Original Research Article
Year: 2017 | Month: October | Volume: 7 | Issue: 10 | Pages: 120-128
Effect of Pelvic Floor Muscle Training Based on Severity of Incontinence on Incontinence Episodes in Women with Stress Urinary Incontinence
Dr. Zarna Ronak Shah1, Dr. Priyanshu V. Rathod2
1Junior Lecturer, SBB College of Physiotherapy, V.S.General Hospital, Ahmedabad.
2Principal, School of Physiotherapy, R.K.University, Rajkot.
Corresponding Author: Dr. Zarna Ronak Shah
Background: Urinary Incontinence is widely prevalent in females but poorly diagnosed. Several studies all around the world have already proven the effect of physiotherapy management in females with stress urinary incontinence. In India, since last 10 years the awareness and education regarding physiotherapy in SUI has increased. Still limited evidences in India, and acceptance of this problem by majority of females lead to low level of evidence based practice. The cultural, economic and religious scenario of Indian women is very different than that of western or other developed countries. So there is immense need to work on these areas, define a protocol of exercise for them and to see the efficacy of this protocol on incontinence episodes in women with SUI.
Aim: To evaluate the effect of Pelvic Floor Muscle Training (PFMT) based on severity of incontinence on incontinence episodes in women with Stress Urinary Incontinence.
Materials and Methods: Total 65 subjects were recruited according to inclusion criteria for an experimental study which was set up at SBB College of Physiotherapy, V.S.General Hospital Campus and Shruti nursing home, Naranpura, Ahmedabad. Each subject received 6 weeks of home based PFMT based on severity of incontinence which was decided by Incontinence Severity Index. Pre and post data were taken and further analysis was done using SPSS 21.0. The outcome measure used was voiding diary (Number of incontinence episodes per week and frequency of micturition per day).
Results and Discussion: Level of significance was set at 5%. Wilcoxon test was used to compare the pre and post data for all the subjects. The hypothesis is proven with Z = -5.566 and Z = -6.167 for frequency and number of leakages respectively. p < 0.001 shows highly significant difference between two groups.
Conclusions: Six weeks home based PFMT based on severity of incontinence is effective in reducing no.of leakages per week and frequency of micturition per day in female with SUI.
Key words: Pelvic Floor Muscle Training, No. of leakages, Frequency of micturition, voiding diary, Stress Urinary Incontinence