Format

Send to

Choose Destination
See comment in PubMed Commons below
Obstet Gynecol. 2008 Jun;111(6):1298-304. doi: 10.1097/AOG.0b013e3181742d98.

Pelvic floor fitness using lay instructors.

Author information

1
Department of Obstetrics and Gynecology, Division of Female Pelvic Medicine and Reconstructive Pelvic Surgery, Loyola University, Chicago, Illinois 60153, USA. LBrubaker@lumc.edu

Abstract

OBJECTIVE:

Typically, pelvic muscle training for women with pelvic floor disorders is provided by medical personnel. We sought to evaluate the feasibility and symptom improvement after a nonmedical pelvic muscle training class in a prospective cohort.

METHODS:

Study participants volunteered to participate in an 11-week pelvic fitness and education class taught by a lay instructor at five fitness classrooms in the Chicago area. Participation was limited to adult women who verbally indicated that their pelvic symptoms included a minimum of some urge urinary symptom. Standardized assessments were completed before class, at the end of class, and 1 year after completion of the classes. These assessments included the 12-item short-form, validated pelvic questionnaires (Urogenital Distress Inventory Short Form, Incontinence Impact Questionnaire Short Form, and Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire), and self-reported goals selection and achievement.

RESULTS:

Eighty-seven of 102 participants provided before and after class data, and 76 also provided 1-year data. Participants had a mean age of 58 years and a mean body mass index of 26.3. Most (91%) were white, and 63% had at least completed college. After class improvements in Urogenital Distress Inventory Short Form bothersomeness ratings were noted for all items and maintained at 1 year for all but pain or discomfort. Significant quality-of-life and sexual function improvements were reported after class and at 1 year. The 12-item short-form responses documented improvements in six areas of general health. The most important self-selected goal was achieved in 71% after class and maintained by 67% at 1 year.

CONCLUSION:

Nonmedical pelvic fitness classes are promising for pelvic symptom improvement in self-selected participants.

LEVEL OF EVIDENCE:

II.

PMID:
18515512
DOI:
10.1097/AOG.0b013e3181742d98
[Indexed for MEDLINE]
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Loading ...
    Support Center