Original Research Article
Year: 2017 | Month: Aug | Volume: 7 | Issue: 8 | Pages: 186-191
The Effect of Pelvic Floor Muscle Exercises in Two Different Positions on Urinary Incontinence in Menopausal Women – A Comparative Study
A Chawla1, Y Shukla2
1Jr. Lecturer-cum-Clinical Instructor, Ahmadabad Institute of Medical Sciences College, Lapkamn, Ahmadabad, Gujarat, India
2Sr. Lecturer, Government Physiotherapy College, Ahmedabad, Gujarat, India
Corresponding Author: A Chawla
Background: The International Continence Society (ICS) defines incontinence as a condition where involuntary loss of urine is a social or hygienic problem and is objectively demonstrable. This definition may not be ideal for epidemiological purposes. More common in epidemiological studies are definitions based on frequency of urine loss, e.g. any uncontrolled urine loss in the prior year or more than two episodes in a month. Pelvic floor muscles give us control over the bladder and bowel. Weakened pelvic floor muscles mean the internal organs are not fully supported and you may have difficulty controlling urine. This problem advances as the age advances.
Methods: 28 participants were included in the study as per inclusion and exclusion criteria. The baseline measurements were taken for all the patients, which included the detailed assessment, pelvic floor muscle strength by perineometer and ICIQ-UI SF questionnaire. Participants were than divided into Group1(n=15) where pelvic floor muscle exercise in crook lying and Group2(n=13) where pelvic floor muscle exercise in standing position with time duration of approximately 15 – 20 minutes for 5 days in a week up to 4 week were given.
Results: Result shows significant improvement (p≤0.05, N=28) in ICIQ-UI SF score and perieometer reading. However on comparing a mean of both the Groups improvement is greater in Group 1 as compare to Group 2.
Conclusion: The present study thus concludes that pelvic floor muscle exercise in crook lying position in comparison to standing position for 4 weeks has significant improvement in pelvic floor muscle strength and severity of urinary incontinence.
Key words:Pelvic Floor Muscle Exercise, Menopause, Incontinence