Abstract
Introduction and hypothesis
The purpose of this study is to determine whether a Pilates exercise program and a pelvic floor muscle-training (PFMT) program could provide similar improvements in pelvic muscle strength.
Methods
Sixty-two women with little or no pelvic floor dysfunction were randomized to Pilates or PFMT. Each group had 24 biweekly 1-h sessions with either a physical therapist or Pilates instructor. Strength was measured via perineometry (cmH2O). Two questionnaires—pelvic floor distress inventory (PFDI-20) and pelvic floor impact questionnaire (PFIQ-7)—were also collected.
Results
At baseline, the Pilates and PFMT groups measured 14.9 ± 12.5 and 12.5 ± 10.4 cmH2O, respectively (p = 0.41). Both the Pilates and PFMT groups got stronger (6.2 ± 7.5 cmH2O, p = 0.0002 and 6.6 ± 7.4 cmH2O, p = 0.0002, respectively), with no difference between groups p = 0.85. PFIQ and PFDI scores improved from baseline but not between groups.
Conclusions
Further study is required to determine if Pilates can actually treat pelvic floor dysfunction.
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This study was funded through the Atlantic Health Division of Urogynecology and Reconstructive Pelvic Surgery. In addition, vaginal sensors were donated by The Prometheus Group, Dover, NH, USA.
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Culligan, P.J., Scherer, J., Dyer, K. et al. A randomized clinical trial comparing pelvic floor muscle training to a Pilates exercise program for improving pelvic muscle strength. Int Urogynecol J 21, 401–408 (2010). https://doi.org/10.1007/s00192-009-1046-z
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DOI: https://doi.org/10.1007/s00192-009-1046-z