Physical therapy for urinary incontinence in older women: A systematic review.
Arch Gerontol GeriatrMay 29, 2026 (epub)
Jie Hao, Zixuan Yao, Peng Fan et al.
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In 30 seconds
This systematic review evaluated randomized controlled trials of physical therapy interventions for urinary incontinence in women aged 60 and older. The analysis included 20 studies with 2002 participants, revealing that pelvic floor muscle training (PFMT) significantly reduced urinary incontinence severity compared to usual care (SMD = -1.27, p = 0.006).
Key findings
- PFMT significantly reduced urinary incontinence severity compared to usual care (SMD = -1.27, p = 0.006).
- Multimodal programs combining PFMT with mobility and strength training showed significant benefits (SMD = -0.98, p = 0.002).
- PFMT was similarly effective to Yoga and Pilates in managing urinary incontinence.
- Adjuncts like general resistance training provided additional improvements in outcomes.
Why it matters
Urinary incontinence is prevalent among older women, impacting their quality of life and independence. Effective management through physical therapy can enhance functional outcomes and reduce healthcare utilization.