EFFICACY OF EXERCISE-BASED TECHNIQUES TO TREAT STRESS URINARY INCONTINENCE IN FEMALES EXCEPT FOR KEGELS TECHNIQUE: A NARRATIVE REVIEW OF THE LATEST EVIDENCE
Keywords:
Urinary incontinence, stress, exercise movement techniques, female, urinary incontinence epidemiology, pelvic floor.Abstract
Background of the study: Urinary incontinence is a physically challenging and socially incapacitating situation with a loss of self-confidence. This study aims to narrate the latest literature on the efficacy of novel exercise-based techniques to treat stress urinary incontinence except the traditional exercise using Kegel’s method.
Methodology: The electronic searching was done using Google Scholar, Cochrane Library, PubMed, Science Direct, and BMC journals for the latest available at least three articles, including novel exercise regimes to treat stress urinary incontinence. The included techniques are Pilates, Paula Method, and the abdominal Hypopressive exercise technique. All the articles were analyzed, and their results are compiled in tabulated form in this narrative review.
Results: All the approaches like Pilates, Paula, and Hypopressive abdominal exercises are effective for the treatment of stress urinary incontinence. None of the regimes was found to be completely ineffective; however, the range of usefulness may vary.
Conclusion: This study asserts the ideology of inclusion of new therapies into clinical practice keeping in mind their latest literature-based evidence.
References
Abufaraj M, Xu T, Cao C, Siyam A, Isleem U, Massad A, Soria F, Shariat SF, Sutcliffe S, Yang L. Prevalence and trends in urinary incontinence among women in the United States, 2005–2018. American journal of obstetrics and gynecology 2021;225(2):166-e1.
Przydacz M, Chlosta M, Chlosta P. Population-Level Prevalence, Bother, and Treatment Behavior for Urinary Incontinence in an Eastern European Country: Findings from the LUTS POLAND Study. J. Clin. Med 2021;10(11):2314.
Zhang RQ, Xia MC, Cui F, Chen JW, Bian XD, Xie HJ, Shuang WB. Epidemiological survey of adult female stress urinary incontinence. BMC Womens Health 2021;21:1-0.
Hammad FT. Prevalence, social impact and help-seeking behavior among women with urinary incontinence in the Gulf countries: A systematic review. Eur J Obstet Gynecol Reprod Biol 2021; 266:150-6.
AlQuaiz AM, Kazi A, AlYousefi N, Alwatban L, AlHabib Y, Turkistani I. Urinary Incontinence Affects the Quality of Life and Increases Psychological Distress and Low Self-Esteem. Healthc 2023 Jun 15 (Vol. 11, No. 12, p. 1772). MDPI.
Hassan S, Malik KK, Khursheed MA, Seikh AH, Ali A, Siddiqui AA. Frequency of Different Types of Urinary Incontinence and Their impact on Quality of Life of Pakistani Women: Different Types of Urinary Incontinence and Their impact on Quality of Life. Pak BioMed J 2022:291-5.
Pizzol D, Demurtas J, Celotto S, Maggi S, Smith L, Angiolelli G, et al. Urinary incontinence and quality of life: a systematic review and meta-analysis. Aging Clin Exp Res. 2021;33(1):25-35.
Frawley H, Shelly B, Morin M, Bernard S, Bø K, Digesu GA, et al. An International Continence Society (ICS) report on the terminology for pelvic floor muscle assessment. Neurourol Urodyn. 2021;40(5):1217-60.
Falah-Hassani K, Reeves J, Shiri R, Hickling D, McLean L. The pathophysiology of stress urinary incontinence: a systematic review and meta-analysis. Int Urogynecol J 2021; 32:501-52.
Bø K, Herbert RD. There is not yet strong evidence that exercise regimens other than pelvic floor muscle training can reduce stress urinary incontinence in women: a systematic review. J Physiother. 2013;59(3):159-68.
Wu JM. Stress incontinence in women. N Engl J Med. 2021 Jun 24;384(25):2428-36.
Dumoulin C, Hay-Smith J. Pelvic floor muscle training versus no treatment for urinary incontinence in women. A Cochrane systematic review. Eur J Phys Rehabil Med. 2008;44(1):47-63.
Bø K. Pelvic floor muscle training in the treatment of female stress urinary incontinence, pelvic organ prolapse and sexual dysfunction. World J Urol. 2012;30(4):437-43.
