The DOI matches its Crossref record; 1 of the 1 references it cites were found in a registry or an index.
Single blind, randomised controlled trial of pelvic floor exercises, electrical stimulation, vaginal cones, and no treatment in management of genuine stress incontinence in women
Open accessAbstract
OBJECTIVE: To compare the effect of pelvic floor exercises, electrical stimulation, vaginal cones, and no treatment for genuine stress incontinence. DESIGN: Stratified, single blind, randomised controlled trial. SETTING: Multicentre. PARTICIPANTS: 107 women with clinically and urodynamically proved genuine stress incontinence. Mean (range) age was 49.5 (24-70) years, and mean (range) duration of symptoms 10.8 (1-45) years. INTERVENTIONS: Pelvic floor exercise (n=25) comprised 8-12 contractions 3 times a day and exercise in groups with skilled physical therapists once a week. The electrical stimulation group (n=25) used vaginal intermittent stimulation with the MS 106 Twin at 50 Hz 30 minutes a day. The vaginal cones group (n=27) used cones for 20 minutes a day. The untreated control group (n=30) was offered the use of a continence guard. Muscle strength was measured by vaginal squeeze pressure once a month. MAIN OUTCOME MEASURES: Pad test with standardised bladder volume, and self report of severity. RESULTS: Improvement in muscle strength was significantly greater (P=0.03) after pelvic floor exercises (11.0 cm H2O (95% confidence interval 7.7 to 14.3) before v 19.2 cm H2O (15.3 to 23.1) after) than either electrical stimulation (14.8 cm H2O (10. 9 to 18.7) v 18.6 cm H2O (13.3 to 23.9)) or vaginal cones (11.8 cm H2O (8.5 to 15.1) v 15.4 cm H2O (11.1 to 19.7)). Reduction in leakage on pad test was greater in the exercise group (-30.2 g; -43. 3 to 16.9) than in the electrical stimulation group (-7.4 g; -20.9 to 6.1) and the vaginal cones group (-14.7 g; -27.6 to -1.8). On completion of the trial one participant in the control group, 14 in the pelvic floor exercise group, three in the electrical stimulation group, and two in the vaginal cones group no longer considered themselves as having a problem. CONCLUSION: Training of the pelvic floor muscles is superior to electrical stimulation and vaginal cones in the treatment of genuine stress incontinence.
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Cites
Pollock, M. L., Gaesser, G. A., Butcher, J. D., Despr??s, J.-P., Dishman, R. K., Franklin, B. A., & Garber, C. E. (1998) · Medicine & Science in Sports & Exercise · doi:10.1097/00005768-199806000-00032 · Cited by 3,051
Cited by
Dumoulin, C., Cacciari, L. P., & Hay-Smith, E. J. C. (2018) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd005654.pub4 · Cited by 486
B�, K. (2004) · International Urogynecology Journal and Pelvic Floor Dysfunction · doi:10.1007/s00192-004-1125-0 · Cited by 480
Self-citationWoodley, S. J., Lawrenson, P., Boyle, R., Cody, J. D., Mørkved, S., Kernohan, A., & Hay-Smith, E. J. C. (2020) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd007471.pub4 · Cited by 347
Rehabilitation of pelvic floor muscles utilizing trunk stabilization
Sapsford, R. (2004) · Manual Therapy · doi:10.1016/s1356-689x(03)00131-0 · Cited by 289
Brækken, I. H., Majida, M., Engh, M. E., & Bø, K. (2010) · American Journal of Obstetrics and Gynecology · doi:10.1016/j.ajog.2010.02.037 · Cited by 241
Metadata
- Authors
- Bo, K., Talseth, T., & Holme, I.
- Venue
- BMJ
- Publisher
- BMJ
- Published
- 1999-02-20
- Volume
- 318
- Issue
- 7182
- Pages
- 487-493
- ISSN
- 0007-1447 (ISSN-L)
- 0959-8138
- 1468-5833
- OpenAlex
- W2012783382
- Cited by
- 680
- References
- 1
- FWCI
- 12.16
- Type
- journal article
- Language
- en
- Open access
- bronze
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- Bo, K., Talseth, T., & Holme, I. (1999). 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. https://doi.org/10.1136/bmj.318.7182.487
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Bibliographic data: Semantic Scholar, OpenAlex, Crossref.
Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.
