Manual Therapy
Volume 15, Issue 3 , Pages 273-279 , June 2010

An alternative intervention for urinary incontinence: Retraining diaphragmatic, deep abdominal and pelvic floor muscle coordinated function

  • Hsiu-Chuan Hung

      Affiliations

    • School and Graduate Institute of Physical Therapy, College of Medicine, National Taiwan University, Floor 3, No. 17, Xuzhou Rd., Zhongzheng District, Taipei City 100, Taiwan, ROC
  • ,
  • Sheng-Mou Hsiao

      Affiliations

    • Department of Obstetrics and Gynecology, Far Eastern Memorial Hospital, Pan-Chiao, Taipei, Taiwan
  • ,
  • Shu-Yun Chih

      Affiliations

    • School and Graduate Institute of Physical Therapy, College of Medicine, National Taiwan University, Floor 3, No. 17, Xuzhou Rd., Zhongzheng District, Taipei City 100, Taiwan, ROC
    • Physical Therapy Center, National Taiwan University Hospital, Taipei, Taiwan
  • ,
  • Ho-Hsiung Lin

      Affiliations

    • Department of Obstetrics and Gynecology, College of Medicine, National Taiwan University and the Hospital, Taipei, Taiwan
  • ,
  • Jau-Yih Tsauo

      Affiliations

    • School and Graduate Institute of Physical Therapy, College of Medicine, National Taiwan University, Floor 3, No. 17, Xuzhou Rd., Zhongzheng District, Taipei City 100, Taiwan, ROC
    • Physical Therapy Center, National Taiwan University Hospital, Taipei, Taiwan
    • Corresponding Author InformationCorresponding author. School and Graduate Institute of Physical Therapy, College of Medicine, National Taiwan University, Floor 3, No. 17, Xuzhou Rd., Zhongzheng District, Taipei City 100, Taiwan, ROC. Tel.: +886 2 33668130; fax: +886 2 33668161.

Received 28 August 2009 ,Revised 13 January 2010 ,Accepted 21 January 2010.

