A randomized controlled trial of pelvic floor muscle training for stages I and II pelvic organ prolapse

被引:82
|
作者
Hagen, Suzanne [1 ]
Stark, Diane [2 ]
Glazener, Cathryn [3 ]
Sinclair, Lesley [1 ]
Ramsay, Ian [4 ]
机构
[1] Glasgow Caledonian Univ, Nursing Midwifery & Allied Hlth Profess Res Unit, Glasgow G4 0BA, Lanark, Scotland
[2] So Gen Hosp, Dept Obstet & Gynaecol, Glasgow G51 4TF, Lanark, Scotland
[3] Univ Aberdeen, Hlth Serv Res Unit, Aberdeen, Scotland
[4] Stirling Royal Infirm, Dept Obstet & Gynaecol, Stirling, Scotland
关键词
Pelvic floor muscle training; Pelvic organ prolapse; Physiotherapy; pilot study; POP-Q; RELIABILITY;
D O I
10.1007/s00192-008-0726-4
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Forty-seven women participated in a pilot study for a multi-centre randomized controlled trial of the effectiveness of pelvic floor muscle training (PFMT) for women with prolapse. Women with symptomatic stage I or II prolapse [ measured by Pelvic Organ Prolapse Quantification (POP-Q)] were randomized to a 16-week physiotherapy intervention (PFMT and lifestyle advice; n=23) or a control group receiving a lifestyle advice sheet (n=24). Symptom severity and quality of life were measured via postal questionnaires. Blinded POP-Q was performed at baseline and follow-up. Intervention women had significantly greater improvement than controls in prolapse symptoms (mean score decrease 3.5 versus 0.1, p=0.021), were significantly more likely to have an improved prolapse stage (45% versus 0%, p=0.038) and were significantly more likely to say their prolapse was better (63% versus 24%, p=0.012). The data support the feasibility of a substantive trial of PFMT for prolapse. A multi-centre trial is underway.
引用
收藏
页码:45 / 51
页数:7
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