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Effect of Pelvic-Floor Muscle Exercise Position on Continence and Quality-of-Life Outcomes in Women With Stress Urinary Incontinence

DF Borello-France, PT, PhD, is Assistant Professor, Department of Physical Therapy, Duquesne University, 111 Health Sciences Bldg, Pittsburgh, PA 15282 (USA)
HM Zyczynski, MD is Director of Urogynecology and Reconstructive Pelvic Surgery, University of Pittsburgh School of Medicine, Pittsburgh, Pa
PA Downey, PT, PhD, OCS, is Associate Professor, Physical Therapy Program, Chatham College, Pittsburgh, Pa
CR Rause, MSN, CRNP, is Nurse Practitioner and Clinical Assistant Professor, Department of Obstetrics, Gynecology and Reproductive Science, Division of Gynecology Specialties, University of Pittsburgh Physicians, Pittsburgh, Pa
JA Wister, PhD, is Associate Professor, Department of Psychology, Chatham College

(borellofrance{at}duq.edu). Address all correspondence to Dr Borello-France

Background and Purpose. Pelvic-floor muscle (PFM) exercises are effective in reducing stress urinary incontinence (SUI), but few studies have investigated the effect of specific exercise variables on treatment outcomes. This study explored the effect of exercise position on treatment outcomes in women with SUI. Subjects and Methods. Forty-four women were randomly assigned to exercise in the supine position only or in both supine and upright positions. Bladder diary, pad test, urodynamic test, quality-of-life (Incontinence Impact Questionnaire [IIQ]), and PFM strength outcomes were obtained at baseline and after treatment. Results. Exercise position did not affect outcomes. After data from both groups were collapsed, statistically significant improvements with treatment were observed in bladder diary, IIQ, PFM strength, and urodynamic test results. Discussion and Conclusion. Exercise position did not differentially affect treatment outcomes. However, women in this study achieved a mean 67.9% reduction in the frequency of SUI episodes and improvements in other study outcomes. [Borello-France DF, Zyczynski HM, Downey PA, et al. Effect of pelvic-floor muscle exercise position on continence and quality-of-life outcomes in women with stress urinary incontinence. Phys Ther. 2006;86:974–986.]

Key Words: Exercise • Pelvic floor • Urinary stress incontinence

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