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- Title
Pelvic floor muscle training in telerehabilitation: a systematic review and meta-analysis.
- Authors
Hao, Jie; Yao, Zixuan; Remis, Andréas; Huang, Biying; Li, Yanfei; Yu, Xin
- Abstract
Purpose: This systematic review aims to identify, critically appraise, and summarize current evidence regarding the feasibility and efficacy of pelvic floor muscle training in telerehabilitation. Methods: Three bibliographic databases, PubMed, Embase, and Scopus were searched from inception to October 1, 2023. Clinical trials assessing the feasibility and efficacy of pelvic floor muscle training in telerehabilitation were eligible for inclusion. The Physiotherapy Evidence Database scale and National Institutes of Health Study Quality Assessment Tool were used for methodological quality assessment. Study selection, data extraction, and quality assessment were completed by two independent reviewers. Meta-analyses were performed to determine the effects of pelvic floor muscle training in telerehabilitation. Results: Five randomized controlled trials and three single cohort clinical trials were included in this review. Four studies were evaluated as good quality, and four as fair. Pelvic floor telerehabilitation was well tolerated and demonstrated good patient compliance and satisfaction. Pooled analysis indicated significant effects of pelvic floor telerehabilitation on the severity of urinary incontinence with a large effect size, pelvic floor muscle strength with a large effect size, and quality of life with a medium effect size. Conclusion: This systematic review demonstrates that pelvic floor muscle training in telerehabilitation is a feasible and effective approach and highlights its efficacy in patients with urinary incontinence. This review supports the application of pelvic floor muscle training in telerehabilitation and informs further clinical and research endeavors to incorporate digital health technologies in managing pelvic floor dysfunction.
- Subjects
PELVIC floor; KEGEL exercises; NATIONAL Institutes of Health (U.S.); TELEREHABILITATION; PELVIC floor disorders; MUSCLE strength; PATIENT compliance
- Publication
Archives of Gynecology & Obstetrics, 2024, Vol 309, Issue 5, p1753
- ISSN
0932-0067
- Publication type
Article
- DOI
10.1007/s00404-024-07380-x