The comparative effectiveness of pelvic floor muscle training and hypopressive breathing techniques for pelvic organ prolapse: A systematic review and pooled analysis of randomized controlled trials.
Jessica R Mitchell, Hanna E Brancaccio, Morgan Blusewicz Spt, David F Lo, Brandon Goodwin, Danielle Carey
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引用次数: 0
Abstract
Background: Pelvic floor (PF) disorder affects 25 % of females, often progressing to Pelvic Organ Prolapse (POP). PF muscle training (PFMT) and hypopressive breathing (HB) are conservative techniques used to repair pelvic muscles. This study analyzes the comparative efficacy of PFMT and HB for POP.
Methods: A systematic review was conducted and seven records were included in the pooled analysis, which compared PF outcomes between HB and PFMT.
Results: PFMT (d = 2.14 and d = 1.07) demonstrated a larger effect size compared to HB (d = 1.24 and d = 0.78) for sEMG contractility and the Modified Oxford Scale, respectively. The Pelvic Floor Disability Index (PFDI-20) found a lower effect size of PFMT (d = 0.558) compared to HB (d = 0.961).
Conclusions: PFMT was found to improve PF strength (Oxford) more than HB, while HB had a greater effect on quality of life (PFDI-20). Results were insignificant for contractility.
期刊介绍：
The American Journal of Surgery® is a peer-reviewed journal designed for the general surgeon who performs abdominal, cancer, vascular, head and neck, breast, colorectal, and other forms of surgery. AJS is the official journal of 7 major surgical societies* and publishes their official papers as well as independently submitted clinical studies, editorials, reviews, brief reports, correspondence and book reviews.
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