Evidence map›Paper›PMID 39090517›Full record

Trial reportInternational urology and nephrology2025

Does combining two evidence-based exercise programs in elderly people with incontinence have a triple effect on incontinence symptoms, balance and functional status?

Melda Başer Seçer, Özge Çeliker Tosun, Türkan Akbayrak, Nursen İlçin, Gökhan Tosun

Registry-linked trialAbstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in International urology and nephrology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06331039 (Investigation of the Effects of Pelvic Floor Muscle Training Combined With Otago Exercises on Symptoms, Balance and Functional Status in Elderly People With UI Living in Nursing Homes), which is not on this map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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.

NCT06331039 nacompletednot on this map

Investigation of the Effects of Pelvic Floor Muscle Training Combined With Otago Exercises on Symptoms, Balance and Functional Status in Elderly People With UI Living in Nursing Homes

TypeinterventionalSponsorManisa Celal Bayar UniversityRan2023 to 2023Enrolled43ConditionsUrinary Incontinence, Pelvic Floor Muscle Weakness, Muscle WeaknessArmsPFMT, PFMT+Otago
3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. 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

5 authors.

Melda Başer SeçerManisa Celal Bayar University, Health Services Vocational School, Manisa, Turkey. melda.secer@cbu.edu.tr.ORCID http://orcid.org/0000-0003-3943-2727
Özge Çeliker TosunDokuz Eylul University, Faculty of Physical Therapy and Rehabilitation, Izmir, Turkey.
Türkan AkbayrakHacettepe University, Faculty of Physical Therapy and Rehabilitation, Ankara, Turkey.
Nursen İlçinDokuz Eylul University, Faculty of Physical Therapy and Rehabilitation, Izmir, Turkey.
Gökhan TosunUniversity of Health Sciences, Tepecik Education and Research Hospital, Department of Obstetrics and Gynecology, Izmir, Turkey.

Funding

Türkiye Bilimsel ve Teknolojik Araştırma Kurumu 222S220
6 · The paper itself

Abstract

backgroundImproving pelvic floor muscle training (PFMT), balance and functional activity is recommended in the treatment of urinary incontinence (UI) in the elderly people. The aim of this study is to examine whether PFMT combined with Otago exercises is effective on symptoms, balance and functional status in elderly people with UI compared to PFMT alone.

methodsThis study is an assessor-blinded, randomized controlled trial. Participants with UI aged 65 and over living in a nursing home were randomly assigned to the intervention (IG) and control groups (CG). The intervention group attended an exercise program that included Otago exercises combined with PFMT. The control group was included in the PFMT program with different positions. The duration of exercise for both groups was 45-60 min per session three times a week for 12 weeks. UI symptoms and severity (Pelvic Floor Distress Inventory-20, bladder diary), PFM muscle function (superficial electromyography), balance (Berg Balance Scale), functional status (Senior Fitness Test) and fear of falling (Falls Efficacy Scale) were measured at baseline and after the intervention.

resultsThe median age of the IG (n: 22) and CG (n: 21) was 73.5 and 77 years, respectively. At baseline and after the intervention within the group, a significant improvement was observed in the PTDE-20 score (IG and CG, p: 0.00) and the 2-min step test in the IG (p: 0.02) and CG (p: 0.01). A significant decrease was found in the 2.45 m get up-and-go test, PFM work average onset, and PFM rest MVC EMG values (p: 0.01, p: 0.01, p: 0.00) in the IG. The PFM rest average value decreased (p: 0.04) in the CG.

conclusionThe findings of this study show that combining PFMT with Otago exercises, two evidence-based interventions, is beneficial for effectively treating incontinence symptoms, balance and functional status in elderly people. Thus, a triple effect can be achieved with a single exercise training in the same treatment session and for the same duration. CLINICAL TRIAL NUMBER: Clinical trial number: NCT06331039.

Indexed as

Exercise TherapyPelvic FloorPostural BalanceUrinary IncontinenceAgedAged, 80 and overCombined Modality TherapyFemaleFunctional StatusHumansMaleSingle-Blind MethodSymptom AssessmentBalanceElderly peopleEMGFallsFunctional statusIncontinenceOtago exercisesPFMT

Identifiers

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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.