Hospital Universitário de Brasília, Unidade de Reabilitação, Serviço de Fisioterapia Uroginecológica SGAN 605, Av. L2 Norte, Zip-code: 70.840-901, Brasília, DF, Brazil.
Universidade de Brasília, Departamento de Fisioterapia, Centro Metropolitano, Conjunto A, lote 01, Campus Ceilândia, Zip-code: 72220-90, Brasília, DF, Brazil.
J Bodyw Mov Ther. 2020 Oct;24(4):568-574. doi: 10.1016/j.jbmt.2020.08.005. Epub 2020 Sep 10.
Although pelvic floor muscle training is widely recommendedin the literature as the gold standard for the treatment of pelvic floor dysfunctions, such as urinary incontinence, interest in other exercise regimens is increasing. However, it is unknown whether other exercise regimens increase pelvic floor muscle strength.
This was a systematic review of randomized clinical trials found in PEDro, tridatabase, Cochrane and PubMed on the efficacy of nonspecific exercises, such as Pilates, the Paula method, and hypopressive exercises, in strengthening pelvic floor muscles in adults without underlying neurological disorders and with or without pelvic floor dysfunction.
Seven studies were analyzed, and the results demonstrated that Pilates, the Paula method, and hypopressive exercises are ineffective in increasing pelvic muscle strength unless they are performed in conjunction with pelvic floor muscle training. The protocol was registered in the PROSPERO database (www.crd.york.ac.uk/prospero/) under the number CRD42019123396.
Considering the available studies, we have concluded that Pilates, the Paula method and hypopressive exercises performed alone do not increase pelvic floor muscle strength. Pelvic floor muscle training continues to be the gold standard for increasing pelvic muscle strength.
尽管盆底肌训练在文献中被广泛推荐为治疗盆底功能障碍（如尿失禁）的金标准，但其他运动方案的兴趣正在增加。然而，目前尚不清楚其他运动方案是否能增强盆底肌肉力量。
这是一项系统评价，检索了 PEDro、tridatabase、Cochrane 和 PubMed 中的随机临床试验，评估了非特定运动（如普拉提、宝拉方法和减压运动）在强化无潜在神经障碍且无论有无盆底功能障碍的成年人盆底肌肉方面的疗效。
分析了 7 项研究，结果表明，普拉提、宝拉方法和减压运动如果不与盆底肌训练结合，对增强盆底肌肉力量无效。该方案已在 PROSPERO 数据库（www.crd.york.ac.uk/prospero/）中注册，注册号为 CRD42019123396。
考虑到现有研究，我们得出结论，单独进行的普拉提、宝拉方法和减压运动不能增强盆底肌肉力量。盆底肌训练仍然是增强盆底肌肉力量的金标准。
