Global Postural Re-education: an alternative approach for stress urinary incontinence?

European Journal of Obstetrics, Gynecology, and Reproductive Biology
Celina FozzattiPaulo Palma

Abstract

The aim of this study was to evaluate the impact of Global Postural Re-education (GPR) on stress urinary incontinence symptoms and to compare it to Pelvic Floor Muscle Training (PFMT). Fifty-two women with stress urinary incontinence were distributed into two groups: Group 1 (G1) was submitted to weekly sessions of GPR for three months and Group 2 (G2) performed Pelvic Floor Muscle Training four times a week for three months. Patients were evaluated through the King's Health Questionnaire, a three-day voiding diary including daily pad use and a Functional Evaluation of the Pelvic Floor (FEPF), before treatment (T0), at the end of treatment (T1) and six months after treatment (T2). The number of leaking episodes dropped significantly in both groups at the end of treatment and at six months follow-up, with a significantly greater decrease in G1. Daily pad use dropped significantly in both groups. At the end of treatment, 72% of the patients in G1 and 41% of the patients in G2 needed no pads and at six-month follow-up, 84% and 50%, respectively. FEPF improved significantly in both groups, with no significant difference between the groups (P=0.628). The King's Health Questionnaire demonstrated significant improvement in both groups...Continue Reading

References

Feb 1, 2003·Urology·Paul AbramsUNKNOWN Standardisation Sub-Committee of the International Continence Society
Nov 25, 2003·American Journal of Obstetrics and Gynecology·Guri RortveitSteinar Hunskaar
Jul 6, 2004·Clinical Biomechanics·Annelies Pool-GoudzwaardRob Stoeckart
Apr 12, 2005·The Journal of Urology·Gamal M GhoniemUNKNOWN Duloxetine/Pelvic Floor Muscle Training Clinical Trial Group
Mar 7, 2006·The Australian Journal of Physiotherapy·Michelle D SmithPaul W Hodges
Oct 20, 2006·Advances in Therapy·Richard Levy, Nancy Muller
Dec 2, 2006·International Urogynecology Journal and Pelvic Floor Dysfunction·Michelle D SmithPaul W Hodges
Feb 17, 2007·Neurourology and Urodynamics·P W HodgesL H M Pengel
Jul 12, 2007·Neurourology and Urodynamics·Michelle D SmithPaul W Hodges

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Citations

May 24, 2012·International Urogynecology Journal·Celina FozzattiPaulo P Palma
Jul 12, 2016·Applied Nursing Research : ANR·Adilson MendesLuiza A K Hoga
Dec 6, 2014·International Urogynecology Journal·Ali BorazjaniL Lewis Wall
Jan 21, 2021·International Journal of Environmental Research and Public Health·David MerineroJoaquín López-Pascual
May 1, 2021·International Journal of Environmental Research and Public Health·Laura Fuentes-AparicioMaría Torres-Lacomba
May 7, 2021·The Foot·Humberto Akira Takahashi, Antonio A F Quevedo

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