnatal problems. We aimed to compare the effects of stabilization exercises focusing on the pelvic floor on postnatal SUI and LBP.
Methods
This two-arm, single-blind, parallel, randomized controlled trial was done on 80 women (mean age: 30.5, range: 20–45 years), with postnatal SUI and LBP. They were randomized into two equal control and intervention groups. The control group received no treatment while the intervention group received home-based stabilization exercises focusing on pelvic floor muscles (PFM) 3 days a week for 12 weeks, three sets a day; each set included three different types of exercise each week. Outcome measures were UI severity, assessed by ICIQ-UI-SF, low back pain functional disability, assessed by the Oswestry Disability Index (ODI), LBP severity, assessed by visual analog scale (VAS), and PFM strength and endurance, assessed by vaginal examination. Transverse abdominis (TrA) muscle strength was assessed by manometric biofeedback. All outcomes were measured directly before and after treatment.
Results
In the intervention group, PFM strength, TrA muscle strength, functional disability and pain severity were significantly improved (
P
< 0.05). Within-group results showed that all outcomes except pain severity (
P
= 0.06) had directly improved in the intervention group after treatment (
P
< 0.05), while in the control group only PFM strength and endurance and UI severity had improved (
P
< 0.05).
Conclusions
Home-based stabilization exercises focusing on the pelvic floor muscles could be effective for postnatal LBP and SUI.
Trial registration
Iranian Registry of Clinical Trials (Code: IRCT2017050618760N4).</abstract><cop>Cham</cop><pub>Springer International Publishing</pub><pmid>32274521</pmid><doi>10.1007/s00192-020-04284-7</doi><tpages>7</tpages></addata></record> |
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| subjects | Gynecology Medicine Medicine & Public Health Original Article Urology |
| title | The Effects of home-based stabilization exercises focusing on the pelvic floor on postnatal stress urinary incontinence and low back pain: a randomized controlled trial |
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