Can pelvic floor muscle training reverse pelvic organ prolapse and reduce prolapse symptoms? An assessor-blinded, randomized, controlled trial

American Journal of Obstetrics and Gynecology

Volumn 203, Issue 2, 2010, Pages

  Brækken, Ingeborg Hoff ^a   Majida, Memona ^c   Engh, Marie Ellström ^b,c   Bø, Kari ^a  

^a NORWEGIAN SCHOOL OF SPORT SCIENCES   (Norway)

^b UNIVERSITY OF OSLO   (Norway)

^c AKERSHUS UNIVERSITY HOSPITAL   (Norway)

Author keywords

conservative treatment; pelvic floor muscle training; pelvic organ prolapse; prolapse symptoms; stage of prolapse

Indexed keywords

ADULT; ARTICLE; BLADDER CAPACITY; BLADDER NECK; CLINICAL TRIAL; COMPARATIVE STUDY; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; EFFECT SIZE; EXERCISE; FECES INCONTINENCE; FEMALE; FLATULENCE; FUNCTIONAL ANATOMY; HOME CARE; HUMAN; LIFESTYLE; MAJOR CLINICAL STUDY; OUTCOME ASSESSMENT; PELVIC FLOOR MUSCLE TRAINING; PELVIC ORGAN PROLAPSE; PHYSIOTHERAPY; PRIORITY JOURNAL; RANDOMIZED CONTROLLED TRIAL; RECTUM; SINGLE BLIND PROCEDURE; SYMPTOM; UNIVERSITY HOSPITAL; URINE INCONTINENCE;

ADULT; CONFIDENCE INTERVALS; CROSS-OVER STUDIES; DOUBLE-BLIND METHOD; EXERCISE THERAPY; FEMALE; FOLLOW-UP STUDIES; HOSPITALS, UNIVERSITY; HUMANS; MIDDLE AGED; MUSCLE CONTRACTION; MUSCLE, SKELETAL; NORWAY; ODDS RATIO; PATIENT COMPLIANCE; PELVIC FLOOR; PELVIC ORGAN PROLAPSE; QUALITY OF LIFE; REFERENCE VALUES; RISK ASSESSMENT; SEVERITY OF ILLNESS INDEX; STATISTICS, NONPARAMETRIC; TREATMENT OUTCOME; URINARY INCONTINENCE, STRESS;

EID: 77955665297     PISSN: 00029378     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.ajog.2010.02.037     Document Type: Article

References (37)

