Deep abdominal and trunk exercises associated with pelvic floor muscles training in adult women with urinary incontinence: A scoping review protocol
DOI:
https://doi.org/10.33448/rsd-v13i5.45839Keywords:
Core stability; Load bearing; Pelvic floor; Rehabilitation; Urinary incontinence.Abstract
Objective: This article aims to document the planning and methodological conduct of a scoping review, which aims to map the available evidence on using deep abdominal and trunk exercises - known as stabilization exercises - associated with Core Muscle Training. Pelvic Floor (PFMT) in the treatment of urinary incontinence (UI) in adult women. Methodology: the development of the protocol was carried out based on the guidelines of the Joanna Briggs Institute (JBI) and Preferred Reporting Items for Systematic Review- Extension for Scoping Review (PRISMA -ScR). A search strategy will be used in seven databases and two gray literature repositories, without language or year restrictions. All study designs and sources of evidence involving women in any context and with any subtype of UI will be eligible for inclusion. Studies that associate exercise with medication or surgery will be excluded. The included articles will be imported into the Rayyan® reference management software to be independently selected by reviewers, following the three steps proposed by the JBI guidelines. The extracted data will be presented in tables and a narrative summary, with the process presented in a flowchart. Final considerations: the results are expected to reveal how research on the treatment of UI in adult women using trunk stabilization exercises associated with PFMT has been conducted, as well as knowledge gaps, protocol characteristics, and outcomes. The protocol was registered with the Open Science Framework to provide greater transparency to the process.
References
Abrams, P., Andersson, K. E., Apostolidis, A., Birder, L., Bliss, D., Brubaker, L., Cardozo, L., Castro-Diaz, D., O'Connell, P. R., Cottenden, A., Cotterill, N., de Ridder, D., Dmochowski, R., Dumoulin, C., Fader, M., Fry, C., Goldman, H., Hanno, P., Homma, Y., Khullar, V., & members of the committees (2018). 6th International Consultation on Incontinence. Recommendations of the International Scientific Committee: evaluation and treatment of urinary incontinence, pelvic organ prolapse and faecal incontinence. Neurourology and urodynamics, 37(7), 2271–2272. https://doi.org/10.1002/nau.23551
Agur, W. I., Steggles, P., Waterfield, M., & Freeman, R. M. (2008). The long-term effectiveness of antenatal pelvic floor muscle training: eight-year follow up of a randomised controlled trial. BJOG: An International Journal of Obstetrics and Gynaecology, 115(8), 985–990. https://doi.org/10.1111/j.1471-0528.2008.01742.x
Aromataris E, & Munn Z. (Eds.). (2020). JBI Manual for Evidence Synthesis. JBI.
Baykuş, N., & Yenal, K. (2020). Prevalence of urinary incontinence in women aged 18 and over and affecting factors. Journal of Women & Aging, 32(5), 578–590. https://doi.org/10.1080/08952841.2019.1682923
Bø K. (2012). Pelvic floor muscle training in treatment of female stress urinary incontinence, pelvic organ prolapse and sexual dysfunction. World Journal Of Urology, 30(4), 437–443. https://doi.org/10.1007/s00345-011-0779-8
Bø K. (2020). Physiotherapy management of urinary incontinence in females. Journal of Physiotherapy, 66(3), 147–154. https://doi.org/10.1016/j.jphys.2020.06.011
Bø, K., & Hilde, G. (2013). Does it work in the long term? A systematic review on pelvic floor muscle training for female stress urinary incontinence. Neurourology And Urodynamics, 32(3), 215–223. https://doi.org/10.1002/nau.22292
Bø, K., Kvarstein, B., & Nygaard, I. (2005). Lower urinary tract symptoms and pelvic floor muscle exercise adherence after 15 years. Obstetrics and Gynecology, 105(5 Pt 1), 999–1005. https://doi.org/10.1097/01.AOG.0000157207.95680.6d
Culligan, P. J., Scherer, J., Dyer, K., Priestley, J. L., Guingon-White, G., Delvecchio, D., & Vangeli, M. (2010). A randomized clinical trial comparing pelvic floor muscle training to a Pilates exercise program for improving pelvic muscle strength. International Urogynecology Journal, 21(4), 401–408. https://doi.org/10.1007/s00192-009-1046-z
Dumoulin, C., Glazener, C., & Jenkinson, D. (2011). Determining the optimal pelvic floor muscle training regimen for women with stress urinary incontinence. Neurourology and Urodynamics, 30(5), 746–753. https://doi.org/10.1002/nau.21104
Fitz, F. F., Costa, T. F., Yamamoto, D. M., Resende, A. P., Stüpp, L., Sartori, M. G., Girão, M. J., & Castro, R. A. (2012). Impact of pelvic floor muscle training on the quality of life in women with urinary incontinence. Revista da Associacao Medica Brasileira, 58(2), 155–159.
