The truth about strengthening the Pelvic Floor

‘There is not yet strong evidence that exercise regimens (Pilates), other than pelvic floor muscle training can reduce stress urinary incontinence in women: a systematic review’ Journal of Physiotherapy Sep. 2013 Vol 59^

What is already known?

Urinary incontinence is common, affecting quality of life and participation in social activities. Extensive high-quality evidence confirms that specific pelvic floor muscle training reduces stress urinary incontinence# and mixed urinary incontinence*

What this study adds?

Abdominal training, the Paula method, and Pilates have each been examined as adjuncts or alternatives to pelvic floor muscle training in several randomised trials, but the data does not support their effectiveness. The efficacy of yoga, Tai Chi, breathing exercises, postural training and general fitness training in treating stress urinary incontinence has not been examined in any randomised trials.’

So what? ‘…pelvic floor muscle training in isolation should be first-line treatment for stress urinary incontinence and mixed urinary incontinence.’

Goldie Wellbeing Program supports group training of pelvic floor muscles and feedback of the contraction from a physio using real time ultra sound. Group training for pelvic floor muscles has been shown in several randomised controlled trials to be effective. Goldie also conducts mobile home visits for individual monitoring and personal programs. Goldie Wellbeing Postnatal App includes pelvic floor strengthening isolation exercises in the Foundation level.


^Norwegian School of Sport Sciences, Department of Sports Medicine, Oslo, Norway, Neuroscience Research Australia, Sydney, Australia

#complaint of involuntary loss of urine on effort or physical exertion

*complaint of involuntary loss of urine associated with urgency