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Comparative effect of 2 packages of pelvic floor muscle training on the clinical course of stage I–III pelvic organ prolapse
Author(s) -
Kashyap Rashmi,
Jain Vanita,
Singh Amarjeet
Publication year - 2013
Publication title -
international journal of gynecology and obstetrics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.895
H-Index - 97
eISSN - 1879-3479
pISSN - 0020-7292
DOI - 10.1016/j.ijgo.2012.11.012
Subject(s) - medicine , pelvic floor muscle , visual analogue scale , pelvic floor , physical therapy , outpatient clinic , stage (stratigraphy) , randomized controlled trial , gynecology , surgery , paleontology , biology
Objective To compare the effect of 2 packages of pelvic floor muscle training (PFMT) on the clinical course of pelvic organ prolapse (POP) among women attending a gynecology outpatient department in Chandigarh, India. Methods A randomized controlled trial was conducted between August 8, 2010, and October 31, 2011. Overall, 140 women with stage I–III POP were allocated to a 24‐week behavioral therapy intervention. Group A (n = 70) received 1‐to‐1 PFMT and a self‐instruction manual (SIM), whereas Group B (n = 70) received SIM alone. Symptoms were assessed using the POP symptom scale (POP‐ss), visual analog scale (VAS), and pelvic floor impact questionnaire‐7 (PFIQ‐7) scores. Results Marked improvements in mean POP‐ss, VAS, PFIQ‐7 scores were observed in both groups from baseline to week 24. However, significant between‐group changes in mean POP‐ss scores were observed from baseline to 6 weeks ( P < 0.001), 18 weeks ( P = 0.001), and 24 weeks ( P = 0.002). Significant between‐group changes in mean VAS scores were observed at 18 and 24 weeks ( P = 0.009 and P = 0.005). Significant between‐group changes in mean PFIQ‐7 scores were observed at 6 ( P = 0.001), 18 ( P < 0.001), and 24 weeks ( P < 0.001). Conclusion Provision of both 1‐to‐1 PFMT and SIM led to greater improvements in POP symptoms than provision of SIM alone. ctri.nic.in: CTRI/2010/091/001190 .