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Urinary Incontinence and Pelvic Floo...

Long, Megan Nicole.

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Urinary Incontinence and Pelvic Floor Muscle Strength in Females Practicing High Vs Low Impact Exercise: A Meta-Analysis.

Record Type:	Electronic resources : Monograph/item
Title/Author:	Urinary Incontinence and Pelvic Floor Muscle Strength in Females Practicing High Vs Low Impact Exercise: A Meta-Analysis./
Author:	Long, Megan Nicole.
Published:	Ann Arbor : ProQuest Dissertations & Theses, : 2023,
Description:	54 p.
Notes:	Source: Dissertations Abstracts International, Volume: 84-10, Section: A.
Contained By:	Dissertations Abstracts International84-10A.
Subject:	Physical therapy. -
Online resource:	https://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=30419834
ISBN:	9798379416096

Urinary Incontinence and Pelvic Floor Muscle Strength in Females Practicing High Vs Low Impact Exercise: A Meta-Analysis.
Long, Megan Nicole.

Urinary Incontinence and Pelvic Floor Muscle Strength in Females Practicing High Vs Low Impact Exercise: A Meta-Analysis. - Ann Arbor : ProQuest Dissertations & Theses, 2023 - 54 p.

Source: Dissertations Abstracts International, Volume: 84-10, Section: A.

Thesis (D.P.T.)--California State University, Fresno, 2023.

Background: Urinary incontinence (UI) is the complaint of involuntary loss of urine. Rates of stress urinary incontinence (SUI) have been reported from 14-48% in nulliparous female athletes. Compared to sedentary females, female athletes have a 177% higher risk of having UI. Level of impact of exercise and pelvic floor muscle strength may be factors that can contribute to UI in young, nulliparous females. The purpose of this meta-analysis is to synthesize the current literature and determine the presence of UI in young nulliparous females practicing high versus low impact exercise as well as compare pelvic floor muscle strength between the 2 groups. Methods: A literature search from December 2021 through September 2022 was conducted using the following databases: PubMed, EBSCO host, and OneSearch at Fresno State. Observational studies that met eligibility criteria were selected and utilized for data collection to compare the presence of UI and pelvic floor muscle strength between high-impact versus low-impact exercise groups. Data were analyzed to determine the grand odds ratio, standardized mean difference effect size, and homogeneity across the studies. Results: Females practicing high impact exercise (n=275) have 5 times higher odds of having UI compared to females practicing low impact exercise (n=213) ranging 12-31 years; grand odds ratio=5.01 (1.29 to 19.48), p=0.02, I2=85%. For pelvic floor muscle strength, the grand effect size = -0.82 (-1.78 to 0.13), p=0.09, I2=79% favored the low impact exercise group (n=30) compared to the high impact exercise group (n=51) ranging 19-31 years. Conclusion: This meta-analysis demonstrates young, nulliparous females practicing high-impact exercise have higher odds of having UI compared to low-impact exercise. There was no statistically significant difference in pelvic floor muscle strength between the 2 groups. Physical therapists should be aware of and consider screening for UI in young, nulliparous females practicing high-impact exercise as physical therapy can provide pelvic floor training as first line conservative management.

ISBN: 9798379416096Subjects--Topical Terms:

588713
Physical therapy.
Subjects--Index Terms:

Urinary incontinence

Urinary Incontinence and Pelvic Floor Muscle Strength in Females Practicing High Vs Low Impact Exercise: A Meta-Analysis.
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300 $a 54 p.
500 $a Source: Dissertations Abstracts International, Volume: 84-10, Section: A.
500 $a Advisor: Roos, Jennifer.
502 $a Thesis (D.P.T.)--California State University, Fresno, 2023.
520 $a Background: Urinary incontinence (UI) is the complaint of involuntary loss of urine. Rates of stress urinary incontinence (SUI) have been reported from 14-48% in nulliparous female athletes. Compared to sedentary females, female athletes have a 177% higher risk of having UI. Level of impact of exercise and pelvic floor muscle strength may be factors that can contribute to UI in young, nulliparous females. The purpose of this meta-analysis is to synthesize the current literature and determine the presence of UI in young nulliparous females practicing high versus low impact exercise as well as compare pelvic floor muscle strength between the 2 groups. Methods: A literature search from December 2021 through September 2022 was conducted using the following databases: PubMed, EBSCO host, and OneSearch at Fresno State. Observational studies that met eligibility criteria were selected and utilized for data collection to compare the presence of UI and pelvic floor muscle strength between high-impact versus low-impact exercise groups. Data were analyzed to determine the grand odds ratio, standardized mean difference effect size, and homogeneity across the studies. Results: Females practicing high impact exercise (n=275) have 5 times higher odds of having UI compared to females practicing low impact exercise (n=213) ranging 12-31 years; grand odds ratio=5.01 (1.29 to 19.48), p=0.02, I2=85%. For pelvic floor muscle strength, the grand effect size = -0.82 (-1.78 to 0.13), p=0.09, I2=79% favored the low impact exercise group (n=30) compared to the high impact exercise group (n=51) ranging 19-31 years. Conclusion: This meta-analysis demonstrates young, nulliparous females practicing high-impact exercise have higher odds of having UI compared to low-impact exercise. There was no statistically significant difference in pelvic floor muscle strength between the 2 groups. Physical therapists should be aware of and consider screening for UI in young, nulliparous females practicing high-impact exercise as physical therapy can provide pelvic floor training as first line conservative management.
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650 4 $a Public health. $3 534748
650 4 $a Womens studies. $3 2122688
650 4 $a Kinesiology. $3 517627
653 $a Urinary incontinence
653 $a Pelvic floor muscle
653 $a Exercise
653 $a Female athletes
653 $a Pelvic floor training
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690 $a 0575
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710 2 $a California State University, Fresno. $b Physical Therapy. $3 3286130
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792 $a 2023
793 $a English
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