Title: Effect of Maximum Repetition of Pelvic Floor Stabilization Exercise in Stress Urinary Incontinence.

Abstract Background: Stress urinary incontinence (SUI) in females is a common gynecological issue that impedes lifestyle. Exercise had a significant effect; however, studies did not determine the exercise frequency and intensity for pelvic floor stabilization in stress urinary incontinence. Aim: The aim of the study is to determine if maximum repetition of pelvic stabilization exercise impacts the management of stress urinary incontinence in females. Methodology: One arm quasi-experimental study design was used. 40 patients having SUI and associated musculoskeletal complaints were recruited from the outpatient unit of Physiotherapy department of the Centre for the Rehabilitation of the Paralysed (CRP), Bangladesh. The study was conducted over 4weeks. Outcome measurement was included pelvic floor and abdominal muscle strength, endurance, and incontinence measurement. Result: Pelvic floor muscle and abdominal strength, and endurance had a positive and significant result in maximum repetition (P .001). Pelvic floor strength has been significantly improvement in week 2 (P .001), and week 3 (P .01). Interference in activities (P .003), and ICIQ total (P .001) had improvement but majority of the improvement was noted in weeks 2-3. There was a significant improvement in the frequency of urine leakage in the first week (P .001), and week 3 (P .005) and week 4 (P .001). Conclusion: Pelvic floor exercise with increasing repetition is an effective approach to improve stress urinary incontinence in females. The study had a significant impact on incontinence frequency, amount, and associated quality of life for women with stress urinary incontinence with pelvic floor exercise with maximum repetition. Key Words: Stress Urinary Incontinence, Physiotherapy, exercise, Maximum repetition

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Pelvic floor muscle exercise as the best stress urinary incontinence prevention method in women practising competitive sport

Physiotherapy ◽

10.2478/physio-2013-0011 ◽

2013 ◽

Vol 21 (2) ◽

Cited By ~ 1

Author(s):

Józef A. Opara ◽

Teresa Socha ◽

Anna Poświata

Keyword(s):

Urinary Incontinence ◽

Stress Urinary Incontinence ◽

Pelvic Floor ◽

Female Athletes ◽

Pelvic Floor Muscle ◽

Abdominal Muscle ◽

Urinary Continence ◽

Competitive Sport ◽

Prevention Method ◽

Respiratory Exercises

AbstractExercises in stress urinary incontinence (SUI) cover Pelvic Floor Muscle Exercises (PFME), also known in literature as Pelvic Floor Muscle Training (PFMT) or Kegel exercises; isometric exercises, exercises of the abdominal and gluteal muscles and of the adductor of thigh, respiratory exercises carried out through the abdominal tract, exercises in water. In persons with urinary incontinence, the interaction between the pelvic floor muscles and the transverse abdominal muscle is impaired, suggesting a significant role of this muscle in urinary continence. Consequently, a moderate training, e.g. including exercises of Pilates method, may be part of the therapy. Stress urinary incontinence is a frequent occurrence among women practising competitive sport. In the review article we have presented the incidence of stress urinary incontinence in sportswomen, risk factors and physiotherapeutic treatment. We have paid specific attention to the prevention of stress urinary incontinence in female athletes.

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Effect of Pelvic Floor Muscle Electrical Stimulation on Lumbopelvic Control in Women With Stress Urinary Incontinence: Randomized Controlled Trial

10.21203/rs.3.rs-142616/v1 ◽

2021 ◽

Author(s):

Ui-jae Hwang ◽

Min-seok Lee ◽

Sung-hoon Jung ◽

Oh-yun Kwon

Keyword(s):

Urinary Incontinence ◽

Electrical Stimulation ◽

Stress Urinary Incontinence ◽

Pelvic Floor ◽

Pelvic Floor Muscle ◽

Muscle Thickness ◽

Abdominal Muscle ◽

Control Group ◽

Contraction Ratio ◽

Pfm Strength

Abstract Background: This study was performed to determine the effectiveness of 8 weeks of pelvic floor muscle (PFM) training by electrical stimulation (ES) on PFM function, lumbopelvic control, abdominal muscle thickness, and the contraction ratio in women with stress urinary incontinence (SUI). Methods: Women with SUI were randomized into an ES group (n = 18) or control group (n = 18). The ES group underwent a PFM ES training during 8-week, and the control group underwent only a general exercise without PFM training. PFM functions was measured using a perineometer. Lumbopelvic control was measured by one- and double-leg lowering tests. Abdominal muscle thickness and the contraction ratio during the active straight leg raise maneuver were measured by sonography. Results: The ES group showed significantly higher PFM strength and power than controls (p < 0.05) at after 8 weeks of training. PFM strength and power were significantly increased after 8 weeks of training in the ES group (p < 0.05). The ES group showed significantly higher values than the controls in both the one- and double-leg lowering tests (p < 0.05) at after 8 weeks of training. There were no significant between- or within-group differences, at rest or during contraction, in transverse abdominis (TrA), internal oblique abdominis (IO), or external oblique abdominis (EO) muscle thickness. Conclusion: Improvements in PFM functions by PFM ES could enhance lumbopelvic control in women with SUI.Trial registration: Clinical Research information Service, KCT0003357. Registered 11th November 2018 - Retrospectively registered, https://cris.nih.go.kr/cris/search/search_result_st01_en.jsp?seq=12678&ltype=&rtype=

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The Efficacy of Pelvic Floor Exercise for the Stress Urinary Incontinence

Journal of Pharmaceutical Research International ◽

10.9734/jpri/2021/v33i43a32469 ◽

2021 ◽

pp. 85-89

Author(s):

