The Spanish Scientific Nursing Society journal (SCELE) has just published an original research article titled Hypopressive exercise for the treatment of urinary incontinence in multiparous women: clinical series.


The study presented the results of treating a clinical series of multiparous women who suffered from urinary incontinence. Based on the hypopressive exercise guide described by the founders of Low Pressure Fitness (Rial and Pinsach, 2014), a novel protocol was proposed with the objective of improving urine leakages.


Urinary incontinence is very common after delivery. The type and number of deliveries are considered major risk factors. In many cases, women do not seek appropriate treatment since urinary incontinence has become socially normalized after a certain age or as a consequence of delivery. However, supervised treatment with specific exercises can be helpful and at the same time healthy.


In recent years, hypopressive exercise has started to be applied in the treatment of pelvic floor dysfunctions such as prolapse and incontinence. Although it is very popular, there is a limited body of evidence regarding it’s benefits. Additionally, there are very few references available regarding the best protocol for treating urinary incontinence with hypopressives. In this study, the authors suggested a new protocol which consisted of ten minutes of Level 1 LPF exercises practiced once a week over three weeks. After that, the session duration increased to fifteen minutes and was carried out twice a week. Lastly, in the last two weeks practice time was increased to twenty minutes twice a week.


After a seven-week intervention protocol based exclusively on hypopressives, urinary incontinence was again assessed. All cases showed improvements in both, the severity and quantity of the leakages. Two cases showed complete remission of urine leakages and all the women expressed great satisfaction with the program.




The results of this study:

  1. Provide more data on the potential effectiveness of hypopressives for the conservative treatment of urinary incontinence.
  2. Lay the ground work for new experimental studies involving larger groups.


The fact that the sessions were short, supervised and progressively introduced to the patient could influence the desirable findings. The results of this study show us that a short protocol (10 to 20 minutes of hypopressives performed once to twice a week) can also be effective in reducing urinary incontinence in a case of multiparous women.


All the certified professionals of Low Pressure Fitness, experts in hypopressive exercise can be found in this link.


Had heard about Low Pressure Fitness techniques before but I did not think they were for me. Then, almost a year ago I had a blood clot in a vein in my left leg. Doctors kept me in hospital for two weeks and then at home for almost two months. I had to rest as much as possible, try to move very little and keep my leg up all the time. They allowed me to go back to work but I had to keep resting my leg and the only exercise I could do was walking. However, I was not finished with doctors yet because in the tests they discovered I had a tumor in my uterus. They had to wait for the medication to work and for the clot to disappear before I had the surgery to remove the tumor. Finally, I had the surgery, they removed my uterus and the tumor was benign, which was, of course, excellent news.

I knew of the risk for my pelvic floor after such a surgery

After the surgery doctors recommended again home rest to avoid the risk of a hernia. When they told me I was ready to go back to work and to resume normal life I asked if I could do some exercise but they told me it was better if I waited. I needed to do something after almost eight months without exercise but I was concerned about the type of exercise as I knew of the risk for my pelvic floor after such a surgery so I asked the pilates trainer I had before my illness and she recommended to try low pressure fitness with her husband Xavi. I have now been training with Xavi one hour once a week, and then at home twenty minutes every day. My idea at the start was to use these techniques to prepare my body to go back to normal and to avoid long term problems as incontinence, for instance. However I have discovered that low pressure fitness is good for me in the short term as well. I have improved my posture both walking and sitting, I have not had back pains since we started, I have a lot of energy, I have improved my breathing.

María López
English Teacher


Trista, thank you so much for sending along the certificates etc, I have been meaning to find a moment to write you a letter expressing my gratitude for all I learned during the weekend in Halifax. The training surpassed my perception of what I thought hypopressives technique to be and in many ways was a life changing experience. I can easily see why you are so passionate to bring this in to Canada.

Its been exciting to begin to work with this on a personal level as I’m already feeling the positive impact it provides to my entire well being!! I am standing taller, my stomach is flatter (without holding it in) my digestion is better and so much more.

Looking forward to taking some progress photos soon to see the impact its made in my body.

After the training I was instantly able to transfer aspects of the technique into my appointments with many of my patients and have created some huge transformations within a short time. I’m sparking lots of Hypopressive interest in the community and have some patients that are eager to learn all they can to improve their core and pelvic floor function through a practice that improves posture, movement, breath and all facets of life.

I am thrilled to be a part of the Hypopressive “core” change in the industry and look forward to deepening my level of ability within it.

Sending my best,

Arron Bonin
Canadian Physiotherapist
Attendee Level 1 course