Journal of Chiropractic Medicine, 2022/06, 21(2):97-107. doi: 10.1016/j.jcm.2022.02.005, type of study: ,rct,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,

Full text    (https://www.sciencedirect.com/science/article/abs/pii/S1556370722000128)

Keywords:

osteopathic manipulative treatment [3946]
OMT [3925]
pelvic floor [26]
urinary incontinence [22]
women [608]
female [655]
randomized controlled trial [947]

Abstract:

OBJECTIVE: The purpose of this clinical trial was to compare the effects of 4 different interventions on electromyographic activity of the pelvic floor muscles in women with stress urinary incontinence (UI). METHODS: Fifty-one women with stress UI were randomized into 4 groups: a global osteopathic protocol (myofascial, visceral, and articular techniques); 1 manipulation technique (high-velocity, low-amplitude/thrust) of the sacroiliac joint and T10-L2; training of the pelvic floor muscles; and no intervention (control). Electromyographic activity of the pelvic floor muscles was evaluated at 5 different times (baseline, immediately after the procedure, 30 minutes, 1 hour, and 4 weeks after intervention). RESULTS: Forty women completed the study. There were no immediate or late effects on the myoelectric activity of any type of muscle fiber in any of the groups analyzed. CONCLUSION: There were no significant between-groups differences of electromyography in women with symptoms of stress UI.