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 Table of Contents  
LETTER TO THE EDITOR
Year : 2021  |  Volume : 8  |  Issue : 1  |  Page : 66

Supervised pelvic floor muscle exercise for the treatment of female urinary incontinence


Department of Public Health and Infectious Diseases, Sapienza University of Rome, 00185 Rome, Italy

Date of Submission31-Jan-2020
Date of Acceptance27-May-2020
Date of Web Publication10-Feb-2021

Correspondence Address:
Dr. Chidiebere Emmanuel Okechukwu
Department of Public Health and Infectious Diseases, Sapienza University of Rome, Piazzale Aldo Moro 5, 00185 Rome
Italy
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/JNMS.JNMS_9_20

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How to cite this article:
Okechukwu CE. Supervised pelvic floor muscle exercise for the treatment of female urinary incontinence. J Nurs Midwifery Sci 2021;8:66

How to cite this URL:
Okechukwu CE. Supervised pelvic floor muscle exercise for the treatment of female urinary incontinence. J Nurs Midwifery Sci [serial online] 2021 [cited 2021 Apr 17];8:66. Available from: https://www.jnmsjournal.org/text.asp?2021/8/1/66/309050

Pregnancy and childbearing are crucial risk factors for urinary incontinence (UI).[1] Pelvic floor muscle exercise (PFME) is important in the treatment of UI in women because it helps in the restoration of perineal muscles, therefore improving the timing of contractions, the strength, and stiffness of the pelvic floor muscles, and practicing PFME can help women having their first baby to prevent UI in late pregnancy and postpartum.[2] Supervised PFME programs are more effective when compared to nonsupervised programs in the treatment of UI, Because training under the supervision of a medical doctor, physiotherapist, or fitness trainer will develop patients' skills and performance regarding PFME.[3] Supervised PFME should be included as a standard training routine in women's exercise programs.[4]

The aim of performing PFME under supervision for the treatment of UI is to produce a strong, fast, precise contraction, which will compress the urethra against the back of the pubic bone, hence improving bladder control; this occurs nearly 250 ms following a cough.[5] This objective can be achieved by regular voluntary contraction and relaxation of the pelvic floor muscles. Physiotherapists most at times recommend three sets of eight to 12 slow velocity maximal voluntary pelvic muscle contractions sustained for 6–8 s each, and these are usually performed three to four times/week and continued for at least 15–20 weeks to improve strength and timing of the pelvic floor contraction; the training program usually takes a minimum of 4–8 weeks.[5]

In conclusion, a supervised pelvic floor muscle training should be the benchmark of PFME for treating female UI, because a professional (medical doctor, physiotherapist, and/or fitness trainer) instructs and teaches women the best way to contract the pelvic floor just prior to a cough or physical exertion, this will enable a quick reduction in the volume of leakage and as well improve their PFME skills and techniques.

Conflicts of interest

There are no conflicts of interest.

Authors' contribution

Literature search, writing and revising the article.

Financial support and sponsorship

Nil.



 
  References Top

1.
Salmon VE, Hay-Smith EJC, Jarvie R, Dean S, Terry R, Frawley H, et al. Implementing pelvic floor muscle training in women's childbearing years: A critical interpretive synthesis of individual, professional, and service issues. Neurourol Urodyn 2020;39:863-70.  Back to cited text no. 1
    
2.
Hay-Smith J, Mørkved S, Fairbrother KA, Herbison GP. Pelvic floor muscle training for prevention and treatment of urinary and faecal incontinence in antenatal and postnatal women. Cochrane Database Syst Rev 2008;4:CD007471.  Back to cited text no. 2
    
3.
Sacomori C, Berghmans B, de Bie R, Mesters I, Cardoso FL. Predictors for adherence to a home-based pelvic floor muscle exercise program for treating female urinary incontinence in Brazil. Physiother Theory Pract 2020;36:186-95.  Back to cited text no. 3
    
4.
Mørkved S, Bø K. Effect of pelvic floor muscle training during pregnancy and after childbirth on prevention and treatment of urinary incontinence: A systematic review. Br J Sports Med 2014;48:299-310.  Back to cited text no. 4
    
5.
Freeman RM. The role of pelvic floor muscle training in urinary incontinence. BJOG 2004;111 Suppl 1:37-40.  Back to cited text no. 5
    




 

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