Comparative effect of 2 packages of pelvic floor muscle training on the clinical course of stage I-III pelvic organ prolapse

International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics
Rashmi KashyapAmarjeet Singh

Abstract

To compare the effect of 2 packages of pelvic floor muscle training (PFMT) on the clinical course of pelvic organ prolapse (POP) among women attending a gynecology outpatient department in Chandigarh, India. A randomized controlled trial was conducted between August 8, 2010, and October 31, 2011. Overall, 140 women with stage I-III POP were allocated to a 24-week behavioral therapy intervention. Group A (n=70) received 1-to-1 PFMT and a self-instruction manual (SIM), whereas Group B (n=70) received SIM alone. Symptoms were assessed using the POP symptom scale (POP-ss), visual analog scale (VAS), and pelvic floor impact questionnaire-7 (PFIQ-7) scores. Marked improvements in mean POP-ss, VAS, PFIQ-7 scores were observed in both groups from baseline to week 24. However, significant between-group changes in mean POP-ss scores were observed from baseline to 6 weeks (P<0.001), 18 weeks (P=0.001), and 24 weeks (P=0.002). Significant between-group changes in mean VAS scores were observed at 18 and 24 weeks (P=0.009 and P=0.005). Significant between-group changes in mean PFIQ-7 scores were observed at 6 (P=0.001), 18 (P<0.001), and 24 weeks (P<0.001). Provision of both 1-to-1 PFMT and SIM led to greater improvements in POP symptoms tha...Continue Reading

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Citations

Mar 22, 2016·BJOG : an International Journal of Obstetrics and Gynaecology·Cmcr PanmanJanny H Dekker
Oct 20, 2015·International Urogynecology Journal·Suzanne HagenIsla Dougall
Dec 3, 2013·Lancet·Kathryn L Burgio
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Jan 8, 2017·International Urogynecology Journal·Nuriye ÖzenginTürkan Akbayrak
Oct 18, 2018·Physical Therapy·Marian WiegersmaJanny H Dekker
Aug 27, 2019·Lower Urinary Tract Symptoms·Zahra GorjiMaryam Hajhashemy
Jan 9, 2021·International Urogynecology Journal·Ritu Basnet

Related Concepts

Urgent Care
Behavior Therapy
Pelvic Diaphragm
Pelvic Organ Prolapse
Behavior Therapy
Woman
Controlled Clinical Trials, Randomized
Pelvic Diaphragm
Pelvic Viscus
Antithrombin III, Human

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