Title

A Randomized Clinical Trial Comparing Pelvic Floor Muscle Training to a Pilates Exercise Program for Improving Pelvic Muscle Strength

Department

Statistics and Analytical Sciences

Document Type

Article

Publication Date

4-2010

Abstract

Introduction and hypothesis The purpose of this study is to determine whether a Pilates exercise program and a pelvic floor muscle-training (PFMT) program could provide similar improvements in pelvic muscle strength. Methods Sixty-two women with little or no pelvic floor dysfunction were randomized to Pilates or PFMT. Each group had 24 biweekly 1-h sessions with either a physical therapist or Pilates instructor. Strength was measured via perineometry (cmH2O). Two questionnaires-pelvic floor distress inventory (PFDI-20) and pelvic floor impact questionnaire (PFIQ-7)-were also collected. Results At baseline, the Pilates and PFMT groups measured 14.9±12.5 and 12.5±10.4 cmH2O, respectively (p=0.41). Both the Pilates and PFMT groups got stronger (6.2± 7.5 cmH2O, p=0.0002 and 6.6±7.4 cmH2O, p=0.0002, respectively), with no difference between groups p=0.85. PFIQ and PFDI scores improved from baseline but not between groups. Conclusions Further study is required to determine if Pilates can actually treat pelvic floor dysfunction

Journal

International Urogynecology Journal

Journal ISSN

0937-3462

Volume

21

First Page

401

Last Page

408

Digital Object Identifier (DOI)

10.1007/s00192-009-1046-z

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