Evidence map›Paper›PMID 41273378›Full record

SynthesisInternational urogynecology journal2026

Alternative Exercise Regimens for Stress Urinary Incontinence in Women: A Systematic Review and Meta-analysis.

Jie Hao, Zixuan Yao, Andréas Remis, Yuxiao Sun, Yuqi Pu, Biying Huang

Abstract readSystematic ReviewMeta-Analysis
PubMed Publisher
In one paragraph

Synthesis in International urogynecology journal, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Review
  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

6 authors.

Jie Hao *School of Rehabilitation Science and Engineering, University of Health and Rehabilitation Sciences, Qingdao, P. R. China. jie.hao.unmc@outlook.com.ORCID 0000-0002-1602-4686
Zixuan Yao *Department of Rehabilitation Medicine, Beijing Hospital, National Center of Gerontology, Institution of Geriatric Medicine, Chinese Academy of Medical Science, Beijing, P.R. China. claireyao363@gmail.com.ORCID 0000-0001-8218-7208
Andréas RemisDuke Health Center Arringdon, Duke University, Durham, NC, USA.
Yuxiao SunDepartment of Rehabilitation Medicine, West China Hospital, Sichuan University, Chengdu, Sichuan, P. R. China.
Yuqi PuDepartment of Rehabilitation Medicine, Shanghai Sixth People's Hospital, Shanghai, P. R. China.
Biying HuangSchool of Health Preservation and Rehabilitation, Nanjing University of Chinese Medicine, Nanjing, Jiangsu, P. R. China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introduction and hypothesisThis systematic review and meta-analysis aims to synthesize existing evidence on the effectiveness of alternative exercise regimens for managing stress urinary incontinence in women, compared to pelvic floor muscle training or usual care/placebo.

methodsA comprehensive search of MEDLINE, Cochrane Library, CINAHL, Embase, PubMed, and Scopus, was conducted up to April 26, 2025. Randomized controlled trials investigating alternative exercises, including Pilates, lumbopelvic stabilization, breathing exercises, resisted hip rotation, yoga, and the Paula method, were included. A random-effects model was applied in the meta-analysis to compute standardized mean differences (SMDs) for urinary incontinence severity and quality of life.

resultsFourteen RCTs involving 797 women were included. Among them, nine studies were evaluated as good quality, and five as fair. Meta-analysis showed no significant difference between the effectiveness of alternative exercises and pelvic floor muscle training on urinary incontinence severity (SMD 0.04, 95% CI -0.15 to 0.23, p = 0.68) and quality of life (SMD -0.11, 95% CI -0.26 to 0.04, p = 0.14). Alternative exercises significantly outperformed usual care/placebo in improving symptom severity (SMD -1.34, 95% CI -1.85 to -0.83, p < 0.001) and quality of life (SMD -1.03, 95% CI -1.52 to -0.54, p < 0.001). No adverse events were reported.

conclusionsAlternative exercise regimens provide comparable benefits to pelvic floor muscle training and significantly outperform usual care/placebo, making them viable, evidence-based options for stress urinary incontinence management.

Indexed as

Exercise TherapyUrinary Incontinence, StressFemaleHumansMiddle AgedPelvic FloorQuality of LifeRandomized Controlled Trials as TopicTreatment OutcomeDysfunctionExercise therapyPelvic floorPhysiotherapyWomen’s health

Identifiers

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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.