title: Dynamic lumbopelvic stabilization for treatment of stress urinary incontinence in women: Controlled and randomized clinical trial.
abstract: OBJECTIVE
  To compare the results of the dynamic lumbopelvic stabilization (DLS) exercises with exercises for the pelvic floor muscles (PFM) in women with stress urinary incontinence.
  
  
  METHODS
  Randomized controlled clinical trial comparing 17 women submitted to the DLS with 16 women submitted to the exercises for the PFM. The evaluated outcomes were incontinence severity, quality of life (QoL), and impression of improvement in three moments. Significance was set at 5%.
  
  
  RESULTS
  For socio-demographic and clinical variables, only climacteric was more prevalent in the DLS group (82% vs. 44%, P = 0.02). Soon after the intervention, there was no difference between the groups in relation to the outcomes evaluated. In the evaluation after 90 days, the DLS group presented better values for the severity of the losses (4.1 ± 2.6 vs. 5.7 ± 2.4, P = 0.006, d = 0.64), daytime frequency (4.6 ± 0.4 vs. 6.2 ± 0.6, P < 0.001, d = 2.67), and nighttime frequency (0.4 ± 0.3 vs. 1.4 ± 0.5, P < 0.001, d = 2.50), QoL and impression of improvement (P < 0.001).
  
  
  CONCLUSIONS
  After treatment, the DLS plus PFM exercise patients had results similar to those performing PFM exercises alone. However, the DLS plus PFM exercises were superior in the outcomes of incontinence severity, QoL, and impression of improvement in the post-90-day evaluation, showing longer lasting effect.
authors.affiliation: Physical Therapy Course, Faculty of Medical Sciences and Health of Juiz de Fora, Juiz de Fora, Minas Gerais, Brazil.|Physical Therapy Sector, Hospital and Maternity Terezinha de Jesus, Juiz de Fora, Minas Gerais, Brazil.|Physiotherapy Course, Salgado de Oliveira University, Juiz de Fora, Minas Gerais, Brazil.
authors.forename: Nathalia
authors.identifier: http://orcid.org/0000-0003-1683-4619
authors.initials: N
authors.lastname: de Souza Abreu
authors.affiliation: Faculty of Medicine, Federal University of Juiz de Fora, Juiz de Fora, Minas Gerais, Brazil.
authors.forename: Bia
authors.initials: B
authors.lastname: de Castro Villas Boas
authors.affiliation: Faculty of Medicine, Department of Surgery, Federal University of Juiz de Fora, Juiz de Fora, Minas Gerais, Brazil.
authors.forename: José Murilo Bastos
authors.initials: JMB
authors.lastname: Netto
authors.affiliation: Faculty of Medicine, Department of Surgery, Federal University of Juiz de Fora, Juiz de Fora, Minas Gerais, Brazil.
authors.forename: André Avarese
authors.initials: AA
authors.lastname: Figueiredo
mesh_terms: D000328:Adult; D000368:Aged; D005081:Exercise Therapy / Q000379:methods*; D005260:Female; D006801:Humans; D008875:Middle Aged; D017773:Pelvic Floor / Q000503:physiopathology*; D011788:Quality of Life; D012720:Severity of Illness Index; D016896:Treatment Outcome; D014550:Urinary Incontinence, Stress / Q000175:diagnosis / Q000503:physiopathology / Q000628:therapy*
keywords: abdominal transverse; lumbar stabilization; pelvic floor; physiotherapy; urinary incontinence