{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T13:29:08Z","timestamp":1785763748523,"version":"3.56.0"},"reference-count":23,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2011,1,31]],"date-time":"2011-01-31T00:00:00Z","timestamp":1296432000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"The National Health and Medical Research Council of Australia","award":["251632"],"award-info":[{"award-number":["251632"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Neurourology and Urodynamics"],"published-print":{"date-parts":[[2011,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aims<\/jats:title><jats:p>To test the hypotheses that high intensity pelvic floor muscle training (PFMT) is effective in relief of stress urinary incontinence in community dwelling older women, and that intense PFMT improves stress urinary incontinence more than bladder training (BT) in this population.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A two\u2010center, assessor\u2010blinded randomized controlled trial of 20 weeks duration with two active intervention arms: PFMT and BT. Assessments and interventions were undertaken at two metropolitan tertiary hospitals. Participants were community dwelling women over 65 years of age with urodynamic stress incontinence. Primary outcome measure was urinary leakage during a cough stress test. Secondary outcome measures included symptoms and bother (ICIQ\u2010UI SF), participant global perception of change, leakage episodes (7\u2010day accident diary), degree of \u201cbother\u201d (VAS) and health related quality of life (AQoL).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Eighty\u2010three Caucasian women, 71.8 (SD 5.3) years participated in the study. Both groups improved over the intervention period; however, the PFMT group reported significantly lower amounts of leakage on the stress test [PFMT median 0.0\u2009g, 95% CI: 0.2\u20130.9; BT median 0.3\u2009g, 95% CI: 0.2\u20131.7, <jats:italic>P<\/jats:italic>\u2009=\u20090.006], improved symptoms and bother [PFMT mean 5.9, 95% CI: 4.8\u20137.1; BT group mean 8.5, 95% CI: 7.1\u20139.9 and greater perception of change [PFMT 28 (73.6%); BT 12 (36.4%) (<jats:italic>P<\/jats:italic>\u2009=\u20090.002)] after 5 months than the BT group.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>High intensity PFMT is effective in managing stress urinary incontinence and is more effective than BT in healthy older women. Neurourol. Urodynam. 30:317\u2013324, 2011. \u00a9 2011 Wiley\u2010Liss, Inc.<\/jats:p><\/jats:sec>","DOI":"10.1002\/nau.20968","type":"journal-article","created":{"date-parts":[[2011,1,31]],"date-time":"2011-01-31T15:24:39Z","timestamp":1296487479000},"page":"317-324","source":"Crossref","is-referenced-by-count":93,"title":["Incontinence improves in older women after intensive pelvic floor muscle training: An assessor\u2010blinded randomized controlled trial"],"prefix":"10.1002","volume":"30","author":[{"given":"Margaret","family":"Sherburn","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Margaret","family":"Bird","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marcus","family":"Carey","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kari","family":"B\u00f8","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mary P.","family":"Galea","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2011,1,31]]},"reference":[{"key":"e_1_2_7_2_2","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1520-6777(1999)18:6<567::AID-NAU7>3.0.CO;2-F"},{"key":"e_1_2_7_3_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.318.7182.487"},{"key":"e_1_2_7_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9378(98)70206-6"},{"key":"e_1_2_7_5_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.ju.0000111503.73803.c2"},{"key":"e_1_2_7_6_2","doi-asserted-by":"crossref","first-page":"269","DOI":"10.1093\/ptj\/85.3.269","article-title":"Evaluation of female pelvic floor muscle function and strength","volume":"85","author":"B\u00f8 K","year":"2005","journal-title":"Phys Ther"},{"key":"e_1_2_7_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0029-7844(98)00045-3"},{"key":"e_1_2_7_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0004-9514(05)70023-4"},{"key":"e_1_2_7_9_2","doi-asserted-by":"publisher","DOI":"10.1002\/nau.20041"},{"key":"e_1_2_7_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/0895-4356(89)90128-5"},{"key":"e_1_2_7_11_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1479-828X.2005.00393.x"},{"key":"e_1_2_7_12_2","doi-asserted-by":"publisher","DOI":"10.1080\/003655901753367587"},{"key":"e_1_2_7_13_2","doi-asserted-by":"publisher","DOI":"10.1023\/A:1008815005736"},{"key":"e_1_2_7_14_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.1991.tb01616.x"},{"key":"e_1_2_7_15_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1559-1816.1980.tb00697.x"},{"key":"e_1_2_7_16_2","volume-title":"Foundations of clinical research: Applications to practice","author":"Portney LG","year":"1993"},{"key":"e_1_2_7_17_2","volume-title":"Incontinence. Ch 15, 3rd consultation on incontinence","author":"Wilson PD","year":"2005"},{"key":"e_1_2_7_18_2","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD005654"},{"key":"e_1_2_7_19_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.1990.tb03517.x"},{"key":"e_1_2_7_20_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.1991.tb02701.x"},{"key":"e_1_2_7_21_2","doi-asserted-by":"publisher","DOI":"10.1002\/nau.1930090505"},{"key":"e_1_2_7_22_2","doi-asserted-by":"publisher","DOI":"10.1002\/nau.20089"},{"key":"e_1_2_7_23_2","first-page":"975","article-title":"The recommended quantity and quality of exercise for developing and maintaining cardiorespiratory and muscular fitness, and flexibility in healthy adults","volume":"30","author":"Pollock ML","year":"1998","journal-title":"Med Sci Sports Exerc"},{"key":"e_1_2_7_24_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-004-1125-0"}],"container-title":["Neurourology and Urodynamics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fnau.20968","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fnau.20968","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/nau.20968","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,7]],"date-time":"2023-10-07T14:58:06Z","timestamp":1696690686000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/nau.20968"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2011,1,31]]},"references-count":23,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2011,3]]}},"alternative-id":["10.1002\/nau.20968"],"URL":"https:\/\/doi.org\/10.1002\/nau.20968","archive":["Portico"],"relation":{},"ISSN":["0733-2467","1520-6777"],"issn-type":[{"value":"0733-2467","type":"print"},{"value":"1520-6777","type":"electronic"}],"subject":[],"published":{"date-parts":[[2011,1,31]]}}}