Per testare differenze significative fra i gruppi GE e GN per presenza di eventuali disfunzioni perineali, partecipazione al CAN, conoscenza ed esecuzione del PFMT sono stati effettuati i test non parametrici Pearson's Chi Quadro Squared, con intervallo di confidenza del 95% (p-value < di 0,05).
Se si considera l'atteso pari al 35%, i dati dell'indagine assumono significativita statistica, in quanto sono poche le donne che effettuano il PFMT a scopo preventivo.
A 2011 Cochrane review that compared women receiving PFMT with a control group (observed but not treated) found that PFMT moderately improved prolapse symptoms and severity, especially following 6 months of supervised intervention.
Three studies found that PFMT improved symptom severity and manometric measures.
Although the majority of studies showed no difference between treatment methods, B0 et al16 assessed 107 females with SUI over 6 months and reported greater improvements with PFMT when compared to ES and vaginal cones and stated that PFMT exercises are effective and safe and should be offered as the first choice of treatment for SUI.
The purpose of this study is to measure the effects of a traditional PFMT program (PFMT), involving only PFM contractions, and to compare it to an assisted pelvic floor muscle training (APFMT) program, which includes contraction of the hip musculature in conjunction with the PFM contraction.
A meta-analysis of 10 RCTs demonstrated that PFMT produced continence more often than placebo, and a meta-analysis of 6 RCTs found that PFMT improved SUI symptoms.
Both unsupervised and supervised PFMT produced similar results.
strengthens and improves the function of the pelvic floor.
Other barriers to consistently performing PFMT
reported by women include illness of themselves or of someone in the family, vacation time, fatigue, work, personal conflicts, and boredom with the exercise regimen (Borello-France et al.
should be offered as first-line therapy for SUI (grade A).
In addition to PFMT
with biofeedback, clinicians with expertise in behavioral treatments for UI and related lower urinary and pelvic symptoms add other interventions, including bladder training with urgency inhibition or suppression, and diet and fluid management to maximize outcomes (Greer, Smith, & Arya, 2012; Newman & Wein, 2013; Wyman et al, 2009).
In 2010, a Cochrane Systematic Review of PFMT
versus no treatment, or inactive control treatments for UI was performed.