Effectiveness of hypopressive exercises in reducing urinary incontinence symptoms and improving quality of life in menopausal women: a systematic review of randomized clinical trials
DOI:
https://doi.org/10.47197/retos.v47.96081Keywords:
hypopressive exercises, quality of life, urinary incontinanceAbstract
The present study aims to evaluate the effectiveness of hypopressive exercises on urinary incontinence symptoms and quality of life in adult menopausal women compared to a control group or another type of pelvic floor training. PEDro, Pubmed, The Cochrane, Scielo and Science direct databases were searched until 6 of august 2022. Randomized clinical trials evaluating the effects of hypopressive exercise on urinary incontinence and quality of life in women were included. The PRISMA statement (Preferred Reporting Items for Systematic reviews and Meta-Analyses) was considered to carry out the systematic review. To assess the methodological quality of studies it was used the Physiotherapy Evidence Database (PEDro) scale and the Grades of Recommendation, Assessment, Development Classification and Evaluation (GRADE) was used to assess the quality level of the evidence. 87 studies were identified, of which only 3 of them met the inclusion criteria. The selected articles presented a sample made up of 266 adult women aged between 42 and 68 years. The results indicated a moderate level of quality of evidence for hypopressive exercises on symptoms of urinary incontinence and quality of life in menopausal women.
Keywords: hypopressive exercises, quality of life, urinary incontinence.
References
Pérez, Y. A., Torres, J. D. C. M., Adams, E. M. R., González, A. A., & Delgado, J. Á. G. (2017). Respuesta a la reeducación de los músculos pelvianos en pacientes con prolapso vaginal en edad climatérica. Revista Cubana de Medicina Física y Reha-bilitación, 8.
Aguayo, J.L., Flores, B., Soria, V. (2014). Sistema GRADE: Clasificación de la calidad de la evidencia y graduación de la fuerza de la recomendación. Cirugia Espanola, 92(2), 82–88. https://doi.org/10.1016/j.ciresp.2013.08.002
Barber, M.D., Walters, M.D., Bump, R.C. (2005). Short forms of two condition-specific quality-of-life questionnaires for women with pelvic floor disorders (PFDI-20 and PFIQ-7). Am J Obstet Gynecol, 193(1), 103-13. doi: 10.1016/j.ajog.2004.12.025.
Leloutre, I. M.B., & Vian, O.H. (2021). Efectos de un programa de entrenamiento de Hypopressive RSF Reprogramación Sis-témica Funcional en mujeres sanas. Retos, 39, 120–124. https://doi.org/10.47197/retos.v0i39.73533
Bernardes, B.T., Resende, A.P.M., Stüpp, L., Oliveira, E., Castro, R.A., di Bella, Z.I.K.J, et al. Efficacy of pelvic floor muscle training and hypopressive exercises for treating pelvic organ prolapse in women: randomized controlled trial. (2012) Sao Paulo Med J.,130(1):5–9. https://doi.org/10.1590/s1516-31802012000100002 Armesilla, M.C., & Andrés, A.C. Revisión de los fundamentos teóricos de la gimnasia abdominal hipopresiva. (2014) Apunt Med l’Esport,48(182):59–66. https://doi.org/10.1016/j.apunts.2013.09.001
Caufriez, M., Fernández, J.C., Guignel, G., & Heinemann A. (2007). Comparación de las variaciones de presión abdominal en medio acuático y aéreo durante la realización de cuatro ejercicios abdominales hipopresivos.Rev Iber Fis Kin, 10(1),12-23.
Coyne, K.S., Kvasz, M., Ireland, A.M., Milsom, I., Kopp, Z.S. & Chapple, C.R. (2012). Urinary Incontinence and its Relation-ship to Mental Health and Health-Related Quality of Life in Men and Women in Sweden, the United Kingdom, and the Unit-ed States. Eur Urol, 61(1), 88-95.
Pons, M. E. (2003). Incontinencia de orina en la mujer. Medicina Clínica, 120 (12), 464–472. https://doi: 10.1016 / s0025-7753 (03) 73740-3
Farrés-Godayol, P., Jerez-Roig, J., Minobes-Molina, E., Yildirim, M., Molas-Tuneu, M., Escribà-Salvans, A., Rierola-Fochs, S., Romero-Mas, M., Torres-Moreno, M., Coll-Planas, L., Booth, J., Giné-Garriga, M. (2022).Urinary Incontinence and Its Association with Physical and Psycho-Cognitive Factors: A Cross-Sectional Study in Older People Living in Nursing Homes. Int J Environ Res Public Health,19(3):1500. doi: 10.3390/ijerph19031500. PMID: 35162524
Herderschee, R., Hay-Smith, E., Herbison, G., Roovers, J., Heineman, M. (2013). Retroalimentación (feedback) o biorretro-alimentación (biofeedback) para aumentar el entrenamiento muscular del piso pelviano en la incontinencia urinaria de la mu-jer. Revista medica clínica Las condes, 24(2), 316-317.
Jose-Vaz, L. A., Andrade, C. L., Cardoso, L. C., Bernardes, B. T., Pereira-Baldon, V. S., & Resende, A. (2020). Can ab-dominal hypropressive technique improve stress urinary incontinence? An assessor-blinded randomized controlled trial. Neu-rourology and urodynamics, 39(8), 2314–2321. https://doi.org/10.1002/nau.24489
Kołodyńska, G., Zalewski, M., Rożek-Piechura, K. (2019) Urinary incontinence in postmenopausal women - causes, symp-toms, treatment. Prz Menopauzalny. 18(1):46-50. doi: 10.5114/pm.2019.84157.
