Pelvic floor muscle training can improve symptoms in women with pelvic organ prolapse and may help to reverse prolapse

Helena Frawley
2010 Journal of Physiotherapy  
Pelvic floor muscle training can improve symptoms in women with pelvic organ prolapse and may help to reverse prolapse Synopsis Summary of: Braekken IH, et al (2010) Can pelvic floor muscle training reverse pelvic organ prolapse and reduce prolapse symptoms? An assessor-blinded, randomized, controlled trial. Am J Obstet Gynecol 203: 170.e1-7. [Prepared by Nicholas Taylor, CAP Co-ordinator.] Question: Does pelvic floor muscle training reverse pelvic organ prolapse and improve symptoms in women
more » ... symptoms in women with pelvic organ prolapse? Design: Randomised, controlled trial with concealed allocation and blinded outcome assessment. Setting: A university hospital and physiotherapy clinic in Norway. Participants: Women with pelvic organ prolapse were included. Key exclusion criteria were pelvic organ prolapse stage IV (complete vaginal eversion), inability to contract the pelvic floor muscles, and previous pelvic organ prolapse surgery. Randomisation of 109 participants allocated 59 to the intervention group and 50 to a control group. Interventions: Both groups received lifestyle advice and were taught how to contract their pelvic floor muscles before and during increases in abdominal pressure ('the Knack'). In addition, the intervention group completed pelvic floor muscle training over 6 months. Women received up to 18 sessions supervised by a physiotherapist, a booklet and DVD showing the program, and were advised to do 3 sets of 8 to 12 close to maximum pelvic floor muscle contractions per day at home. The control group received no other intervention. Outcome measures: The primary
doi:10.1016/s1836-9553(10)70011-4 pmid:21213942 fatcat:lnvcgwet2vd2xork3gmdqpfj6e