Table 9: Studies on PFMT Interventions for Urinary Incontinence*.
| Study, Year | Intervention | Study Design | Methods | Outcome | Results | Limitations |
|---|---|---|---|---|---|---|
| Burns et al., 1993 (47) | PFMT + Biofeedback, PFMT alone | RCT | 135 cognitively intact community-dwelling women aged >55 y with predominant stress UI 8 weeks duration |
Total incontinent episodes per week | Both the PFMT + biofeedback and the PFMT alone treatment groups had significantly fewer weekly incontinent episodes posttreatment than the control group (WMD 10.50; 95% CI, 4.30–16.70) The 2 treatment groups had similar impacts on mild, moderate, and severe urine-loss groups |
No intention-to-treat analysis, randomization and allocation concealment not reported, sample size not justified |
| Miller et al., 1998 (48) | PFMT – basic and digital palpation to teach PFMT Taught “The Knack” method (intentionally contract the PFM before and during a cough) |
RCT | 27 community-dwelling women >60 y with self-reported stress UI 1 week duration |
Urine leakage on the Paper Towel Test | Urine leakage was similar in both groups without The Knack, but when Group 1 used The Knack, subjects leaked 98.1% less than subjects in Group 2 who had not yet learned The Knack (P = .293). | Intention-to-treat analysis not stated, allocation concealment not reported, baseline data not reported, sample size not justified |
PFM indicates pelvic floor muscles; PFMT, pelvic floor muscle training; RCT, randomized controlled trial, WMD, weighted mean difference; UI, urinary incontinence.