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Comparison of Pelvic Floor Muscle Training and Extracorporeal Magnetic Innervation on Urinary Incontinence, Pelvic
Sevil Yılmaz1,2,3,4, Leyla Khorshtd1,2,3,4, Serpil Aydoğmuş1,2,3,4
1Sevil Yılmaz, PhD, RN, Health Care Vocational School, Izmir Katip Celebi University, Cigli, Izmir, Turkey.
Purpose:
The purpose of this study was to compare the effects of pelvic floor muscle training (PFMT) and extracorporeal magnetic innervation (ExMI) on urinary incontinence, pelvic floor muscle strength, and incontinence-specific quality of life in women with stress, urge, and mixed urinary incontinence.
Design:
Randomized controlled trial.
Subjects And Setting:
The sample comprised 35 adult women with urinary incontinence (UI) who sought care in a urogynecology clinic in Turkey. Their mean age was 46.77 (SD = 8.88) years. Nineteen women were randomly allocated to a PFMT group and 16 women were allocated to an ExMI group.
Methods:
Nineteen participants underwent PFMT for 12 weeks, while 16 underwent ExMI during 20-minute sessions 3 times a week, for 6 weeks. Outcomes (incontinence severity, pelvic floor muscle strength, and incontinence-specific quality of life) were measured in both groups at baseline and 6 and 12 weeks following initiation of the intervention. The Mann-Whitney U test was used for between-group comparisons, and the Friedman test was used for within-group comparisons. Two-way repeated measure ANOVA was used to compare outcomes in the 2 groups over time.
Results:
Analysis revealed significant improvements in incontinence severity, incontinence-related quality of life, and pelvic floor muscle strength of participants in both intervention groups. In contrast, no significant between-group differences were found.
Conclusion:
Pelvic floor muscle training and ExMI improve self-reported severity of incontinence, incontinence-specific quality of life, and pelvic floor muscle strength. This head-to-head comparison revealed no differences between the interventions for these outcomes.
