Shafizadeh A, Moeini H, Mohamadi B, Hajihashemi M. Effect of Pelvic Floor Muscle Training on Urinary Incontinence, Quality of Life, and Walking in Women with Stress Urinary Incontinence. cmja 2025; 15 (3)
URL:
http://cmja.arakmu.ac.ir/article-1-1032-en.html
1- PhD in Motor Behavior, Department of Sports Sciences, Shahrekord University, Shahrekord, Iran , shafizadeh_110@yahoo.com
2- MSc. of Sports Injuries and Corrective Exercises, Department of Sports Sciences, Shahrekord University, Shahrekord, Iran
3- PhD in Sport Biomechanics, Department of Sports Sciences, Shahrekord University, Shahrekord, Iran
4- PhD in Medicine and Surgery, Department of Obstetrics & Gynecology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
Abstract: (24 Views)
Introduction: Stress urinary incontinence is a common problem in women that causes physical complications, psychological consequences, and social problems. The present study aimed to investigate the effect of eight weeks of pelvic floor muscle training on urinary incontinence, walking ability, and quality of life in women with this disorder in Najafabad city in Iran.
Methods: This research followed the protocols of a quasi-experimental study, employing both pretest and posttest designs, as well as experimental and control groups. From the population, 30 volunteer samples were selected, and after receiving written consent, they were divided into two experimental and control groups by simple randomization. Before starting the training, the subjects in the two groups completed the Questionnaire for Urinary Incontinence Diagnosis (QUID), the Urogenital Distress Inventory (UDI), and the Incontinence Quality of Life Questionnaire (IQOL) for patients with urinary incontinence. Then, they participated in pelvic floor muscle strength tests, the Timed Up and Go (TUG) test, and the Four Square Step Test (FSST). The experimental group trained their pelvic floor muscles for eight weeks, three sessions per week, each session lasting 45 minutes, while the control group continued their normal lives during this time. After eight weeks of training, both groups were re-evaluated using the previous tools. The data were analyzed using an independent t-test and analysis of covariance at a significance level of 0.05, using the SPSS software.
Results: The results indicated that there was no significant difference between the experimental and control groups in the studied variables before the training program began, as indicated in the pre-test (P>0.05). The experimental group showed a significant difference compared to the control group in pelvic floor muscle contraction strength (p=0.001), urinary incontinence (p=0.001), dynamic walking (p=0.001), standing walking (p=0.003), and quality of life (p=0.001). Overall, the experimental group showed improvements in urinary incontinence (22.5%), pelvic floor muscle contraction strength (7.47%), dynamic walking (9.15%), standing walking (8.56%), and quality of life (9.79%).
Conclusion: Pelvic floor muscle exercises are an effective and cost-effective method recommended for use in health centers, maternity hospitals, and rehabilitation centers to promote the well-being of women with urinary incontinence.