References 

  1. Abrams P, Cardozo L, Fall M, Griffiths D, Rosier P, Ulmsten U, et al. The standardisation of terminology of lower urinary tract function: report from the standardisation sub-committee of the International Continence Society. Neurourology and Urodynamics. 2002;21(2):167–178
  2. Arvonen T, Fianu-Jonasson A, Tyni-Lenne R. Effectiveness of two conservative modes of physical therapy in women with urinary stress incontinence. Neurourology and Urodynamics. 2001;20(5):591–599
  3. Black N, Griffiths J, Pope C. Development of a symptom severity index and a symptom impact index for stress incontinence in women. Neurourology and Urodynamics. 1996;15(6):630–640
  4. Bo K, Hagen RH, Kvarstein B, Jorgensen J, Larsen S. Pelvic floor muscle exercise for the treatment of female stress urinary incontinence: III. Effects of two different degrees of pelvic floor muscle exercises. Neurourology and Urodynamics. 1990;9:489–502
  5. Bo K, Sherburn M, Allen T. Transabdominal ultrasound measurement of pelvic floor muscle activity when activated directly or via a transversus abdominis muscle contraction. Neurourology and Urodynamics. 2003;22(6):582–588
  6. Bo K, Talseth T, Holme I. Single blind, randomised controlled trial of pelvic floor exercises, electrical stimulation, vaginal cones, and no treatment in management of genuine stress incontinence in women. British Medical Journal. 1999;318(7182):487–493
  7. Chen GD, Lin TL, Hu SW, Chen YC, Lin LY. Prevalence and correlation of urinary incontinence and overactive bladder in Taiwanese women. Neurourology and Urodynamics. 2003;22(2):109–117
  8. Chen HY, Chang WC, Lin WC, Yeh LS, Hsu TY, Tsai HD, et al. Efficacy of pelvic floor rehabilitation for treatment of genuine stress incontinence. Journal of the Formosan Medical Association. 1999;98(4):271–276
  9. Dumoulin C, Lemieux MC, Bourbonnais D, Gravel D, Bravo G, Morin M. Physiotherapy for persistent postnatal stress urinary incontinence: a randomized controlled trial. Obstetrics & Gynecology. 2004;104(3):504–510
  10. Frawley HC, Galea MP, Phillips BA, Sherburn M, Bo K. Reliability of pelvic floor muscle strength assessment using different test positions and tools. Neurourology and Urodynamics. 2006;25(3):236–242
  11. Groutz A, Blaivas JG, Chaikin DC, Resnick NM, Engleman K, Anzalone D, et al. Noninvasive outcome measures of urinary incontinence and lower urinary tract symptoms: a multicenter study of micturition diary and pad tests. Journal of Urology. 2000;164(3 Pt 1):698–701
  12. Hay-Smith EJ, Dumoulin C. Pelvic floor muscle training versus no treatment, or inactive control treatments, for urinary incontinence in women. Cochrane Database of Systematic Reviews. 2006;(1):CD005654
  13. Howard D, Miller JM, Delancey JO, Ashton-Miller JA. Differential effects of cough, valsalva, and continence status on vesical neck movement. Obstetrics & Gynecology. 2000;95(4):535–540
  14. Kegel AH. Progressive resistance exercise in the functional restoration of the perineal muscles. American Journal of Obstetrics and Gynecology. 1948;56(2):238–248
  15. Lagro-Janssen AL, Debruyne FM, Smits AJ, van Weel C. The effects of treatment of urinary incontinence in general practice. Family Practice. 1992;9(3):284–289
  16. Madill SJ, McLean L. Relationship between abdominal and pelvic floor muscle activation and intravaginal pressure during pelvic floor muscle contractions in healthy continent women. Neurourology and Urodynamics. 2006;25(7):722–730
  17. Morin M, Bourbonnais D, Gravel D, Dumoulin C, Lemieux MC. Pelvic floor muscle function in continent and stress urinary incontinent women using dynamometric measurements. Neurourology and Urodynamics. 2004;23(7):668–674
  18. Morkved S, Bo K, Schei B, Salvesen KA. Pelvic floor muscle training during pregnancy to prevent urinary incontinence: a single-blind randomized controlled trial. Obstetrics & Gynecology. 2003;101(2):313–319
  19. Morkved S, Salvesen KA, Bo K, Eik-Nes S. Pelvic floor muscle strength and thickness in continent and incontinent nulliparous pregnant women. International Urogynecology Journal and Pelvic Floor Dysfunction. 2004;15(6):384–389
  20. Neumann P, Gill V. Pelvic floor and abdominal muscle interaction: EMG activity and intra-abdominal pressure. International Urogynecology Journal and Pelvic Floor Dysfunction. 2002;13(2):125–132
  21. O'Brien J, Austin M, Sethi P, O'Boyle P. Urinary incontinence: prevalence, need for treatment, and effectiveness of intervention by nurse. British Medical Journal. 1991;303(6813):1308–1312
  22. Rohr G, Christensen K, Ulstrup K, Kragstrup J. Reproducibility and validity of simple questions to identify urinary incontinence in elderly women. Acta Obstetricia et Gynecologica Scandinavica. 2004;83(10):969–972
  23. Sand PK. The evaluation of the incontinence female. Current Problems in Obstetrics, Gynecology & Fertility. 1992;15:107–151
  24. Sapsford R. Rehabilitation of pelvic floor muscles utilizing trunk stabilization. Manual Therapy. 2004;9(1):3–12
  25. Sapsford RR, Hodges PW. Contraction of the pelvic floor muscles during abdominal maneuvers. Archives of Physical Medicine and Rehabilitation. 2001;82(8):1081–1088
  26. Sapsford RR, Hodges PW, Richardson CA, Cooper DH, Markwell SJ, Jull GA. Co-activation of the abdominal and pelvic floor muscles during voluntary exercises. Neurourology and Urodynamics. 2001;20(1):31–42
  27. Thompson JA, O'Sullivan PB, Briffa NK, Neumann P. Altered muscle activation patterns in symptomatic women during pelvic floor muscle contraction and valsalva manouevre. Neurourology and Urodynamics. 2006;25(3):268–276
  28. Wilson PD, Al Samarrai T, Deakin M, Kolbe E, Brown AD. An objective assessment of physiotherapy for female genuine stress incontinence. British Journal of Obstetrics and Gynaecology. 1987;94(6):575–582
  29. Wu WY, Sheu BC, Lin HH. Comparison of 20-min pad test versus 1-h pad test in women with stress urinary incontinence. Urology. 2006;68(4):764–768

PII: S1356-689X(10)00022-6

doi: 10.1016/j.math.2010.01.008

Manual Therapy
Volume 15, Issue 3 , Pages 273-279 , June 2010