1. R. Thakar, and S. Stanton Management of genital prolapse BMJ 324 2002 1258 1262
2. S. Hunskaar, K. Burigo, A. Clark, et al. Epidemiology of POP P. Abrams, L. Cardozo, S. Khoury, A. Wein, eds. Incontinence 2005 Health Publication Ltd Plymouth, UK 290 298
3. C. Maher, K. Baessler, C.M. Glazener, E.J. Adams, and S. Hagen Surgical management of pelvic organ prolapse in women Cochrane Database Syst Rev 2007 CD004014
4. I. Nygaard, M.D. Barber, et al. Prevalence of symptomatic pelvic floor disorders in US women JAMA 300 2008 1311 1316
5. L. Mouritsen Classification and evaluation of prolapse Best Pract Res Clin Obstet Gynaecol 19 2005 895 911
6. L. Brubaker, R.C. Bump, M.M. Fynes, et al. Surgery for pelvic organ prolapse P. Abrams, L. Cardozo, S. Khoury, A. Wein, eds. Incontinence 2005 Health Publication Ltd Plymouth, UK 1371 1402
7. J.L. Whiteside, A.M. Weber, L.A. Meyn, and M.D. Walters Risk factors for prolapse recurrence after vaginal repair Am J Obstet Gynecol 191 2004 1533 1538
8. A.L. Olsen, V.J. Smith, J.O. Bergstrom, J.C. Colling, and A.L. Clark Epidemiology of surgically managed pelvic organ prolapse and urinary incontinence Obstet Gynecol 89 1997 501 506
9. J.A. Ashton-Miller, and J.O. DeLancey Functional anatomy of the female pelvic floor K. Bo, B. Berghmans, S. Morkved, M.V. Kampen, eds. Evidence-based physical therapy for the pelvic floor 2007 Elsevier St. Louis 19 33
10. E.C. Samuelsson, F.T. Victor, G. Tibblin, and K.F. Svardsudd Signs of genital prolapse in a Swedish population of women 20 to 59 years of age and possible related factors Am J Obstet Gynecol 180 1999 299 305
11. J.O. DeLancey, D.M. Morgan, D.E. Fenner, et al. Comparison of levator ani muscle defects and function in women with and without pelvic organ prolapse Obstet Gynecol 109 2007 295 302
12. J.O. DeLancey The hidden epidemic of pelvic floor dysfunction: achievable goals for improved prevention and treatment Am J Obstet Gynecol 192 2005 1488 1495
13. L. Chen, J.A. Ashton-Miller, Y. Hsu, and J.O. DeLancey Interaction among apical support, levator ani impairment, and anterior vaginal wall prolapse Obstet Gynecol 108 2006 324 332
14. K. Bo Pelvic floor muscle training is effective in treatment of female stress urinary incontinence, but how does it work? Int Urogynecol J Pelvic Floor Dysfunct 15 2004 76 84
15. S. Hagen, D. Stark, and D. Cattermole A United Kingdom-wide survey of physiotherapy practice in the treatement of pelvic organ prolpase Phys Ther 90 2004 19 26
16. M. Piya-Anant, S. Therasakvichya, C. Leelaphatanadit, and K. Techatrisak Integrated health research program for the Thai elderly: prevalence of genital prolapse and effectiveness of pelvic floor exercise to prevent worsening of genital prolapse in elderly women J Med Assoc Thai 86 2003 509 515
17. S. Hagen, D. Stark, C. Maher, and E. Adams Conservative management of pelvic organ prolapse in women Cochrane Database Syst Rev 2006 CD003882
18. S. Hagen, D. Stark, C. Glazener, L. Sinclair, and I. Ramsay A randomized controlled trial of pelvic floor muscle training for stages I and II pelvic organ prolapse Int Urogynecol J Pelvic Floor Dysfunct 20 2009 45 51
19. S. Ghroubi, O. Kharrat, M. Chaari, B. Ben Ayed, M. Guermanzi, and M.H. Elleuch Effect of conservative treatment in the management of low-degree urogenital prolapse Ann Readapt Med Phys 51 2008 96 102
20. R.C. Bump, A. Mattiasson, K. Bo, et al. The standardization of terminology of female pelvic organ prolapse and pelvic floor dysfunction Am J Obstet Gynecol 175 1996 10 17
21. K. Bo, T. Talseth, and I. Holme Single blind, randomised controlled trial of pelvic floor exercises, electrical stimulation, vaginal cones, and no treatment in management of genuine stress incontinence in women BMJ 318 1999 487 493
22. D.G. Altman Practical statistics for medical research 1999 Chapman and Hall/CRC London
23. J.M. Miller, D. Perucchini, L.T. Carchidi, J.O. DeLancey, and J. Ashton-Miller Pelvic floor muscle contraction during a cough and decreased vesical neck mobility Obstet Gynecol 97 2001 255 260
24. S. Morkved, K. Bo, B. Schei, and K.A. Salvesen Pelvic floor muscle training during pregnancy to prevent urinary incontinence: a single-blind randomized controlled trial Obstet Gynecol 101 2003 313 319 (Pubitemid 36170133)
25. A.F. Hall, J.P. Theofrastous, G.W. Cundiff, et al. Interobserver and intraobserver reliability of the proposed International Continence Society, Society of Gynecologic Surgeons, and American Urogynecologic Society pelvic organ prolapse classification system Am J Obstet Gynecol 175 1996 1467 1470
26. G.N. Schaer, O.R. Koechli, B. Schuessler, and U. Haller Perineal ultrasound for evaluating the bladder neck in urinary stress incontinence Obstet Gynecol 85 1995 220 224
27. I.H. Braekken, M. Majida, M.E. Engh, and K. Bo Test-retest reliability of pelvic floor muscle contraction measured by 4D ultrasound Neurourol Urodyn 28 2009 68 73
28. I.H. Braekken, M. Majida, M. Ellstrom-Engh, H.P. Dietz, W. Umek, and K. Bo Test-retest and intra-observer repeatability of two-, three- and four-dimensional perineal ultrasound of pelvic floor muscle anatomy and function Int Urogynecol J Pelvic Floor Dysfunct 19 2008 227 235
29. L. Mouritsen, and J.P. Larsen Symptoms, bother and POPQ in women referred with pelvic organ prolapse Int Urogynecol J Pelvic Floor Dysfunct 14 2003 122 127
30. K. Avery, J. Donovan, T.J. Peters, C. Shaw, M. Gotoh, and P. Abrams ICIQ: a brief and robust measure for evaluating the symptoms and impact of urinary incontinence Neurourol Urodyn 23 2004 322 330
31. K. Bo, B. Kvarstein, R. Hagen, and S. Larsen Pelvic floor muscle exercise for the treatment of female stress urinary incontinence: I, reliability of vaginal pressure measurements of pelvic floor muscle strength Neurourol Urodyn 9 1990 471 477
32. K. Bo, B. Kvarstein, R. Hagen, and S. Larsen Pelvic floor muscle exercise for the treatment of female stress urinary incontinence: II, validity of vaginal pressure measurements of pelvic floor muscle strength and the necessity of supplementary methods for control of correct contraction Neurourol Urodyn 9 1990 479 487
33. J.M. Bland, and D.G. Altman Regression towards the mean BMJ 308 1994 1499
34. C. Dumoulin, M.C. Lemieux, D. Bourbonnais, D. Gravel, G. Bravo, and M. Morin Physiotherapy for persistent postnatal stress urinary incontinence: a randomized controlled trial Obstet Gynecol 104 2004 504 510
35. P. Abrams, L. Cardozo, M. Fall, et al. The standardisation of terminology in lower urinary tract function: report from the standardisation sub-committee of the International Continence Society Urology 61 2003 37 49
36. M. Heit, K. Mudd, and P. Culligan Prevention of childbirth injuries to the pelvic floor Curr Womens Health Rep 1 2001 72 80
37. J.O. DeLancey, L.K. Low, J.M. Miller, D.A. Patel, and J.A. Tumbarello Graphic integration of causal factors of pelvic floor disorders: an integrated life span model Am J Obstet Gynecol 199 2008 610 615