scholarly journals Assessment of Efficacy of Pelvic Floor Muscle Exercise (PFME) on Urinary Incontinence among Middle Aged Women

Author(s):  
Veena Verma ◽  
Sinju Mathew

Background: Urinary incontinence (UI) is a familiar manifestation that can affect women of all ages, with a wide range of severity and nature. While rarely life-threatening, incontinence may seriously influence the physical, psychological and social wellbeing of affected individuals. Objective: The main objective of the study is to assess the effectiveness of pelvic floor muscle exercises (PFME) or Kegel’s exercise on urinary incontinence among middle aged women of selected urban community of Raipur (C.G). Methodology: A community based quazi - experimental study was conducted among 60 middle aged women having mild to moderate degree of urinary incontinence. The sample were selected by nonrandomised purposive technique The baseline data were collected from 60 samples (30 in experimental group and 30 in control group) by standardised tool - Questionnaire for urinary incontinence diagnosis (QUID) on urinary incontinence. The experimental group was taught to practise Kegel’s exercise for 4 week followed by post- test of both control & experimental group to compare the data for effectiveness. Results: Comparison of mean and SD of pre-test and post-test level of urinary incontinence among middle aged women in experimental group & control group (un paired t -test) showed that the calculated value (2.1) of t was higher than the table value (2) at 0.05 level which shows that PFME is effective in improving symptoms of urinary incontinence if practised on regular basis. Factors positively associated with urinary incontinence were parity, type of delivery and nature of work. Conclusion: Middle aged women with urinary incontinence will be greatly benefitted with regular pelvic floor muscle exercise. Health care practitioner should train & educate them on correct ways of performing Kegel’s exercise at community level.

2020 ◽  
Vol 11 (SPL4) ◽  
pp. 62-65
Author(s):  
KalaBarathi S ◽  
Babu Rani ◽  
Dhovarani E ◽  
Esther Rani G

Urinary incontinence can be characterised as 'the protest of any automatic spillage of urine. Under this more extensive definition, there are various indications, similar to Stress urinary incontinence, Urge urinary incontinence and mixed urinary incontinence. Postpartum urinary incontinence is here and there an unavoidable inconvenience of vaginal conveyance, particularly in the event that it happens to be a woman's first vaginal conveyance. Weaker pelvic muscle has reduced inability to stop the flow of urine among postnatal mothers. The study supports the need for nurses to educate the postnatal mothers about methods to reduce urinary incontinence by using the first line of treatment, i.e., pelvic floor muscle strengthening exercise. The present study aims to assess the effectiveness of pelvic floor muscle exercise to reduce urinary incontinence among postnatal mothers.  A quantitative pre-experimental, one group pretest and post test research design were chosen to conduct the investigation among 60 postnatal mothers. Convenience sampling technique was used to select the postnatal mothers. Modified Sandviketal Severity Index tool was chosen to assess the pretest and post test level of urinary incontinence. The assessment includes on frequency (involuntary loss of urine occurs), incontinence with daily living and amount of urine leaks. The study results show most of the postnatal mothers had severe urinary incontinence and after the administration, pelvic floor muscle exercises most of the postnatal mothers had moderate urinary incontinence and this emphasizes the need to educate the postnatal mothers and promote them to perform PMRT so that they come through the postnatal period and for the betterment of life.


2020 ◽  
Vol 2020 ◽  
pp. 1-7 ◽  
Author(s):  
Magdalena Weber-Rajek ◽  
Agnieszka Strączyńska ◽  
Katarzyna Strojek ◽  
Zuzanna Piekorz ◽  
Beata Pilarska ◽  
...  

Objective. The purpose of this study is to assess the effectiveness of pelvic floor muscle training and extracorporeal magnetic innervation in treatment of urinary incontinence in women with stress urinary incontinence. Methods. The randomized controlled trial enrolled 128 women with stress urinary incontinence who were randomly allocated to either one out of two experimental groups (EG1 or EG2) or the control group (CG). Subjects in the experimental group 1 (EG1) received 12 sessions of pelvic floor muscle training, whereas subjects in the experimental group 2 (EG2) received 12 sessions of extracorporeal magnetic innervation. Subjects in the control group (CG) did not receive any therapeutic intervention. The following instruments were used to measure results in all study groups at the initial and final assessments: Revised Urinary Incontinence Scale (RUIS), Beck Depression Inventory (BDI-II), General Self-Efficacy Scale (GSES), and King’s Health Questionnaire (KHQ). Results. In both experimental groups, a statistically significant decline in depressive symptoms (BDI-II) and an improvement in urinary incontinence severity (RUIS) and quality of life (KHQ) were found in the following domains: “social limitations,” “emotions,” “severity measures,” and “symptom severity scale.” Moreover, self-efficacy beliefs (GSES) improved in the experimental group that received ExMI (EG2). No statistically significant differences were found between all measured variables in the control group. Comparative analysis of the three study groups showed statistically significant differences at the final assessment in the quality of life in the following domains: “physical limitations,” “social limitations,” “personal relationships,” and “emotions.” Conclusion. Pelvic floor muscle training and extracorporeal magnetic innervation proved to be effective treatment methods for stress urinary incontinence in women. The authors observed an improvement in both the physical and psychosocial aspects.


Sign in / Sign up

Export Citation Format

Share Document