Publish in this journal
Journal Information
Vol. 23. Issue 2.
Pages 116-124 (01 March 2019)
Download PDF
More article options
Vol. 23. Issue 2.
Pages 116-124 (01 March 2019)
Original Research
DOI: 10.1016/j.bjpt.2019.01.007
Effectiveness of pelvic floor muscle training and bladder training for women with urinary incontinence in primary care: a pragmatic controlled trial
Camila Teixeira Vaza,b, Rosana Ferreira Sampaioa, Fernanda Saltiela,c, Elyonara Mello Figueiredoa,
Corresponding author

Corresponding author at: Departamento de Fisioterapia/EEFFTO, Avenida Antonio Carlos, 6627, CEP: 31270-901 Belo Horizonte, MG, Brazil.
a Rehabilitation Sciences Program, Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, MG, Brazil
b Physical Therapy Department, Universidade Federal de Juiz de Fora (UFJF), Governador Valadares, MG, Brazil
c Faculdade de Ciências Médicas de Minas Gerais (FCMMG) Belo Horizonte, MG, Brazil

  • The majority of women do not have access to physical therapy for urinary incontinence in primary health centers.

  • Physical therapy intervention can be succssesfully implemented in primary health care centers.

  • The PFMT and bladder training was effective, with positive results as early as 6 weeks.

  • The protocols tested should be used in primary health centers.

This item has received
Article information
Full Text
Download PDF
Figures (1)
Tables (4)
Table 1. Socio-demographic and clinical characteristics of the participants by settings (N=60).
Table 2. Changes in the outcomes over time for the total sample (within groups comparison) (N=60).
Table 3. Multiple comparisons over time for each outcome for the total sample, collapsed by setting (N=60).
Table 4. Changes in the outcomes over time according to settings (within and between settings comparisons) (N=60).
Show moreShow less

Although the efficacy of pelvic floor muscle training (PFMT) and bladder training are well established, there is a paucity of patient centered models using these interventions to treat women with UI at primary level of health assistance in Brazil.


To investigate the effectiveness of a physical therapy intervention to treat women with UI in primary health centers.


Pragmatic non-randomized controlled trial in which women with UI from the community participated in a supervised physical therapy program consisting of bladder training plus 12 weeks of PFMT, performed either at home or in the health center. Outcome measures were amount and frequency of urine loss measured by the 24-h pad-test and the 24-h voiding diary; secondary outcome was the impact of UI on quality of life measured by the ICIQ-SF. Outcomes were measured at baseline, at the 6th and 12th weeks of the intervention and 1 month after discharge.


Interventions reduced the amount (pad-test, p=0.004; d=0.13, 95% CI=−0.23 to 0.49) and frequency of urine loss (voiding diary, p=0.003; d=0.51, 95%CI=0.14 to 0.87), and the impact of UI on quality of life (ICIQ-SF, p<0.001; d=1.26, 95%CI=0.87 to 1.66) over time, with positive effects from the 6th week up to 1 month for both intervention setting (home and health center), and no differences between them.


Interventions were effective, can be implemented in primary health centers favoring the treatment of a greater number of women who do not have access to specialized physical therapy.

Trial registration: RBR-8tww4y.

Urinary incontinence
Pelvic floor
Physical therapy modalities
Primary health care.


These are the options to access the full texts of the publication Brazilian Journal of Physical Therapy

If you already have your login data, please click here .

If you have forgotten your password you can you can recover it by clicking here and selecting the option “I have forgotten my password”
Phone for subscriptions and reporting of errors
From Monday to Friday from 9 a.m. to 6 p.m. (GMT + 1) except for the months of July and August which will be from 9 a.m. to 3 p.m.
Calls from Spain
932 415 960
Calls from outside Spain
+34 932 415 960
Brazilian Journal of Physical Therapy

Subscribe to our newsletter

Article options
en pt
Cookies policy Política de cookies
To improve our services and products, we use "cookies" (own or third parties authorized) to show advertising related to client preferences through the analyses of navigation customer behavior. Continuing navigation will be considered as acceptance of this use. You can change the settings or obtain more information by clicking here. Utilizamos cookies próprios e de terceiros para melhorar nossos serviços e mostrar publicidade relacionada às suas preferências, analisando seus hábitos de navegação. Se continuar a navegar, consideramos que aceita o seu uso. Você pode alterar a configuração ou obter mais informações aqui.