Trial reportInternational urogynecology journal2020
Adherence and effectiveness of a single instruction of pelvic floor exercises: a randomized clinical trial.
Trial report in International urogynecology journal, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled 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.
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.
Who cites it
15 citing papers in PubMed, 2 syntheses or guidelines pooled it, 28 citations in OpenAlex.
- Impact of postpartum exercise on pelvic floor disorders and diastasis recti abdominis: a systematic review and meta-analysis.British journal of sports medicine · 2025Pooled it
- Pelvic floor muscle training for preventing and treating urinary and faecal incontinence in antenatal and postnatal women.The Cochrane database of systematic reviews · 2020Pooled it
- Continence App® Impact on Puerperal Women's Knowledge, Attitude and Practice: Randomized Clinical Trial.International urogynecology journal · 2024Trial
- Preliminary Effectiveness of mHealth App-Based Pelvic Floor Muscle Training among Pregnant Women to Improve Their Exercise Adherence: A Pilot Randomised Control Trial.International journal of environmental research and public health · 2022Trial
- Educational Videos Were Not Superior to a Folder in Improving Urinary Incontinence Knowledge and Symptoms: A Randomized Controlled Trial.International urogynecology journal · 2026Article
- Effects of Pelvic Floor Muscle Training in Pregnant and Postpartum Women: A Systematic Review.International urogynecology journal · 2026Review
- Perceptions and Experiences of Barriers to Pelvic Floor Muscle Training Among Pregnant Women: A Descriptive Phenomenological Study.Patient preference and adherence · 2026Article
- Development of a Maternal Health Care Exercise and Pelvic Abdominal Rehabilitation Curriculum for Obstetric Medical Professionals Using a Modified Delphi Process.International urogynecology journal · 2025Article
- Compliance and Adherence to Pelvic Floor Exercise Therapy in People with Pelvic Floor Disorders: A Systematic Review and Meta-Analysis.Life (Basel, Switzerland) · 2025Review
- Barriers and enablers of pelvic floor rehabilitation behaviours in pregnant women with stress urinary incontinence: a qualitative analysis using the theoretical domains framework.BMC pregnancy and childbirth · 2023Article
- Barriers to and facilitators of adherence to pelvic floor muscle exercises and vaginal dilator use among gynecologic cancer patients: a qualitative study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2022Article
- Feasibility and acceptability of transcutaneous tibial nerve stimulation for the treatment of bladder storage symptoms among people with multiple sclerosis.Pilot and feasibility studies · 2022Article
- Aspects of Pelvic Floor Protection in Spontaneous Delivery - a Review.Geburtshilfe und Frauenheilkunde · 2022Article
- Narrative review of pelvic floor muscle training for childbearing women-why, when, what, and how.International urogynecology journal · 2021Review
- Transcutaneous tibial nerve stimulation for the treatment of bladder storage symptoms in people with multiple sclerosis: Protocol of a single-arm feasibility study.HRB open research · 2020Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introduction and hypothesisIn Brazil there are limited knowledge and education about preventative exercises for pelvic floor muscles (PFMs). We hypothesised that a single pelvic floor muscle exercise (PFME) session immediately postpartum would be effective in preventing urinary incontinence (UI) in a 3-month postpartum period with good adherence rates.
methodsTwo hundred two women were approached for this randomised controlled trial and randomly assigned to two groups: the control group and experimental group. The intervention comprised a visual assessment of PFM contraction, a single PFME instruction session supervised by a physical therapist, and an educational approach through distribution of brochures about home-based PFME exercises (without supervision). Involuntary urinary loss and quality of life (QoL) were evaluated using the International Consultation on Incontinence Questionnaire Short Form (main outcome). Sociodemographic and clinical information was collected. Adherence and barriers were assessed via telephone/mobile phone surveys (secondary outcomes).
resultsThe adherence rate was 85.1%; only 37% of the women reported having some knowledge about PFME prior to participating in this study. The main barriers to PFME mentioned were forgetfulness (61.2%), lack of time (52.2%), and the need to take care of the baby (56.7%). One instruction session on postnatal PFME delivered in the immediate postpartum period was ineffective for improving urinary symptoms such as frequency of leakage (p = 0.821), amount of leakage (p = 0.746), and influence of leakage on QoL (p = 0.823). In addition, there was no difference in QoL 3 months post-partum (p = 0.872).
conclusionsAlthough the proposed intervention did not prevent UI symptoms, the adherence rate to PFME was high.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.