Garcia-Falgueras A. An introduction to proprioception concept in pilates and yoga. Br J Med Med Res 2016;15(3).
Muscolino JE, Cipriani S. Pilates, and the "powerhouse"—II. J Bodyw Mov Ther 2004;8(2):122-30.
Nightingale G, Chandrakumaran K, Phillips C. The effect of modified Pilates-based positions on pelvic floor electromyographic (EMG) activity; a pilot study. Int Urogynecol J 2021;32(2):287-92.
Santos PC, Lopes S, Teixiera RJ, Macedo C, Azevedo R, Mesquita C. Impact of clinical pilates on satisfaction with life of women with urinary incontinence. Advances in Mental Health Studies 2018:1-23
Kang G, Lee H, Shin M, Kim J, Lee S, Park Y. The efficacy of Pilates on urinary incontinence in Korean women: a metabolomics approach. Metabolites 2021;11(2):118.
Lee H, Kang G, Moon H, Lee J, Kang M, Kim M-K. The interventional benefit of Pilates using Oov and mat on middle-aged women with lower urinary tract symptoms: emphasis on abdominal muscle thickness and muscular function. J Exerc Rehabil 2021;17(3):192.
Lausen A, Marsland L, Head S, Jackson J, Lausen B. Modified Pilates as an adjunct to standard physiotherapy care for urinary incontinence: a mixed methods pilot for a randomized controlled trial. BMC Womens Health 2018;18(1):1-12.
Ghroubi S, Jelassi O, Abidi S, Trabelsi E, Ayed HB, Chlif M, et al. Association between isokinetic abdominal muscle strength, pelvic floor muscle strength and stress urinary incontinence severity. Prog Urol 2022;32(11):727-34.
Sapsford RR, Hodges PW. Contraction of the pelvic floor muscles during abdominal manoeuvres. Arch Rehabil Res Clin Transl 2001;82(8):1081-8.
Navarro-Brazález B, Prieto-Gómez V, Prieto-Merino D, Sánchez-Sánchez B, McLean L, Torres-Lacomba M. Effectiveness of hypopressive exercises in women with pelvic floor dysfunction: a randomised controlled trial. J clin med 2020;9(4):1149.
Jose‐Vaz LA, Andrade CL, Cardoso LC, Bernardes BT, Pereira‐Baldon VS, Resende APM. Can abdominal hypropressive technique improve stress urinary incontinence? an assessor‐blinded randomized controlled trial. Neurourol Urodyn 2020;39(8):2314-21.
Kamel DM, Thabet AA, Tantawy SA, Radwan MM. Effect of abdominal versus pelvic floor muscle exercises in obese Egyptian women with mild stress urinary incontinence: A randomised controlled trial. Hong Kong Physiother J 2013;31(1):12-8.
Liebergall-Wischnitzer M, Hochner-Celnikier D, Lavy Y, Manor O, Arbel R, Paltiel O. Paula method of circular muscle exercises for urinary stress incontinence—a clinical trial. Int Urogynecol J 2005;16(5):345-51.
Liebergall-Wischnitzer M, Paltiel O, Celnikier DH, Lavy Y, Manor O, Wruble ACW. Sexual function and quality of life of women with stress urinary incontinence: a randomized controlled trial comparing the Paula method (circular muscle exercises) to pelvic floor muscle training (PFMT) exercises. J Sex Med 2012;9(6):1613-23.
Liebergall-Wischnitzer M, Paltiel O, Lavy Y, Shveiky D, Manor O, Hochner-Celnikier D. Long-term efficacy of Paula method as compared with pelvic floor muscle training for stress urinary incontinence in women: a 6-month follow-up. J ET Nurs 2013;40(1):90-6.
Liebergall-Wischnitzer M, Shvieky D, Lavy Y, Noble A, Vaknin A. Paula Method (Circular Muscle Exercise) for Urinary Incontinence Symptoms of Women with Multiple Sclerosis: A Pilot Study. Int J Complement Altern Med (New York, NY). 2020;26(7):652-3.
Hay‐Smith J, Dumoulin C. Pelvic floor muscle training versus no treatment, or inactive control treatments, for urinary incontinence in women. Cochrane Database of Systematic Reviews 2006(1).
Crosbie J. Does a stubborn commitment to ‘evidence’stifle innovative thinking? J Physiother 2013;59(2):69-71.
Bø K, Herbert RD. When and how should new therapies become routine clinical practice? Physiotherapy 2009;95(1):51-7.
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