TAILIEUCHUNG - Pelvic floor muscle training and adjunctive therapies for the treatment of stress urinary incontinence in women: a systematic review

A distinction is to be made between the terms 'efficacy' and 'effectiveness'. Efficacy is defined as "the probability of benefit to individuals in a defined population from a medical technology applied for a given medical problem under ideal conditions of use". By contrast, effectiveness is considered to have all the attributes of efficacy but to reflect "performance under ordinary conditions by the average practitioner for the typical patient" [12]. Pelvic floor muscle training (PFMT) and other physical therapies for the treatment of female SUI [13] and UI [14- 16] has been the subject of previous systematic reviews. All of these reviews limited their inclusion criteria to ran- domized controlled trials, because this. | BMC Women s Health BioMed Central Research article Open Access Pelvic floor muscle training and adjunctive therapies for the treatment of stress urinary incontinence in women a systematic review Patricia B Neumann1 Karen A Grimmer 2 and Yamini Deenadayalan3 Address 1PhD candidate School of Health Sciences University of South Australia Adelaide Australia 2Director Centre for Allied Health Evidence University of South Australia Adelaide Australia and 3Research Assistant Centre for Allied Health Evidence University of South Australia Adelaide Australia Email Patricia B Neumann - cpneumann@ Karen A Grimmer - Yamini Deenadayalan - Corresponding author Published 28 June 2006 Received 02 October 2005 BMC Women s Health 2006 6 11 doi 1472-6874-6-11 Accepted 28 June 2006 This article is available from http 1472-6874 6 11 2006 Neumann et al licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Background Stress urinary incontinence SUI is a prevalent and costly condition which may be treated surgically or by physical therapy. The aim of this review was to systematically assess the literature and present the best available evidence for the efficacy and effectiveness of pelvic floor muscle training PFMT performed alone and together with adjunctive therapies eg biofeedback electrical stimulation vaginal cones for the treatment of female SUI. Methods All major electronic sources of relevant information were systematically searched to identify peer-reviewed English language abstracts or papers published between 1995 and 2005. Randomised controlled trials RCTs and other study designs eg non-randomised trials cohort studies case series

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