Page 71 - Petelin, Ana. 2024. Ed. Zdravje delovno aktivnih in starejših odraslih | Health of the Working-Age and Older Adults. Zbornik prispevkov z recenzijo | Proceedings. Koper: University of Primorska Press
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Table  1: Overview of included studies.


                  Study     Participants  Pelvic floor muscle exercise   Main findings
                                             program
                                       8-week progressive program   Pelvic floor muscle exercise group* showed
                         20 subjects with                  greater improvement in endurance and
                Mohseni-  chronic low back   (6x/day)      strength of pelvic floor muscles than
                -Bandpei   pain (age = 20-50   Contraction: 5-10 s  standard treatment group (p < 0,001); pain
                et al., 2011           Rest: 4 s
                         years)        Cycles: 4-10        and functionality improved the same in
                                                           both groups (p < 0,01)
                Bhatnagar   30 subjects with   6-week progressive program  Pelvic floor muscle exercise group* showed
                         chronic low back
                                       Contraction: 6 s
                                                           greater improvement in pain and func-
                and Sahu,
                2017     pain (age = 25-50   Rest: 6 s     tionality than standard treatment group
                         years)        Cycles: 25-100, 5/min  (p < 0.05)
                         30 subjects with   4-week program (5x/week)  Trunk stabilization exercise group showed
                Kumar et al.,  postpartum chron-  Contraction: 3-5 s  greater improvement in pain (p < 0.001),
                2015     ic low back pain   Rest: no information  functionality (p < 0.05) and abdominal
                                                           muscle endurance (p < 0.05) than pelvic
                                       Cycles: no information
                         (age = 25-35 years)
                                                           floor muscle exercise group*
                         27 subjects with   5-week progressive program                       71
                Dsingh    sitting jobs and   (3x/week)     Pelvic floor muscle exercise group* and
                                                           postural control exercise group showed
                and Kaur,   chronic low back   Contraction: 6 s  greater improvement in pain and function-
                2020     pain          Rest: 6 s           ality than standard treatment group
                         (age = 18-45 years)  Cycles: 5/min, 30 min
                                                           Pelvic floor muscle exercise group* showed
                                       24-week progressive pro-
                         47 subjects with                  greater improvement in pain (p = 0.045)
                         chronic low back   gram (3x/week)  and functionality (p = 0.034) than stand-
                Bi et al., 2013        Contraction: 6 s
                         pain (age = 18-60                 ard treatment group; strength and endur-
                         years)        Rest: 6 s           ance of the trunk muscles improved the
                                       Cycles: 25-100, 5/min
                                                           same in both groups
                         60 subjects with   12-week program (3x/week)  Pelvic floor muscle exercise group* showed  the effect of pelvic floor muscle exercises on chronic low back pain
                                                           greater improvement in strength and en-
                Ghaderi et   urinary inconti-  Contraction: 30% max vol-  durance of the trunk stabilization muscles
                al., 2016  nence and chronic  untary contraction  than standard treatment group (p < 0.05);
                         low back pain (age  Rest: no information
                         = 45-60 years)  Cycles: no information  pain and functionality improved the same
                                                           in both groups
                         30 subjects with   4-week progressive program   Pelvic floor muscle exercise group* showed
                                       (5x/week, 3x/day)
                         chronic low back                  greater improvement in pain and functi-
                Rathi, 2013  pain (age = 20-40   Contraction: 5s or more  onality than standard treatment group (p
                         years)        Rest: 5 s or less   < 0.05)
                                       Cycles: 10
                    * Pelvic floor muscle exercise group also received standard treatment
                    Discussion
               Through a systematic literature review, we aimed to determine the effective-
               ness of PFMT in individuals dealing with CLBP. The main finding of our sys-
               tematic review was that PFMT significantly reduces CLBP. However, it was
               found that physiotherapy treatment combined with PFMT was not significant-
               ly more effective than standard physiotherapy treatment in all studies. Addi-
               tionally, there were no significant differences observed in the method of execu-
               tion or duration of  PFMT that would impact the effectiveness of treatment for
               patients with CLBP.
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