A randomised controlled trial of pelvic floor muscle training for stage I and II pelvic organ prolapse

Suzanne Hagen; Diane Stark; Cathryn Glazener; Lesley Sinclair; Ian Ramsay

doi:10.1007/s00192-008-0726-4

A randomised controlled trial of pelvic floor muscle training for stage I and II pelvic organ prolapse

Suzanne Hagen, Diane Stark, Cathryn Glazener, Lesley Sinclair, Ian Ramsay

Research output: Contribution to journal › Article › peer-review

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Abstract

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.

Original language	English
Pages (from-to)	45-51
Number of pages	7
Journal	International Urogynecology Journal
Volume	20
Issue number	1
DOIs	https://doi.org/10.1007/s00192-008-0726-4
Publication status	Published - Jan 2009

Keywords

pelvic organ prolapse
pelvic floor muscle training
physiotherapy

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10.1007/s00192-008-0726-4

Hagen, S et al (2009) Randomised controlled trial
Originally published in: International Urogynecology Journal (2009), 20, pp.45-51. Available online from publisher's website: http://dx.doi.org/10.1007/s00192-008-0726-4. International Urogynecology Journal published by Springer Verlag (Germany). Copyright © Springer
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title = "A randomised controlled trial of pelvic floor muscle training for stage I and II pelvic organ prolapse",

abstract = "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.",

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AU - Glazener, Cathryn

AU - Sinclair, Lesley

AU - Ramsay, Ian

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N2 - 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.

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A randomised controlled trial of pelvic floor muscle training for stage I and II pelvic organ prolapse

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