Lau, H.H., Su, T.H., Huang, W.C. (2021). Effect of aging on lower urinary tract symptoms and urodynamic parameters in women. Taiwan J Obstet Gynecol, 60(3):513-516. https://doi: 10.1016/j.tjog.2021.03.022.
Lee, G., Attar, K., Hudd, C. (2004). Case report: Minimally invasive treatment of an unusual obstructive ectopic upper pole ureter. Int Urol Nephrol, 36(1), 21-22. https://doi: 10.1023/b:urol.0000032685.60454.8a
Liberati, A., Altman, D.G., Tetzlaff, J., Mulrow, C., Gøtzsche, P.C., Ioannidis, J.P., Clarke, M., Devereaux, P.J., Kleijnen, J., Moher, D. (2009). The PRISMA statement for reporting systematic reviews and metaanalyses of studies that evaluate health care interventions: explanation and elaboration. PLoS Med, 6(7), e1000100. https://doi.org/10.1371/journal.pmed.1000100
Liebergall-Wischnitzer, M., Paltiel, O., Hochner-Celnikier, D., Lavy, Y., Manor, O., Woloski Wruble, A.C. (2011). Sexual function and quality of life for women with mild-to-moderate stress urinary incontinence. J Midwifery Womens Health,56(5):461-7. https://doi: 10.1111/j.1542-2011.2011.00076.x.
Locher, J.L., Burgio, K.L., Goode, P.S., Roth, D.L., y Rodríguez, E. (2002). Efectos de la edad y la atribución causal al enveje-cimiento en los comportamientos relacionados con la salud asociados con la incontinencia urinaria en mujeres mayores. The Gerontologist, 42 (4), 515-521. https://doi: 10.1093 / geront / 42.4.515
Mateus-Vasconcelos, E.C.L., Ribeiro, A.M., Antônio, F.I., Brito, L.G. D.O., Ferreira, C.H.J. (2018). Physiotherapy methods to facilitate pelvic floor muscle contraction: A systematic review. Physiother Theory Pract,34(6), 420–32. https://doi: 10.1080/09593985.2017.1419520.
Navarro-Brazález, B., Prieto-Gómez, V., Prieto-Merino, D., Sánchez-Sánchez, B., McLean, L., & Torres-Lacomba, M. (2020). Effectiveness of Hypopressive Exercises in Women with Pelvic Floor Dysfunction: A Randomised Controlled Trial. Journal of clinical medicine, 9(4), 1149. https://doi.org/10.3390/jcm9041149
Neumann, I., Pantoja T., Peñaloza, B., Cifuentes, L., Rada, G. (2014). The GRADE system: A change in the way of assessing the quality of evidence and the strength of recommendations. Revista Médica de Chile, 142(5), 630–635. https://doi.org/10.4067/S0034-98872014000500012
PEDro—Physiotherapy Evidence Database. The Center for Evidence-Based Physiotherapy, Sydney, NSW, Australia, 2018, http://www. pedro.fhs.usyd.edu.au
Rial Rebullido, T., Chulvi Medrano, I., Cortell-Tormo, J. M., & Álvarez Sáez, M. M. (2015). ¿Puede un programa de ejercicio basado en técnicas hipopresivas mejorar el impacto de la incontinencia urinaria en la calidad de vida de la mujer? . Suelo pél-vico, 11(2)
Rincón Ardila, O. (2015). Caracterización clínica de la incontinencia urinaria y factores asociados en usuarias de la Unidad de la Mujer del Centro de Salud Familiar Ultraestación en la ciudad de Chillán, Chile. Revista médica de Chile, 143(2), 203-212. https://dx.doi.org/10.4067/S0034-98872015000200008
HormazÃ, M. G., Vera, C. L., & Rojas, J. T. (2018). Efectos de la incontinencia urinaria en la calidad de vida de la mujer clima-té rica. Revista Cubana de Obstetricia y Ginecología, 44(1). Recuperado en 13 de diciembre de 2022, de http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0138-600X2018000100003&lng=es&tlng=es.
Soriano, L., González-Millán, C., Álvarez Sáez, M. M., Curbelo, R., & Carmona, L. (2020). Effect of an abdominal hypopres-sive technique programme on pelvic floor muscle tone and urinary incontinence in women: a randomised crossover trial. Physiotherapy, 108, 37–44. https://doi.org/10.1016/j.physio.2020.02.004
Tracogna, V., & Rial Rebullido, T. (2018). Expectativas y beneficios percibidos del ejercicio hipopresivo por mujeres: una expe-riencia práctica (Women’s expectations and perceived benefits of hypopressive exercise: a practical experience). Retos, 34, 138–141. https://doi.org/10.47197/retos.v0i34.54258
Tzankoff, S.P., Norris, A.H. (1978). Longitudinal changes in basal metabolism in man. J Appl Physiol Respir Environ Exerc Physiol, 45(4), 536-9. https://doi:10.1152/jappl.1978.45.4.536.
Vaughan, C.P., Markland, A.D. (2020). Urinary Incontinence in Women. Ann Intern Med. 172(3): ITC17-ITC32. https://doi: 10.7326/AITC202002040.
Valente, M.G., Freire, A.B., Real, A.A., Pozzebon, N.M., Braz, M.M., Hommerding, P.X. (2015). Efeitos da ginástica abdo-minal hipopressiva sobre a musculatura pélvica em mulheres incontinentes. Cinergis, 16(4), 237–41. https://doi.org/10.17058/cinergis.v16i5.6471
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