{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,12]],"date-time":"2026-09-12T18:34:23Z","timestamp":1789238063555,"version":"build-2803163510"},"reference-count":23,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2023,9,15]],"date-time":"2023-09-15T00:00:00Z","timestamp":1694736000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Neurourology and Urodynamics"],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>The present study aimed to investigate the efficacy of educational interventions on pelvic floor (PF) muscle training in the treatment of urinary incontinence (UI).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This is a systematic review of literature with meta\u2010analysis, performed according to the Preferred Reporting Items for Systematic Reviews and Meta\u2010Analysis (PRISMA). To do so, randomized clinical trials that performed educational interventions of PF, UI,\u00a0and developed the training of PF\u00a0muscles (TPFM) for incontinent women, performing group or individual comparisons, with control and experimental groups or with two or more experimental groups were selected. The search for papers was performed in the following databases: PubMed, Scopus, Embase, Web of Science, and SciELO, no specific publication date was chosen. The risk of bias was performed using the PEDro scale and the quality of the evidence was performed using GRADE.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The review included six studies with 1003 participants. Most studies presented 5\u22128 points regarding risk of bias. Most of the studies were performed in the last 5\u00a0years, with women of various ages, high educational level\u00a0and prevalence of UI\u00a0of effort. The present study showed that offering educational instructions and guiding women on TPFM was capable of reducing urinary symptoms. When compared to control, significant between\u2010group differences were found in the studies, in which the control group did not receive any kind of instructions or treatment (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.05). The use of technologies through mobile apps was efficient in the treatment of incontinent women (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.05). Performing TPFM individually or in groups did not present differences in the results, with both improving urinary symptoms.\u00a0The meta\u2010analysis presented a mean effect and a clinically important difference in three studies.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The interventions involving instructions to TPFM associated to health education brought improvements to urinary symptoms.<\/jats:p><\/jats:sec>","DOI":"10.1002\/nau.25287","type":"journal-article","created":{"date-parts":[[2023,9,15]],"date-time":"2023-09-15T10:28:59Z","timestamp":1694773739000},"page":"219-235","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Efficacy of educational instructions on pelvic floor muscle training in the treatment of urinary incontinence: Systematic review and meta\u2010analysis"],"prefix":"10.1002","volume":"43","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9631-1908","authenticated-orcid":false,"given":"Alana Mirelle Coelho","family":"Leite","sequence":"first","affiliation":[{"name":"Universidade de Pernambuco e Universidade Estadual da Para\u00edba, Programa Associado de P\u00f3s\u2010Gradua\u00e7\u00e3o em Enfermagem da Universidade de Pernambuco, Rua Arn\u00f3bio Marques Recife Pernambuco Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6399-3201","authenticated-orcid":false,"given":"Rodrigo Cappato","family":"de Ara\u00fajo","sequence":"additional","affiliation":[{"name":"Universidade de Pernambuco, Departamento de Fisioterapia Petrolina Pernambuco Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-6439-7672","authenticated-orcid":false,"given":"Ana Vit\u00f3ria Rodrigues\u00a0dos","family":"Santos","sequence":"additional","affiliation":[{"name":"Universidade de Pernambuco, Departamento de Fisioterapia Petrolina Pernambuco Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5200-1572","authenticated-orcid":false,"given":"Sh\u00e1yra Anny Moura","family":"Barbosa","sequence":"additional","affiliation":[{"name":"Universidade de Pernambuco, Departamento de Fisioterapia Petrolina Pernambuco Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-4021-5328","authenticated-orcid":false,"given":"Danielly Alves","family":"Amorim","sequence":"additional","affiliation":[{"name":"Universidade de Pernambuco, Departamento de Fisioterapia Petrolina Pernambuco Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0285-9412","authenticated-orcid":false,"given":"Chalana Duarte","family":"da Sena Fraga","sequence":"additional","affiliation":[{"name":"Universidade de Pernambuco, Departamento de Fisioterapia Petrolina Pernambuco Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4774-298X","authenticated-orcid":false,"given":"Ana Carolina Rodarti","family":"Pitangui","sequence":"additional","affiliation":[{"name":"Universidade de Pernambuco, Departamento de Fisioterapia Petrolina Pernambuco 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a physiotherapy evidence database","volume":"27","author":"Shiwa ASR","year":"2011","journal-title":"Med Ref Serv Q"},{"key":"e_1_2_9_19_1","unstructured":"Brasil. Minist\u00e9rio da Sa\u00fade. Secretaria de Ci\u00eancia Tecnologia e Insumos Estrat\u00e9gicos. Departamento de Ci\u00eancia e Tecnologia. Diretrizes metodol\u00f3gicas: Sistema GRADE\u2014Manual de gradua\u00e7\u00e3o da qualidade da evid\u00eancia e for\u00e7a de recomenda\u00e7\u00e3o para tomada de decis\u00e3o em sa\u00fade\/Minist\u00e9rio da Sa\u00fade Secretaria de Ci\u00eancia Tecnologia e Insumos Estrat\u00e9gicos Departamento de Ci\u00eancia e Tecnologia. 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