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Am J Obstet Gynecol. 2010 Aug;203(2):170.e1-7. doi: 10.1016/j.ajog.2010.02.037. Epub 2010 May 1.

Can pelvic floor muscle training reverse pelvic organ prolapse and reduce prolapse symptoms? An assessor-blinded, randomized, controlled trial.

Author information

1
Department of Sports Medicine, Norwegian School of Sport Sciences, Oslo, Norway. ingeborg.brekken@nih.no

Abstract

OBJECTIVE:

The aim of this study was to investigate the effectiveness of pelvic floor muscle training in reversing pelvic organ prolapse and alleviating symptoms.

STUDY DESIGN:

This assessor-blinded, parallel group, randomized, controlled trial conducted at a university hospital and a physical therapy clinic randomly assigned 109 women with prolapse stages I, II, and III to pelvic floor muscle training (n = 59) or control (n = 50). Both groups received lifestyle advices and learned "the Knack." In addition, pelvic floor muscle training comprised individual physical therapy sessions and home exercise. Student t test, Mann-Whitney U test, odds ratio, and effect size were used to compare groups.

RESULTS:

Eleven (19%) women in the pelvic floor muscle training group improved 1 Pelvic Organ Prolapse Quantification System stage vs 4 (8%) controls (P = .035). Compared with controls, the pelvic floor muscle training group elevated the bladder (difference: 3.0 mm; 95% confidence interval, 1.5-4.4; P < .001) and rectum (5.5 mm; 95% confidence interval, 1.4-7.3; P = .022) and reduced frequency and bother of symptoms compared with controls.

CONCLUSION:

Pelvic floor muscle training is without adverse effects and can be used as treatment for prolapse.

PMID:
20435294
DOI:
10.1016/j.ajog.2010.02.037
[Indexed for MEDLINE]

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