Index to Chiropractic Literature
Index to Chiropractic Literature
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ID 26835
  Title Comparison of pelvic floor muscle training with connective tissue massage to pelvic floor muscle training alone in women with overactive bladder: A randomized controlled study
Journal J Manipulative Physiol Ther. 2021 May;44(4):295-306
Peer Review Yes
Publication Type Randomized Controlled Trial

Objective: The purpose of this study was to compare the effects of a 6-week program of pelvic floor muscle training (PFMT) plus connective tissue massage (CTM) to PFMT alone in women with overactive bladder (OAB) symptoms on those symptoms, pelvic floor muscle strength, and quality of life.

Methods: Thirty-four participants were randomly divided into PFMT+CTM (n = 17) and PFMT (n = 17) groups. PFMT was applied every day and CTM was applied 3 days a week for 6 weeks. Before treatment, at week 3, and after treatment (week 6), we assessed pelvic floor muscle strength (with a perineometer), bladder symptoms (with a urine diary), OAB symptom severity (with the 8-item Overactive Bladder Questionnaire [OAB-V8]), urgency (with the Patient Perception of Intensity of Urgency Scale [PPIUS]), and quality of life (with King's Health Questionnaire [KHQ]). The Mann-Whitney U test, χ2 test, Friedman test, and Dunn multiple comparison test were used for analysis.

Results: In both groups, pelvic floor muscle strength increased, whereas OAB symptoms and PPIUS and KHQ scores decreased after treatment (P < .05). Although the OAB-V8, PPIUS, and KHQ scores decreased at week 3, frequency, OAB-V8, and PPIUS scores, in addition to some parameters of the KHQ, decreased after treatment in the PFMT+CTM group compared to the PFMT group (P < .05).

Conclusion: Compared to PFMT alone, PFMT+CTM achieved superior outcomes in reducing OAB symptoms in the early and late periods.

Author keywords: Urinary Bladder, Overactive; Pelvic Floor Disorders; Musculoskeletal Manipulations; Massage

Author affiliations: YK: Department of Physiotherapy and Rehabilitation, School of Health Sciences, Beykent University, Istanbul, Turkey; STC: Department of Physiotherapy and Rehabilitation, Health Science Faculty, Ankara Yildirim Beyazit University, Ankara, Turkey; FK: Department of Urology, Faculty of Medicine, Sanko University, Gaziantep, Turkey
Corresponding author: SYC—

This abstract is reproduced with the permission of the publisher; full text is available by subscription. Click on the above link and select a publisher from PubMed's LinkOut feature.


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