Pradnya Gavhale ◽

Manjusha Mahakarkar

Keyword(s):

Urinary Incontinence ◽

Stress Urinary Incontinence ◽

Pelvic Floor ◽

Pelvic Floor Muscle ◽

Sampling Technique ◽

Abdominal Pressure ◽

Pelvic Floor Exercise ◽

Before And After ◽

Grading Scale ◽

Pressure Stress

Background: Stress urinary incontinence is an involuntary leaking of urine during physical activity, such as coughing, sneezing, laughing, or exercise that increases abdominal pressure. Stress urinaryincontinence has a wide variety of impacts on women's daily. Objectives: To assess the stress urinary incontinence among women before and after pelvic floor exercise, to assess the severity of stress urinary incontinence among women before and after pelvic floor exercise, to find out the association between stress urinary incontinence and severity with selected demographic variables. Methodology: A study will be conducted in the rural community area of the Wardha district. A total of 30 women will be selected as the study sample by using the non-probability purposive sampling technique as per the inclusion/exclusion criteria. An interventional evaluatory approach and time-series design will be used. In this study, the researcher will assess the stress urinary incontinence with the help of a structured questionnaire and again assess the severity of stress urinary incontinence with a grading scale after that pelvic floor exercise will be given to that woman after 2 weeks again researcher will assess the stress urinary incontinence and severity of the stress urinary incontinence with the grading scale. Outcome/results: The outcome will be the pelvic floor exercise or training (PFE) will minimize the incidence rate of stress urinary incontinence among women it also helps to increase the pelvic floor muscle strength.

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Effects of Co-contraction of Both Transverse Abdominal Muscle and Pelvic Floor Muscle Exercises for Stress Urinary Incontinence: A Randomized Controlled Trial

Journal of Physical Therapy Science ◽

10.1589/jpts.26.1161 ◽

2014 ◽

Vol 26 (8) ◽

pp. 1161-1163 ◽

Cited By ~ 15

Author(s):

Kimiko Tajiri ◽

Ming Huo ◽

Hitoshi Maruyama

Keyword(s):

Randomized Controlled Trial ◽

Urinary Incontinence ◽

Stress Urinary Incontinence ◽

Pelvic Floor ◽

Pelvic Floor Muscle ◽

Controlled Trial ◽

Abdominal Muscle ◽

Pelvic Floor Muscle Exercises ◽

Randomized Controlled

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Faculty Opinions recommendation of Internet-based treatment of stress urinary incontinence: a randomised controlled study with focus on pelvic floor muscle training.

Faculty Opinions – Post-Publication Peer Review of the Biomedical Literature ◽

10.3410/f.717976624.793472210 ◽

2013 ◽

Author(s):

Francisco Cruz

Keyword(s):

Urinary Incontinence ◽

Stress Urinary Incontinence ◽

Pelvic Floor ◽

Pelvic Floor Muscle Training ◽

Pelvic Floor Muscle ◽

Controlled Study ◽

Muscle Training ◽

Randomised Controlled Study ◽

Randomised Controlled

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Women’s adoption of a web-based intervention for stress urinary incontinence: a qualitative study

BMC Health Services Research ◽

10.1186/s12913-021-06585-z ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Lotte Firet ◽

Theodora Alberta Maria Teunissen ◽

Rudolf Bertijn Kool ◽

Lukas van Doorn ◽

Manal Aourag ◽

...

Keyword(s):

Urinary Incontinence ◽

Stress Urinary Incontinence ◽

Pelvic Floor ◽

Pelvic Floor Muscle Training ◽

Pelvic Floor Muscle ◽

Sense Of Self ◽

Health Intervention ◽

Muscle Training ◽

Suitable Alternative ◽

Technical Features

Abstract Background Stress urinary incontinence (SUI) is common among women and affects their quality of life. Pelvic floor muscle training is an effective conservative therapy, but only a minority of women seek help. E-health with pelvic floor muscle training is effective and increases access to care. To implement an e-Health intervention in a sustainable way, however, we need to understand what determines adoption. The aim is to investigate the barriers and facilitators to adopting an e-Health intervention among Dutch women with stress urinary incontinence. Methods Semi-structured telephonic interviews were carried out among participants of the Dutch e-Health intervention for women with stress urinary incontinence. Women were purposively sampled. The ‘Fit between Individuals, Task and Technology’ (FITT) framework was used for both the data collection and data analysis, to gain a more in-depth insight into the adoption of the intervention. Results Twenty women were interviewed, mean age 51 years and mostly highly educated. The adoption of e-Health for women with SUI mainly depends on the interaction between users and e-Health, and users and pelvic floor muscle training exercises. Facilitators for the adoption were the preference for an accessible self-management intervention, having a strong sense of self-discipline and having the ability to schedule the exercises routinely. Women needed to possess self-efficacy to do this intervention independently. Barriers to the adoption of e-Health were personal circumstances restricting time for scheduling pelvic floor muscle training and lacking skills to perform the exercises correctly. Despite guidance by technical features several women remained uncertain about their performance of the exercises and, therefore, wanted additional contact with a professional. Conclusions For stress urinary incontinence e-Health is an appropriate option for a target audience. Use of the FITT framework clearly demonstrates the conditions for optimal adoption. For a subgroup it was a suitable alternative for medical care in person. For others it identified the need for further support by a health care professional. This support could be provided by improvements of technical features and incorporating modes for digital communication. The additional value of integration of the e-Health intervention in primary care might be a logical next step. Trial registration The study was prospectively registered in the Netherlands Trial Registry (NTR) NTR6956.

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