Pelvik Taban Disfonksiyonu Olan Bireylerde Egzersizin Etkileri ile İlgili Çalışmalara Bibliyometrik Bir Yaklaşım
Year 2026,
Volume: 13 Issue: 1
,
55
-
71
,
30.04.2026
Semehat Berber
,
Gülay Demir
,
Sinem Suner-keklik
Abstract
Amaç: Bu çalışmanın amacı, pelvik taban disfonksiyonlarında egzersizin etkilerini bibliyometrik olarak analiz ederek alandaki küresel bilimsel yapıyı ortaya koymaktır.
Gereç ve Yöntem: Scopus veri tabanından indirilen 2413 çalışma, 2013-2024 yılları arasını kapsayacak şekilde VOSviewer ve Biblioshiny yazılımları kullanılarak analiz edilmiş ve görselleştirilmiştir.
Bulgular: Yayın sayılarında 2020 sonrası belirgin bir artış trendi saptanmıştır. BØ K ve Dumoulin C gibi kurucu yazarlar ile International Urogynecology Journal alana liderlik etmektedir. Anahtar kelime analizimiz, literatürün büyük ölçüde kadınlarda görülen üriner inkontinans üzerine odaklandığını göstermiştir. En çok atıf alan makalenin hormonal tedavi üzerine olması, genel kadın sağlığı perspektifinin ne kadar merkezi bir öneme sahip olduğunu kanıtlamaktadır.
Sonuç: Analizimiz, alanda erkek pelvik taban disfonksiyonları ve miyofasiyal pelvik ağrı gibi konularda kritik boşluklar olduğunu ortaya koymuştur. Gelecekteki araştırmaların kanıt düzeyini yükseltmek için sistematik incelemeler ve meta-analizler gibi yüksek düzeyde kanıt sağlayan metodolojilere odaklanılması gerekiyor. Bu bulgular, fizyoterapi ve rehabilitasyon uygulamalarına somut rehberlik sunarak, kişiselleştirilmiş tedavi planlarının oluşturulmasına katkıda bulunacaktır.
References
-
Aoki, Y., Brown, H. W., Brubaker, L., Cornu, J. N., Daly, J. O., & Cartwright, R. (2017). Urinary incontinence in women. Nature Reviews Disease Primers, 3(1), 1-20. https://doi.org/10.1038/nrdp.2017.42
-
Asklund, I., Nyström, E., Sjöström, M., Umefjord, G., Stenlund, H., & Samuelsson, E. (2017). Mobile app for treatment of stress urinary incontinence: A randomized controlled trial. Neurourology and Urodynamics, 36(5), 1369-1376. https://doi.org/10.1002/nau.23116
-
Atıgan, A., Atıgan, A., & Gök, S. (2023). The 100 most-cited articles on pelvic organ prolapse: A bibliometric analysis. Sağlık Akademisyenleri Dergisi, 10(1), 134-145. https://doi.org/10.52880/sagakaderg.1249253
-
Baber, R. J., Panay, N., & Fenton, A. T. I. W. G. (2016). 2016 IMS Recommendations on women’s midlife health and menopause hormone therapy. Climacteric, 19(2), 109-150. https://doi.org/10.3109/13697137.2015.1129166
-
Barber, M. D., Brubaker, L., Burgio, K. L., Richter, H. E., Nygaard, I., Weidner, A. C., ... & Eunice Kennedy Shriver National Institute of Child Health. (2014). Comparison of 2 transvaginal surgical approaches and perioperative behavioral therapy for apical vaginal prolapse: the OPTIMAL randomized trial. Jama, 311(10), 1023-1034. https://doi.org/10.1001/jama.2014.171
-
Bharucha, A. E. (2006). Pelvic floor: anatomy and function. Neurogastroenterology & Motility, 18(7), 507-519. https://doi.org/10.1053/j.gastro.2005.11.064
-
Bo, K., Frawley, H. C., Haylen, B. T., Abramov, Y., Almeida, F. G., Berghmans, B., ... & Wells, A. (2017). An International Urogynecological Association (IUGA)/International Continence Society (ICS) joint report on the terminology for the conservative and nonpharmacological management of female pelvic floor dysfunction. International Urogynecology Journal, 28, 191-213. https://doi.org/10.1007/s00192-016-3123-4
-
Bø, K. (2006). Can pelvic floor muscle training prevent and treat pelvic organ prolapse?. Acta obstetricia et gynecologica Scandinavica, 85(3), 263-268. https://doi.org/10.1080/00016340500486800
-
Demir, G., Chatterjee, P., & Pamucar, D. (2024). Sensitivity analysis in multi-criteria decision making: A state-of-the-art research perspective using bibliometric analysis. Expert Systems with Applications, 237, 121660. https://doi.org/10.1016/j.eswa.2023.121660
-
Donthu, N., Kumar, S., Mukherjee, D., Pandey, N., & Lim, W. M. (2021). How to conduct a bibliometric analysis: An overview and guidelines. Journal of Business Research, 133, 285-296. https://doi.org/10.1016/j.jbusres.2021.04.070
-
