TY - JOUR
T1 - Paula method of circular muscle exercises for urinary stress incontinence - A clinical trial
AU - Liebergall-Wischnitzer, M.
AU - Hochner-Celnikier, D.
AU - Lavy, Y.
AU - Manor, O.
AU - Arbel, R.
AU - Paltiel, Ora
N1 - Funding Information:
Acknowledgments This work was supported by an Internal Grant for Paramedical Personnel at Hadassah and the Lillian Silverstein Fund.
PY - 2005/10
Y1 - 2005/10
N2 - The aim of this study was to determine the efficacy of the Paula method of circular muscle training in the management of stress incontinence (SI). The theory behind this method states that activity of distant sphincters affects other muscles. In a pilot study, 59 women, mainly hospital employees, were randomly assigned to participate in exercises according to the Paula method or pelvic floor training. Efficacy was measured by reports of incontinence, quality of life (I-QOL), pad test, and pelvic floor muscle strength (assessed by perineometer and digital examination). Both the Paula exercises and pelvic floor training produced significant changes in urinary leakage compared to baseline as measured by the pad test [mean decrease of 5.4 g (p=0.002) and 9.5 g (p =0.003), respectively]. Women randomized to the Paula method reported improvement in I-QOL scores. The Paula method was found to be efficacious for SI in a population of Israeli women. Larger community-based studies will be required to confirm these results and enable evaluation of between-group differences.
AB - The aim of this study was to determine the efficacy of the Paula method of circular muscle training in the management of stress incontinence (SI). The theory behind this method states that activity of distant sphincters affects other muscles. In a pilot study, 59 women, mainly hospital employees, were randomly assigned to participate in exercises according to the Paula method or pelvic floor training. Efficacy was measured by reports of incontinence, quality of life (I-QOL), pad test, and pelvic floor muscle strength (assessed by perineometer and digital examination). Both the Paula exercises and pelvic floor training produced significant changes in urinary leakage compared to baseline as measured by the pad test [mean decrease of 5.4 g (p=0.002) and 9.5 g (p =0.003), respectively]. Women randomized to the Paula method reported improvement in I-QOL scores. The Paula method was found to be efficacious for SI in a population of Israeli women. Larger community-based studies will be required to confirm these results and enable evaluation of between-group differences.
KW - Circular muscle training
KW - Paula method
KW - Stress incontinence
UR - http://www.scopus.com/inward/record.url?scp=27244445060&partnerID=8YFLogxK
U2 - 10.1007/s00192-004-1261-6
DO - 10.1007/s00192-004-1261-6
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C2 - 15660184
AN - SCOPUS:27244445060
SN - 0937-3462
VL - 16
SP - 345
EP - 351
JO - International Urogynecology Journal
JF - International Urogynecology Journal
IS - 5
ER -