title: Effect of pelvic-floor muscle exercise position on continence and quality-of-life outcomes in women with stress urinary incontinence.
abstract: OBJECTIVE
  Pelvic-floor muscle (PFM) exercises are effective in reducing stress urinary incontinence (SUI), but few studies have investigated the effect of specific exercise variables on treatment outcomes. This study explored the effect of exercise position on treatment outcomes in women with SUI.
  
  
  METHODS
  Forty-four women were randomly assigned to exercise in the supine position only or in both supine and upright positions. Bladder diary, pad test, urodynamic test, quality-of-life (Incontinence Impact Questionnaire [IIQ]), and PFM strength outcomes were obtained at baseline and after treatment.
  
  
  RESULTS
  Exercise position did not affect outcomes. After data from both groups were collapsed, statistically significant improvements with treatment were observed in bladder diary, IIQ, PFM strength, and urodynamic test results.
  
  
  CONCLUSIONS
  Exercise position did not differentially affect treatment outcomes. However, women in this study achieved a mean 67.9% reduction in the frequency of SUI episodes and improvements in other study outcomes.
authors.affiliation: Department of Physical Therapy, Duquesne University, 111 Health Sciences Bldg., Pittsburgh, PA 15282, USA. borellofrance@duq.edu
authors.forename: Diane F
authors.initials: DF
authors.lastname: Borello-France
authors.forename: Halina M
authors.initials: HM
authors.lastname: Zyczynski
authors.forename: Patricia A
authors.initials: PA
authors.lastname: Downey
authors.forename: Christine R
authors.initials: CR
authors.lastname: Rause
authors.forename: Joseph A
authors.initials: JA
authors.lastname: Wister
mesh_terms: D000328:Adult; D000368:Aged; D005081:Exercise Therapy / Q000379:methods*; D005260:Female; D006801:Humans; D008875:Middle Aged; D017773:Pelvic Floor; D011788:Quality of Life; D016896:Treatment Outcome; D014550:Urinary Incontinence, Stress / Q000628:therapy*; D014563:Urodynamics