A Pelvic Muscle Precontraction Can Reduce Cough‐Related Urine Loss in Selected Women with Mild SUI

OBJECTIVES: To test the hypothesis that selected older women with mild‐to‐moderate stress urinary incontinence (SUI) can learn to demonstrate significantly reduced urine loss in 1 week by intentionally contracting the pelvic floor muscles before and during a cough (a skill we have termed “The Knack”).

[1]  R. Mayer,et al.  A Digital Test for Pelvic Muscle Strength in Women with Urinary Incontinence , 1989, Nursing research.

[2]  T. Rud.  Urethral pressure profile in continent women from childhood to old age , 1980, Acta obstetricia et gynecologica Scandinavica.

[3]  Pelvic (Floor) Muscle Exercise , 1990 .

[4]  L. Lipsitz,et al.  High-intensity strength training in nonagenarians. Effects on skeletal muscle. , 1990, JAMA.

[5]  P. Gimotty,et al.  Graded pelvic muscle exercise. Effect on stress urinary incontinence. , 1993, The Journal of reproductive medicine.

[6]  M. S. Wilson,et al.  The Urinary Diary in Evaluation of Incontinent Women: A Test‐Retest Analysis , 1988, Obstetrics and gynecology.

[7]  A. Schultz,et al.  The vesico-urethral pressuregram analysis of urethral function under stress. , 1997, Journal of biomechanics.

[8]  P. Kloen,et al.  Stress Urinary Incontinence: Effect of Pelvic Muscle Exercise , 1990, Obstetrics and gynecology.

[9]  T. Wells,et al.  Digital Measurement of Pelvic Muscle Strength In Childbearing Women , 1989, Nursing research.

[10]  A. Schultz,et al.  Effects of age on rapid ankle torque development. , 1996, The journals of gerontology. Series A, Biological sciences and medical sciences.

[11]  A. Kegel,et al.  Progressive resistance exercise in the functional restoration of the perineal muscles. , 1948, American journal of obstetrics and gynecology.

[12]  J. Ashton-Miller,et al.  Quantification of Cough‐Related Urine Loss Using the Paper Towel Test , 1998, Obstetrics and gynecology.

[13]  B. T. Engel,et al.  The role of biofeedback in Kegel exercise training for stress urinary incontinence. , 1986, American journal of obstetrics and gynecology.

[14]  C E Constantinou,et al.  Spatial distribution and timing of transmitted and reflexly generated urethral pressures in healthy women. , 1982, The Journal of urology.

[15]  E. Sze,et al.  A critical appraisal of the methods of measuring leak-point pressures in women with stress incontinence , 1995 .