Dumoulin, C., Hay‐Smith, J., Habée‐Séguin, G. M., & Mercier, J. (2015). Pelvic floor muscle training versus no treatment, or inactive control treatments, for urinary incontinence in women: A short version Cochrane systematic review with meta‐analysis. Neurourology and Urodynamics, 34(4), 300-308. https://doi.org/10.1002/nau.22700
-
Hagen, S., Stark, D., Glazener, C., Dickson, S., Barry, S., Elders, A., ... & Wilson, D. (2014). Individualised pelvic floor muscle training in women with pelvic organ prolapse (POPPY): A multicentre randomised controlled trial. The Lancet, 383(9919), 796-806. https://doi.org/10.1016/S0140-6736(13)61977-7
-
Knowles, C. H., Horrocks, E. J., Bremner, S. A., Stevens, N., Norton, C., O'Connell, P. R., & Eldridge, S. (2015). Percutaneous tibial nerve stimulation versus sham electrical stimulation for the treatment of faecal incontinence in adults (CONFIDeNT): A double-blind, multicentre, pragmatic, parallel-group, randomised controlled trial. The Lancet, 386(10004), 1640-1648. https://doi.org/10.1016/S0140-6736(15)60314-2
-
Li, Y., Li, Z., Li, Y., Gao, X., Wang, T., Huang, Y., & Wu, M. (2024). Genetics of Female Pelvic Organ Prolapse: up to date. Biomolecules, 14(9), 1097. https://doi.org/10.3390/biom14091097
-
Linnenluecke, M. K., Marrone, M., & Singh, A. K. (2020). Conducting systematic literature reviews and bibliometric analyses. Australian Journal of Management, 45(2), 175-194. https://doi.org/10.1177/0312896219877678
-
Luo, J., Hu, Y., & Bai, Y. (2021). Bibliometric analysis of the blockchain scientific evolution: 2014–2020. IEEE Access, 9, 120227-120246. https://doi.org/10.1109/ACCESS.2021.3092192
-
Mazza, M., Margoni, S., Mandracchia, G., Donofrio, G., Fischetti, A., Kotzalidis, G. D., ... & Sani, G. (2024). This pain drives me crazy: Psychiatric symptoms in women with interstitial cystitis/bladder pain syndrome. World Journal of Psychiatry, 14(6), 954-984. https://doi.org/10.5498/wjp.v14.i6.954
-
Nyström, E., Sjöström, M., Stenlund, H., & Samuelsson, E. (2015). ICIQ symptom and quality of life instruments measure clinically relevant improvements in women with stress urinary incontinence. Neurourology and Urodynamics, 34(8), 747-751. https://doi.org/10.1002/nau.22657
-
Ren, S., Gao, Y., Yang, Z., Li, J., Xuan, R., Liu, J., ... & Thirupathi, A. (2020). The effect of pelvic floor muscle training on pelvic floor dysfunction in pregnant and postpartum women. Physical Activity and Health, 4(1), 130-141. https://doi.org/10.5334/paah.64
-
Ross, V., Detterman, C., & Hallisey, A. (2021). Myofascial pelvic pain: an overlooked and treatable cause of chronic pelvic pain. Journal of Midwifery & Women's Health, 66(2), 148-160. https://doi.org/10.1111/jmwh.13224
-
Sandhu, J. S., Breyer, B., Comiter, C., Eastham, J. A., Gomez, C., Kirages, D. J., ... & McCammon, K. (2019). Incontinence after prostate treatment: AUA/SUFU guideline. The Journal of Urology, 202(2), 369-378. https://doi.org/10.1097/JU.0000000000000314
-
Szumilewicz, A., Dornowski, M., Piernicka, M., Worska, A., Kuchta, A., Kortas, J., ... & Jastrzębski, Z. (2019). High-low impact exercise program including pelvic floor muscle exercises improves pelvic floor muscle function in healthy pregnant women–a randomized control trial. Frontiers in Physiology, 9, 1867. https://doi.org/10.3389/fphys.2018.01867
-
Wang, L., Luo, Z., Zhao, P., Yu, Y., Chen, Y., Lin, F., & Xu, Z. (2024). Current status and trends of urinary incontinence research in recent 10 years based on VOSviewer visualized analysis: An observational study. Medicine, 103(35), e39526. https://doi.org/10.1097/MD.0000000000039526
-
Woodley, S. J., Lawrenson, P., Boyle, R., Cody, J. D., Mørkved, S., Kernohan, A., & Hay-Smith, E. J. C. (2020). Pelvic floor muscle training for preventing and treating urinary and faecal incontinence in antenatal and postnatal women. Cochrane Database of Systematic Reviews, (5). https://doi.org/10.1002/14651858.CD007471.pub4
A Bibliometric Approach to Studies on the Effects of Exercise in Individuals with Pelvic Floor Dysfunction
Year 2026,
Volume: 13 Issue: 1
,
55
-
71
,
30.04.2026
Semehat Berber
,
Gülay Demir
,
Sinem Suner-keklik
Abstract
Object: The aim of this study is to analyze the effects of exercise in pelvic floor dysfunctions bibliometrically and to reveal the global scientific structure in the field.
