Evidence map›Paper›PMID 27250831›Full record

Trial reportInternational urogynecology journal2016

Effectiveness of adding voluntary pelvic floor muscle contraction to a Pilates exercise program: an assessor-masked randomized controlled trial.

Luiza Torelli, Zsuzsanna Ilona Katalin de Jarmy Di Bella, Claudinei Alves Rodrigues, Liliana Stüpp, Manoel João Batista Castello Girão, Marair Gracio Ferreira Sartori

Abstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in International urogynecology journal, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 2 pooled it
2.4field-weighted citation impact, top 12% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 2 syntheses or guidelines pooled it, 38 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Article
  6. Assessment of Female Pelvic Floor Muscles: An Integrative Review.International journal of women's health · 2025
    Review
  7. Bidirectional Relationships between Sarcopenia and Pelvic Floor Disorders.International journal of environmental research and public health · 2024
    Review
  8. Observational
  9. Article
  10. Article
  11. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Luiza TorelliGynecology Department of Federal University of São Paulo, Rua Diogo Jacome 1000 apt 23 Moema, Cep:04512-001, São Paulo, SP, Brazil. lutorelli@yahoo.com.br.
Zsuzsanna Ilona Katalin de Jarmy Di BellaGynecology Department of Federal University of São Paulo, Rua Diogo Jacome 1000 apt 23 Moema, Cep:04512-001, São Paulo, SP, Brazil.
Claudinei Alves RodriguesGynecology Department of Federal University of São Paulo, Rua Diogo Jacome 1000 apt 23 Moema, Cep:04512-001, São Paulo, SP, Brazil.
Liliana StüppGynecology Department of Federal University of São Paulo, Rua Diogo Jacome 1000 apt 23 Moema, Cep:04512-001, São Paulo, SP, Brazil.
Manoel João Batista Castello GirãoGynecology Department of Federal University of São Paulo, Rua Diogo Jacome 1000 apt 23 Moema, Cep:04512-001, São Paulo, SP, Brazil.
Marair Gracio Ferreira SartoriGynecology Department of Federal University of São Paulo, Rua Diogo Jacome 1000 apt 23 Moema, Cep:04512-001, São Paulo, SP, Brazil.
Universidade Federal de São Paulo · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introduction and hypothesisThe purpose of this study was to evaluate the effectiveness of adding voluntary pelvic floor muscle contraction (PFMC) to a Pilates exercise program in sedentary nulliparous women.

methodsFifty-seven healthy nulliparous and physically inactive women were randomized to a Pilates exercise program (PEP) with or without PFMC. Forty-eight women concluded this study (24 participants for each group). Each woman was evaluated before and after the PEP, by a physiotherapist and an urogynecologist (UG). Neither of the professionals was revealed to them. This physiotherapist measured their pelvic floor muscle strength by using both a perineometer (Peritron) and vaginal palpation (Oxford Scale). The UG, who performed 3D perineal ultrasound examinations, collected their data and evaluated the results for pubovisceral muscle thickness and the levator hiatus area (LA). Both professionals were blinded to the group allocation. The protocol for both groups consisted of 24 bi-weekly 1-h individual sessions of Pilates exercises, developed by another physiotherapist who specializes in PFM rehabilitation and the Pilates technique.

resultsThe PEP+ PFMC group showed significantly greater strength improvements than the PEP group when comparing the Oxford scale, vaginal pressure and pubovisceral muscle thickness during contraction measurements at baseline and post-treatment.

conclusionsOur findings suggest that adding a voluntary PFMC to a Pilates exercise program is more effective than Pilates alone in improving PFM strength in sedentary nulliparous women.

Indexed as

ExerciseExercise Movement TechniquesAdultFemaleHumansMuscle ContractionMuscle StrengthPelvic FloorPerineumSedentary BehaviorSingle-Blind MethodUltrasonographyVaginaYoung AdultPelvic floor muscle contractionPilates exercises

Identifiers

PMID27250831
OpenAlexW2411508161

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.