Physical therapy in the treatment of stress urinary incontinence

Parezanovic-Ilic, Katarina; Jeremić, Branislav; Mladenović-Segedi, Ljiljana; Arsenijevic, Slobodan; Jevtić, Milorad

doi:10.2298/sarh1110638p

Cited by 4 publications

(12 citation statements)

References 14 publications

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“…The use of vaginal dynamometers to measure pelvic floor muscle function is recent and there are only few studies, including our studies comparing the muscle strength in women with or without urinary incontinence [12][13][14][15][16][17] . Pelvic organ prolapse is a common condition characterized by descent of the vaginal wall or vault, and the uterus 18 .…”

Section: Discussionmentioning

confidence: 99%

“…The patients with such disorders have hygienic and social problems and feel humiliated 23 . One of the problems which are found in practice is measuring the pelvic floor muscle strength aimed at selection of the mode of treatment, either surgical or kinesthetic as well as objective measuring of the effects of the application of pelvic floor muscle exercise program 13 . The number of studies regarding the evaluation of pelvic floor muscle function is growing [5][6][7][8][9][10][11] .…”

Section: Discussionmentioning

confidence: 99%

“…The study included 90 women aged 20-58 (on average 41.53 ± 10.35) years. The pelvic floor muscle strength of all examinees was measured using vaginal dynamometer, a device for measuring and monitoring the pelvic floor muscle in women, presented in the previous paper 12,13 . The influence of age, physically exhausting work, body weight and height, number of vaginal deliveries, sports activities (at least twice weekly one-hour exercise), occurrence of urinary incontinence with or without disturbances of static of genital organs, previous gynecological surgeries of prolapse, other gynecological surgeries, such as abdominal hysterectomy, and other conservatively treated gynecological diseases, such as urinary incontinence, on the strength of pelvic floor muscle was examined.…”

Section: Methodsmentioning

confidence: 99%

“…Mild or moderate activity and strenuous activity may impact pelvic floor disorders differently, and in a bidirectional manner. Regular low impact activity, like walking, is associated with a lower prevalence of stress incontinence [12][13][14] . However, many young women report stress urinary incontinence during high-impact, vigorous intensity activities: 28% of college varsity athletes, 41% of elite athletes and 43% of women participating in club sports [15][16][17] .…”

Section: Introductionmentioning

confidence: 99%

“…This modern device works on the principle of measurement ribbons and Winston bridge. Physical effect of the pelvic floor muscle is transmitted to the dynamometer where it is transformed into an electric signal proportional to the magnitude of strengths 12,13 .…”

Section: Introductionmentioning

confidence: 99%

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The influence of various risk factors on the strength of pelvic floor muscle in women

et al. 2017

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Background/Aim. Damage of any element of pelvic floor leads to its functional damages, reflected in the occurrence of urinary incontinence, prolapse of pelvic organs, fecal incontinence and sexual dysfunction. Basic aim of our paper was to investigate the influence of various risk factors on pelvic floor muscle strength in women. Methods. The study included 90 female patients and examined how age, job, body weight and height, number of deliveries, sports activities, incontinence occurrence, previous prolapse-caused gynecological surgeries, other gynecological surgeries and other conservatively treated gynecological diseases influence the value of pelvic floor muscle strength. Pelvic floor muscle strength was measured using vaginal dynamometer. Results. Univariate regression analysis showed that parameters such as age, demanding job, body height, number of deliveries, sports activities, prolapse-caused gynecological surgeries, other gynecological surgeries and other gynecological diseases were in positive correlation with the values of pelvic floor muscle strength. In multivariate regression model, incontinence and gynecological operation of prolapse were singled out as independent risk factors. Conclusion. If risk factors that cause damage to pelvic floor muscle are known, it is possible to prevent the damages and improve the quality of women's life.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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The influence of various risk factors on the strength of pelvic floor muscle in women

et al. 2017

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Pelvic floor exercises - a clinical study

Pal

2014

Asian J Med Sci

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Objective: To assess the effectiveness of pelvic floor exercise. Materials and methods: Hundred (100) patients of pelvic organ prolapse (POP), stress urinary incontinence (SUI) and overactive bladder (OAB) were included. They were advised pelvic floor exercise in stepwise incremental manner. Each time exercise comprised of 10 seconds holding up and 10 seconds relaxation. To start with it was 5 times each in the morning, noon, evening and night; making it 20 times per day. Every week 5 times increment. So by 5 th week it was 25 times each in the morning, noon, evening and night; making it 100 times per day. After 6 months patients were assessed by their subjective feeling of improvement and clinical assessment. Results: After 6 months of therapy patients subjective feeling of improvement for POP, SUI and OAB were 73%, 84.1%, 58.3% respectively; though objective assessment did not show this much improvement. Conclusion: Pelvic floor exercise is an easy, effective and non-invasive tool that can be considered as first line therapy for these patients.

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Effects of Physical therapy Management of Stress Urinary Incontinence among Postnatal Women-A quasi experimental study

Arshad

Waseem

Mahmood³

et al. 2022

JUMDC

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BACKGROUND & OBJECTIVE: During delivery, stress incontinence develops due to weakness of pelvic floor muscles. The objective of the current study was to determine the effects of physiotherapy among post-natal women having stress urinary incontinence. METHODOLOGY: This Quasi-Experimental study was conducted on 40 post-natal women in the age of 25-40 years. The data was collected using a convenient sampling technique. After an informed consent, participants were assessed on the day of the visit, and pelvic floor muscle exercises [kegel exercise] were performed. First, they were assessed on 1st visit and the final assessment was made at end of treatment by using the same physical examination. The assessment was done on 1st visit and after 12 weeks, with 3-5 sessions/week. SPSS version 20.0 was used for analysis of data and paired–t test was used for comparing pre and post intervention. RESULTS: The current study comprised 22 (55%) participants with 25-32 years of age group and 18(45%) in 32-40 years of age. The results showed that 2 (5%) had no urine leakage, while 20(50%) had 3-4 times leakage, 25(62.5%) left their pads /garments during the treatment period. Of them 18(45%) had no restriction and 15(37.5%) had some restriction in daily activities and 19 (47.5%) have fair squeeze, 12 (30%) had a weak squeeze, p-value had shown statistically significant difference at p<0.05, stating that Kegel exercise were found effective than routine interventions for the management of Stress Urinary Incontinence (SUI). CONCLUSION: Kegel exercise (Pelvic floor muscle exercises) appeared to be an effective treatment protocol for postnatal women presenting with stress urinary incontinence with statistically significant differences on pre and post intervention analysis.

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Physical therapy in the treatment of stress urinary incontinence

Abstract: Strengthening of pelvic floor muscles by exercises results in a significant increase of pelvic floor muscle strength and reduction of SUI symptoms, regardless of the used exercise program, PNF spiral dynamic technique or Kegel exercise program.

Cited by 4 publications

References 14 publications

The influence of various risk factors on the strength of pelvic floor muscle in women

The influence of various risk factors on the strength of pelvic floor muscle in women

Pelvic floor exercises - a clinical study

Effects of Physical therapy Management of Stress Urinary Incontinence among Postnatal Women-A quasi experimental study

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