This was one of the articles that was cited in the last Pelvic Physiotherapy Distance Journal club discussion on Optimizing pelvic floor muscle exercises. This article randomized 44 patients to perform home exercises of 4 second PFM exercises or 4 second hip abductor exercises.
· Both groups had 64% of patients reporting improvement (no formal outcome measure, no specifics of how much change).
· No difference in 2 groups perineometry scores – both got better – no numbers given
· Pad test better in abductor group, worse in PFM exercise group – WOW
· The really interesting point is the adherence to exercises. – on average participants did 52 exercises per week – 7 or 8 per day. I think we can all agree (including the authors) this is not enough.
Overall I would say the study design was poor and though the results are intriguing, I would have to see a better study to believe that hip abductor exercises are as effective as PFM exercises in decreasing SUI. Read for yourself.