Materials and Methods: A total of 2413 studies retrieved from the Scopus database, covering the years 2013–2024, were analyzed and visualized using VOSviewer and Biblioshiny software.
Results: A significant increasing trend in the number of publications was detected after 2020. Foundational authors such as BØ K and Dumoulin C, along with the International Urogynecology Journal, are leading the field. Our keyword analysis showed that the literature is largely focused on urinary incontinence observed in women. The most cited article being on hormonal therapy proves the central importance of the general women’s health perspective.
Conclusion: Our analysis revealed critical gaps in subjects such as male pelvic floor dysfunctions and myofascial pelvic pain. Future research needs to focus on high-level evidence methodologies, such as systematic reviews and meta-analyses, to elevate the level of evidence in the field. These findings will offer concrete guidance for physical therapy and rehabilitation applications, contributing to the creation of personalized treatment plans.
References
-
Aoki, Y., Brown, H. W., Brubaker, L., Cornu, J. N., Daly, J. O., & Cartwright, R. (2017). Urinary incontinence in women. Nature Reviews Disease Primers, 3(1), 1-20. https://doi.org/10.1038/nrdp.2017.42
-
Asklund, I., Nyström, E., Sjöström, M., Umefjord, G., Stenlund, H., & Samuelsson, E. (2017). Mobile app for treatment of stress urinary incontinence: A randomized controlled trial. Neurourology and Urodynamics, 36(5), 1369-1376. https://doi.org/10.1002/nau.23116
-
Atıgan, A., Atıgan, A., & Gök, S. (2023). The 100 most-cited articles on pelvic organ prolapse: A bibliometric analysis. Sağlık Akademisyenleri Dergisi, 10(1), 134-145. https://doi.org/10.52880/sagakaderg.1249253
-
Baber, R. J., Panay, N., & Fenton, A. T. I. W. G. (2016). 2016 IMS Recommendations on women’s midlife health and menopause hormone therapy. Climacteric, 19(2), 109-150. https://doi.org/10.3109/13697137.2015.1129166
-
Barber, M. D., Brubaker, L., Burgio, K. L., Richter, H. E., Nygaard, I., Weidner, A. C., ... & Eunice Kennedy Shriver National Institute of Child Health. (2014). Comparison of 2 transvaginal surgical approaches and perioperative behavioral therapy for apical vaginal prolapse: the OPTIMAL randomized trial. Jama, 311(10), 1023-1034. https://doi.org/10.1001/jama.2014.171
-
Bharucha, A. E. (2006). Pelvic floor: anatomy and function. Neurogastroenterology & Motility, 18(7), 507-519. https://doi.org/10.1053/j.gastro.2005.11.064
-
Bo, K., Frawley, H. C., Haylen, B. T., Abramov, Y., Almeida, F. G., Berghmans, B., ... & Wells, A. (2017). An International Urogynecological Association (IUGA)/International Continence Society (ICS) joint report on the terminology for the conservative and nonpharmacological management of female pelvic floor dysfunction. International Urogynecology Journal, 28, 191-213. https://doi.org/10.1007/s00192-016-3123-4
-
Bø, K. (2006). Can pelvic floor muscle training prevent and treat pelvic organ prolapse?. Acta obstetricia et gynecologica Scandinavica, 85(3), 263-268. https://doi.org/10.1080/00016340500486800
-
Demir, G., Chatterjee, P., & Pamucar, D. (2024). Sensitivity analysis in multi-criteria decision making: A state-of-the-art research perspective using bibliometric analysis. Expert Systems with Applications, 237, 121660. https://doi.org/10.1016/j.eswa.2023.121660
-
Donthu, N., Kumar, S., Mukherjee, D., Pandey, N., & Lim, W. M. (2021). How to conduct a bibliometric analysis: An overview and guidelines. Journal of Business Research, 133, 285-296. https://doi.org/10.1016/j.jbusres.2021.04.070
-
