Abstract:
Background: Stress urinary incontinence (SUI) in female is a common gynecological
issue that impedes lifestyle. Exercise had a significant effect; however this has not
been determined the exercise frequency and intensity for pelvic floor stabilization in
stress urinary incontinence.
Aim: The aim of the study is to determine if maximum repetition of pelvic
stabilization exercise impacts upon the management of stress urinary incontinence in
female.
Methodology: One arm quasi-experimental study design for 40 patients having SUI
and associated musculoskeletal complaints attended at Physiotherapy department of
the Centre for the Rehabilitation of the Paralysed (CRP).
Result: The mean age of participants was 48.32±12.04 years. Among the participants,
minimum age was 30 and maximum was 75 years. The mean weight was 67±8.4 Kg.
10% of the respondents were prime Para, others were multipara. Majority of the
respondents were Housewife (82.5%). 25% (n=10) stated they had leak in urine once
a week, 33.5% said they leak urine 2-3 times a week, 15% said they had leaking urine
every day, 35% stated they leak urine several times a day and 2.5% said they leak
urine frequently. The ICIQ SF total from 5-18 scale was 10±3.6. Majority of the
patient stated they leak urine during cough or sneeze (80%), during physical activity
(12.5%) and after urination (7.5%).
Pelvic floor muscle and abdominal strength, and endurance had a positive and
significant result in maximum repetition (P .001). Pelvic floor strength has been
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significant improvement in week 2 (P .001), and week 3 (P .01). Interference in
activities (P .003) and ICIQ total (P .001) had improvement but majority of
improvement noted in week 2-3. There was significant improvement in frequency of
urine leakage in the first week (P .001), and week 3 (.005) and week 4 (.001).
Conclusion: Pelvic floor exercise with increasing repetition is an effective approach
to improve stress urinary incontinence in females. The study had a significant impact
on incontinence frequency, amount and associated quality of life for women with
stress urinary incontinence with pelvic floor exercise with maximum repetition.
Key Words: Stress Urinary Incontinence, Physiotherapy, exercise, Maximum
repetition
Description:
This thesis is submitted in partial fulfillment of the requirements for the Degree of Master of Science in Physiotherapy, Bangladesh Health Professions Institute, Faculty of Medicine, the University of Dhaka, Bangladesh.
