Department of Sports Medicine, Norwegian School of Sport Sciences, Oslo, Norway.
J Physiother. 2013 Sep;59(3):159-68. doi: 10.1016/S1836-9553(13)70180-2.
What evidence is there for alternative exercises to specific pelvic floor muscle training for treatment of stress urinary incontinence in women?
A systematic review was conducted with searches of PubMed and PEDro to January 2013. The quality of randomised trials was evaluated using the PEDro scale. Each type of exercise was classified as being in a Development Phase, Testing Phase, or Refinement and Dissemination Phase.
Women with stress or mixed urinary incontinence with predominantly stress urinary incontinence.
Exercise regimens other than pelvic floor muscle training.
The primary outcome was urinary leakage.
Seven randomised controlled trials were found: three on abdominal training, two on the Paula method, and two on Pilates exercise. The methodological quality score ranged between 4 and 8 with a mean of 5.7. There was no convincing evidence for the effect of these exercise regimens so they remain in the Testing Phase. Because no randomised trials were found for posture correction, breathing exercise, yoga, Tai Chi, and general fitness training, these were classified as being in the Development Phase.
There is not yet strong evidence that alternative exercise regimens can reduce urinary leakage in women with stress urinary incontinence. Alternative exercise regimens should not yet be recommended for use in clinical practice for women with stress urinary incontinence.
有哪些替代特定骨盆底肌肉训练的方法来治疗女性压力性尿失禁的证据？
对 2013 年 1 月前的 PubMed 和 PEDro 进行了系统检索。使用 PEDro 量表评估随机试验的质量。将每种运动类型分为发展阶段、测试阶段或改进和传播阶段。
以压力性尿失禁为主的压力性或混合性尿失禁女性。
除骨盆底肌肉训练以外的运动方案。
尿失禁漏出。
发现 7 项随机对照试验：3 项关于腹部训练，2 项关于 Paula 法，2 项关于 Pilates 运动。方法学质量评分范围为 4 至 8 分，平均为 5.7 分。这些运动方案的效果没有令人信服的证据，因此它们仍处于测试阶段。由于没有发现关于姿势矫正、呼吸练习、瑜伽、太极和一般健身训练的随机试验，因此它们被归类为发展阶段。
目前还没有强有力的证据表明替代运动方案可以减少女性压力性尿失禁患者的尿失禁漏出。对于压力性尿失禁女性，替代运动方案不应推荐在临床实践中使用。