Glazener, C. M., Herbison, G. P., MacArthur, C., Grant, A., & Wilson, P. D. (2005). Randomised controlled trial of conservative management of postnatal urinary and faecal incontinence: six year follow up. BMJ (Clinical research ed.), 330(7487), 337. https://doi.org/10.1136/bmj.38320.613461.82
Grewar, H., & McLean, L. (2008). The integrated continence system: a manual therapy approach to the treatment of stress urinary incontinence. Manual Therapy, 13(5), 375–386. https://doi.org/10.1016/j.math.2008.01.003
Grimes W.R., & Stratton M. (2023). Pelvic Floor Dysfunction. Treasure Island (FL): StatPearls Publishing.
Higa, R., & Lopes, M. H. B. de M. (2007). The impact of urinary incontinence on female nursing personnel. Revista Brasileira De Enfermagem, 60(2), 213–216. https://doi.org/10.1590/S0034-71672007000200016
Iamundo, L. F., Nava, G. T. de A., Rocha Júnior, P. R., Prudencio, C. B., & Barbosa, A. M. P. (2022). Prevalence and factors associated with pelvic floor dysfunction in university women: a cross-sectional study. Fisioterapia em Movimento, 35, e35133. https://doi.org/10.1590/fm.2022.35133
Hung, H. C., Hsiao, S. M., Chih, S. Y., Lin, H. H., & Tsauo, J. Y. (2010). An alternative intervention for urinary incontinence: retraining diaphragmatic, deep abdominal and pelvic floor muscle coordinated function. Manual therapy, 15(3), 273–279. https://doi.org/10.1016/j.math.2010.01.008
Jones R C. (2007). Pelvic Floor Stability and Trunk Muscle Coactivation. In: Haslam J., Laycock J. (Eds.). Therapeutic Management of Incontinence and Pelvic Pain: Pelvic Organ Disorders. (p. 99-104). Springer London.
Key J. (2013). 'The core': understanding it, and retraining its dysfunction. Journal of Bodywork and Movement Therapies, 17(4), 541–559. https://doi.org/10.1016/j.jbmt.2013.03.012
Lee D., & Lee L.J. (2004). Stress Urinary Incontinence – A Consequence of Failed Load Transfer Through the Pelvis? In: 5th World Interdisciplinary Congress on Low Back and Pelvic Pain. Melbourne, Australia.
Riemsma, R., Hagen, S., Kirschner-Hermanns, R., Norton, C., Wijk, H., Andersson, K. E., Chapple, C., Spinks, J., Wagg, A., Hutt, E., Misso, K., Deshpande, S., Kleijnen, J., & Milsom, I. (2017). Can incontinence be cured? A systematic review of cure rates. BMC Medicine, 15(1), 63. https://doi.org/10.1186/s12916-017-0828-2
Sapsford R. (2004). Rehabilitation of pelvic floor muscles utilizing trunk stabilization. Manual Therapy, 9(1), 3–12. https://doi.org/10.1016/s1356-689x(03)00131-0
Sapsford, R. R., Clarke, B., & Hodges, P. W. (2013). The effect of abdominal and pelvic floor muscle activation patterns on urethral pressure. World journal of Urology, 31(3), 639–644. https://doi.org/10.1007/s00345-012-0995-x
Smith, M. D., Coppieters, M. W., & Hodges, P. W. (2007). Postural response of the pelvic floor and abdominal muscles in women with and without incontinence. Neurourology and urodynamics, 26(3), 377–385. https://doi.org/10.1002/nau.20336
Southwell, D. J., Hills, N.F., McLean, L. et al. (2016). The acute effects of targeted abdominal muscle activation training on spine stability and neuromuscular control. Journal of NeuroEngineering and Rehabilitation, 13 (19). https://doi.org/10.1186/s12984-016-0126-9
Toprak, N., Sen, S., & Varhan, B. (2022). The role of diaphragmatic breathing exercise on urinary incontinence treatment: A pilot study. Journal of bodywork and movement therapies, 29, 146–153. https://doi.org/10.1016/j.jbmt.2021.10.002
Tricco, A. C., Lillie, E., Zarin, W., O'Brien, K. K., Colquhoun, H., Levac, D., Moher, D., Peters, M. D. J., Horsley, T., Weeks, L., Hempel, S., Akl, E. A., Chang, C., McGowan, J., Stewart, L., Hartling, L., Aldcroft, A., Wilson, M. G., Garritty, C., Lewin, S., & Straus, S. E. (2018). PRISMA Extension for Scoping Reviews (PRISMA-ScR): Checklist and Explanation. Annals of Internal Medicine, 169(7), 467–473. https://doi.org/10.7326/M18-0850
Vesentini, G., El Dib, R., Righesso, L. A. R., Piculo, F., Marini, G., Ferraz, G. A. R., Calderon, I. M. P., Barbosa, A. M. P., & Rudge, M. V. C. (2019). Pelvic floor and abdominal muscle cocontraction in women with and without pelvic floor dysfunction: a systematic review and meta-analysis. Clinics (Sao Paulo, Brazil), 74, e1319. https://doi.org/10.6061/clinics/2019/e1319
Welk, B., & Baverstock, R. (2020). Is there a link between back pain and urinary symptoms? Neurourology and urodynamics, 39(2), 523–532. https://doi.org/10.1002/nau.24269
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Luciana Santos Ronqui; Maria Helena Baena de Moraes Lopes
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.
