Effects of pelvic floor muscle training versus hypopressive abdominal gymnastics (HAG) on stress urinary incontinence in climacteric women: randomized clinical trial
DOI:
https://doi.org/10.1590/1809-2950/e23000824ptKeywords:
Women’s Health, Sexuality, Pelvic Floor, Urinary IncontinenceAbstract
Pelvic floor muscle training (PFMT) is
recommended as first-line treatment for stress urinary
incontinence (SUI) in women (scientific evidence level 1).
Currently, hypopressive abdominal gymnastics (HAG)
has been used in clinical practice without evidence for
this purpose. To verify the superiority of an experimental
treatment in relation to a positive control (gold standard) for
the treatment of SUI and PFM function in climacteric women.
A non-inferiority clinical trial was conducted with 31 climacteric women with SUI who were sexually active. They were allocated
into two groups: 16 in the PFMT group and 15 in the HAG group.
Both groups received 26 sessions twice per week and individual
care. All participants were assessed twice, at the beginning and at
the end of interventions. The primary outcome was assessed using
the International Consultation on Incontinence Questionnaire – Short
Form (ICIQ-SF) and the secondary were given by PFM function
assessed via bidigital palpation. The methods used to analyze the
results were the two-way repeated measures analysis of variance
(ANOVA), followed by the Tukey post-hoc test, when necessary.
PFMT was better in improving SUI in the primary outcome (p=0.01).
The groups showed no significant difference in force of contraction,
time of sustained PFM, and fast and slow repetitions at the time of
analysis. Regarding the symptoms of SUI, PFMT performed better
than HAG.
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