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What Pelvic Floor Muscle Training Load is Optimal in Minimizing Urine Loss in Women with Stress Urinary Incontinence? A Systematic Review and Meta-Analysis

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Department of Exercise Physiology, Universidad Católica de Murcia, 30107 Murcia, Spain
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Fundación para la Formación e Investigación Sanitarias de la Región de Murcia, 30003 Murcia, Spain
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Health Sciences PhD program, Universidad Católica de Murcia, 30107 Murcia, Spain
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Department of Analytical Chemistry, Nutrition and Food Science, Faculty of Science, Alicante University, 03690 Alicante, Spain
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Faculty of Sports, UCAM, Universidad Católica de Murcia, 30107 Murcia, Spain
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Department of Health and Human Performance, Faculty of Physical Activity and Sport Science-INEF, Universidad Politécnica de Madrid, 28040 Madrid, Spain
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Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2019, 16(22), 4358; https://doi.org/10.3390/ijerph16224358
Received: 14 October 2019 / Revised: 2 November 2019 / Accepted: 6 November 2019 / Published: 8 November 2019
(This article belongs to the Section Women's Health)
Pelvic floor muscle training is commonly used for urine loss. However, research studies have not determined which training load is the most effective for women with stress urinary incontinence (SUI). Moreover, none of the previous reviews or studies have described the total effectiveness of pelvic floor muscle training (PFMT) with an objective test such as the pad test. The objectives were to analyze the effectiveness of pelvic floor muscle training in women with SUI and to determine which training load produces the greatest adaptations for decreasing urine loss. The search was conducted in three databases (PubMed, Web of Science and Cochrane), for randomized controlled trials (RCTs) that evaluated the effects of PFMT. Studies were included if they met the following criteria: participants were women; were older than 18; had SUI; were treated with PFMT; and the assessments of the effects were measured with a pad test. Finally, 10 articles (293 women) analyzed the pad test in women with SUI who performed PFMT. The meta-analysis showed that PFMT, independent of the protocol used in the study, resulted in decreased urine loss in women suffering from SUI. However, for large effects, the program should last 6–12 weeks, with >3 sessions/week and a length of session <45 min. View Full-Text
Keywords: exercise; incontinence; training; training load; women’s health issues exercise; incontinence; training; training load; women’s health issues
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García-Sánchez, E.; Ávila-Gandía, V.; López-Román, J.; Martínez-Rodríguez, A.; Rubio-Arias, J.Á. What Pelvic Floor Muscle Training Load is Optimal in Minimizing Urine Loss in Women with Stress Urinary Incontinence? A Systematic Review and Meta-Analysis. Int. J. Environ. Res. Public Health 2019, 16, 4358.

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