AI Article Synopsis

  • Pelvic floor disorders affect about 25% of women and can lead to conditions like Pelvic Organ Prolapse (POP), which can be treated with PF muscle training (PFMT) and hypopressive breathing (HB).
  • A systematic review including seven studies analyzed the effectiveness of PFMT versus HB for improving pelvic health outcomes.
  • The results showed PFMT was more effective for increasing pelvic strength, but HB was better at enhancing quality of life, with both techniques showing similar results for muscle contractility.

Article Abstract

Background: Pelvic floor (PF) disorder affects 25 ​% of females, often progressing to Pelvic Organ Prolapse (POP). PF muscle training (PFMT) and hypopressive breathing (HB) are conservative techniques used to repair pelvic muscles. This study analyzes the comparative efficacy of PFMT and HB for POP.

Methods: A systematic review was conducted and seven records were included in the pooled analysis, which compared PF outcomes between HB and PFMT.

Results: PFMT (d ​= ​2.14 and d ​= ​1.07) demonstrated a larger effect size compared to HB (d ​= ​1.24 and d ​= ​0.78) for sEMG contractility and the Modified Oxford Scale, respectively. The Pelvic Floor Disability Index (PFDI-20) found a lower effect size of PFMT (d ​= ​0.558) compared to HB (d ​= ​0.961).

Conclusions: PFMT was found to improve PF strength (Oxford) more than HB, while HB had a greater effect on quality of life (PFDI-20). Results were insignificant for contractility.

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Source
http://dx.doi.org/10.1016/j.amjsurg.2024.116111DOI Listing

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