EVIDENCE-BASED PHYSIATRY:COCHRANE CORNER Can Pelvic Floor Muscle Training Versus No Treatment or Inactive Control Treatments Reduce or Cure Urinary Incontinence in Women? A Cochrane Review Summary With Commentary Paolo Di Benedetto, MD he aim of this commentary is to summarize and discuss of PFM improve in response to an exercise program, that T from a rehabilitation point of view the published Cochrane contemplates low numbers of repetitions with high loads Review “Pelvic floor muscle training versus no treatment, to improve muscle strength and high numbers of repetitions or inactive control treatments, for urinary incontinence in or prolonged contractions with low to moderate loads to women” by Dumoulin et al. (https://www.cochranelibrary. improve muscle endurance. In addition, we have to men- com/cdsr/doi/10.1002/14651858.CD005654.pub4/full? tion coordination training consisting of PFM contraction cookiesEnabled), in collaboration with Cochrane Incontinence. in response to a specific situation (eg, before cough, “the This Cochrane Corner is produced in agreement with the knack theory”). American Journal of Physical Medicine & Rehabilitation by The biological rationale for PFMT for SUI and MUI is Cochrane Rehabilitation. twofold: with the PFM contraction (a) increasing the urethral pressure and (b) providing support for the pelvic floor organs (ie, reducing bladder neck displacement). The
American Journal of Physical Medicine & Rehabilitation – Wolters Kluwer Health
Published: Feb 1, 2020
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