Evidence map›Paper›PMID 41202711›Full record

Trial reportBrazilian journal of physical therapy

Effects of behavioral treatment and pelvic floor muscle training on overactive bladder syndrome: a randomized control trial.

Mayanni Magda Pereira Matias, Fátima Faní Fitz, Márcia Maria Gimenez, Letícia de Azevedo Ferreira, Maria Augusta Tezelli Bortolini, Rodrigo de Aquino Castro

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Brazilian journal of physical therapy. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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.

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

1 citing paper in PubMed.

  1. Trial
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.

Mayanni Magda Pereira MatiasDepartment of Gynecology, Universidade Federal de São Paulo, São Paulo, Brazil. Electronic address: mayanni.magda@gmail.com.
Fátima Faní FitzDepartment of Gynecology, Universidade Federal de São Paulo, São Paulo, Brazil. Electronic address: fanifitz@yahoo.com.br.
Márcia Maria GimenezDepartment of Gynecology, Universidade Federal de São Paulo, São Paulo, Brazil. Electronic address: marciamariagimenez@gmail.com.
Letícia de Azevedo FerreiraDepartment of Gynecology, Universidade Federal de São Paulo, São Paulo, Brazil. Electronic address: leticia_azfe@hotmail.com.
Maria Augusta Tezelli BortoliniDepartment of Gynecology, Universidade Federal de São Paulo, São Paulo, Brazil. Electronic address: maria.augusta@gmail.com.
Rodrigo de Aquino CastroDepartment of Gynecology, Universidade Federal de São Paulo, São Paulo, Brazil. Electronic address: rodrigo.castro@uol.com.br.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate and compare the effects of behavioral treatment (BT) combined with pelvic floor muscle training (PFMT) versus BT and PFMT provided in isolation in women with overactive bladder syndrome (OAB).

methodsProspective, randomised, and controlled clinical trial with concealed allocation including 110 women with OAB were randomized into three groups: BT+PFMT, BT, and PFMT. The intervention consisted of 3-month program: BT+PFMT group received an educational program with lifestyle modifications, urgency suppression techniques, bladder training, and motivation strategies, combined with PFMT; BT and PFMT groups carried out the isolated interventions described above. The primary outcome was OAB cure defined by OAB-V8 questionnaire score <8 and the absence of episodes of urgency urinary incontinence in the voiding diary. Secondary outcomes were urinary symptoms, pelvic floor muscle (PFM) function, outpatient and home adherence to the exercise sets, and subjective cure.

resultsHigher objective cure was observed in the BT+PFMT group compared with isolated PFMT and BT in both per protocol and intention-to-treat analyses. In the per protocol analysis, women receiving BT+PFMT were 5.5 times more likely to achieve objective cure than PFMT (OR 5.5; 95% CI 1.6-18.7) and 4.1 times more likely than BT (OR 4.1; 95% CI 1.3-12.8). For the intention-to-treat analysis considering losses as uncured, BT+PFMT remained more effective than PFMT alone (OR 3.4; 95% CI 1.2-9.5). All groups improved PFM function (power, endurance, fast contractions, p < 0.001 for all), however PFMT and PFMT+BT had better PFM function compared to BT group (p < 0.001 for all).

conclusionsThe combination of BT with PFMT were more effective than isolated therapies in the management of female OAB.

Indexed as

Behavior TherapyExercise TherapyPelvic FloorUrinary Bladder, OveractiveFemaleHumansMiddle AgedProspective StudiesOveractivePelvic floorPhysical therapy modalitiesUrinary bladder

Identifiers

PMID41202711
PMCPMC12827014

What OpenQuestion holds

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Registered trials

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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.