Does pelvic floor muscle training augment the effect of surgery in women with pelvic organ prolapse? A systematic review of randomized controlled trials

2015 ◽  
Vol 35 (6) ◽  
pp. 666-674 ◽  
Author(s):  
Feng-Wa Zhang ◽  
Fen Wei ◽  
Hai-Lin Wang ◽  
Yuan-Qing Pan ◽  
Jie-Yu Zhen ◽  
...  
Keyword(s):  
Systematic Review ◽  
Pelvic Organ Prolapse ◽  
Pelvic Floor ◽  
Randomized Controlled Trials ◽  
Pelvic Floor Muscle Training ◽  
Pelvic Floor Muscle ◽  
Pelvic Organ ◽  
Controlled Trials ◽  
Muscle Training ◽  
Randomized Controlled

Pelvic floor muscle training for treatment of pelvic organ prolapse: an assessor-blinded randomized controlled trial

2011 ◽  
Vol 22 (10) ◽  
pp. 1233-1239 ◽  
Author(s):  
Liliana Stüpp ◽  
Ana Paula Magalhães Resende ◽  
Emerson Oliveira ◽  
Rodrigo Aquino Castro ◽  
Manoel João Batista Castello Girão ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Pelvic Organ Prolapse ◽  
Pelvic Floor ◽  
Pelvic Floor Muscle Training ◽  
Pelvic Floor Muscle ◽  
Controlled Trial ◽  
Pelvic Organ ◽  
Muscle Training ◽  
Randomized Controlled

scholarly journals Efficacy of pelvic floor muscle training and hypopressive exercises for treating pelvic organ prolapse in women: randomized controlled trial

2012 ◽  
Vol 130 (1) ◽  
pp. 5-9 ◽  
Author(s):  
Bruno Teixeira Bernardes ◽  
Ana Paula Magalhães Resende ◽  
Liliana Stüpp ◽  
Emerson Oliveira ◽  
Rodrigo Aquino Castro ◽  
...  
Keyword(s):  
Pelvic Organ Prolapse ◽  
Pelvic Floor ◽  
Pelvic Floor Muscle Training ◽  
Pelvic Floor Muscle ◽  
Controlled Trial ◽  
Levator Ani ◽  
Pelvic Organ ◽  
Levator Ani Muscle ◽  
Muscle Training ◽  
Randomized Controlled

CONTEXT AND OBJECTIVE: Previous studies have shown that women with pelvic floor dysfunctions present decreased cross-sectional area (CSA) of the levator ani muscle. One way to assess the effects of training programs is to measure the CSA of the muscle, using ultrasonography. The aim here was to evaluate the efficacy of pelvic floor muscle training and hypopressive exercises for increasing the CSA of the levator ani muscle in women with pelvic organ prolapse. DESIGN AND SETTING: Prospective randomized controlled trial at the Urogynecology outpatient clinic of Universidade Federal de São Paulo. METHODS: Fifty-eight women with stage II pelvic organ prolapse were divided into three groups for physiotherapy: a pelvic floor muscle training group (GI); a hypopressive exercise group (GII); and a control group (GIII). The patients underwent transperineal ultrasonographic evaluation using a transducer of frequency 4-9 MHz. The (CSA) of the levator ani muscle was measured before physiotherapy and after 12 weeks of treatment. RESULTS: The groups were homogeneous regarding age, number of pregnancies, number of vaginal deliveries, body mass index and hormonal status. Statistically significant differences in CSA were found in GI and GII from before to after the treatment (P < 0.001), but not in relation to GIII (P = 0.816). CONCLUSIONS: The CSA of the levator ani muscle increased significantly with physiotherapy among the women with pelvic organ prolapse. Pelvic floor muscle training and hypopressive exercises produced similar improvements in the CSA of the levator ani muscle.

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