Dumoulin, C., Hay‐Smith, J., Habée‐Séguin, G. M., & Mercier, J. (2015). Pelvic floor muscle training versus no treatment, or inactive control treatments, for urinary incontinence in women: A short version Cochrane systematic review with meta‐analysis. Neurourology and Urodynamics, 34(4), 300-308. https://doi.org/10.1002/nau.22700
-
Hagen, S., Stark, D., Glazener, C., Dickson, S., Barry, S., Elders, A., ... & Wilson, D. (2014). Individualised pelvic floor muscle training in women with pelvic organ prolapse (POPPY): A multicentre randomised controlled trial. The Lancet, 383(9919), 796-806. https://doi.org/10.1016/S0140-6736(13)61977-7
-
Knowles, C. H., Horrocks, E. J., Bremner, S. A., Stevens, N., Norton, C., O'Connell, P. R., & Eldridge, S. (2015). Percutaneous tibial nerve stimulation versus sham electrical stimulation for the treatment of faecal incontinence in adults (CONFIDeNT): A double-blind, multicentre, pragmatic, parallel-group, randomised controlled trial. The Lancet, 386(10004), 1640-1648. https://doi.org/10.1016/S0140-6736(15)60314-2
-
Li, Y., Li, Z., Li, Y., Gao, X., Wang, T., Huang, Y., & Wu, M. (2024). Genetics of Female Pelvic Organ Prolapse: up to date. Biomolecules, 14(9), 1097. https://doi.org/10.3390/biom14091097
-
Linnenluecke, M. K., Marrone, M., & Singh, A. K. (2020). Conducting systematic literature reviews and bibliometric analyses. Australian Journal of Management, 45(2), 175-194. https://doi.org/10.1177/0312896219877678
-
Luo, J., Hu, Y., & Bai, Y. (2021). Bibliometric analysis of the blockchain scientific evolution: 2014–2020. IEEE Access, 9, 120227-120246. https://doi.org/10.1109/ACCESS.2021.3092192
-
Mazza, M., Margoni, S., Mandracchia, G., Donofrio, G., Fischetti, A., Kotzalidis, G. D., ... & Sani, G. (2024). This pain drives me crazy: Psychiatric symptoms in women with interstitial cystitis/bladder pain syndrome. World Journal of Psychiatry, 14(6), 954-984. https://doi.org/10.5498/wjp.v14.i6.954
-
Nyström, E., Sjöström, M., Stenlund, H., & Samuelsson, E. (2015). ICIQ symptom and quality of life instruments measure clinically relevant improvements in women with stress urinary incontinence. Neurourology and Urodynamics, 34(8), 747-751. https://doi.org/10.1002/nau.22657
-
Ren, S., Gao, Y., Yang, Z., Li, J., Xuan, R., Liu, J., ... & Thirupathi, A. (2020). The effect of pelvic floor muscle training on pelvic floor dysfunction in pregnant and postpartum women. Physical Activity and Health, 4(1), 130-141. https://doi.org/10.5334/paah.64
-
Ross, V., Detterman, C., & Hallisey, A. (2021). Myofascial pelvic pain: an overlooked and treatable cause of chronic pelvic pain. Journal of Midwifery & Women's Health, 66(2), 148-160. https://doi.org/10.1111/jmwh.13224
-
Sandhu, J. S., Breyer, B., Comiter, C., Eastham, J. A., Gomez, C., Kirages, D. J., ... & McCammon, K. (2019). Incontinence after prostate treatment: AUA/SUFU guideline. The Journal of Urology, 202(2), 369-378. https://doi.org/10.1097/JU.0000000000000314
-
Szumilewicz, A., Dornowski, M., Piernicka, M., Worska, A., Kuchta, A., Kortas, J., ... & Jastrzębski, Z. (2019). High-low impact exercise program including pelvic floor muscle exercises improves pelvic floor muscle function in healthy pregnant women–a randomized control trial. Frontiers in Physiology, 9, 1867. https://doi.org/10.3389/fphys.2018.01867
-
Wang, L., Luo, Z., Zhao, P., Yu, Y., Chen, Y., Lin, F., & Xu, Z. (2024). Current status and trends of urinary incontinence research in recent 10 years based on VOSviewer visualized analysis: An observational study. Medicine, 103(35), e39526. https://doi.org/10.1097/MD.0000000000039526
-
Woodley, S. J., Lawrenson, P., Boyle, R., Cody, J. D., Mørkved, S., Kernohan, A., & Hay-Smith, E. J. C. (2020). Pelvic floor muscle training for preventing and treating urinary and faecal incontinence in antenatal and postnatal women. Cochrane Database of Systematic Reviews, (5). https://doi.org/10.1002/14651858.CD007471.pub4