Comparison of Kegel Exercises and Stabilization Exercises for Urinary Incontinence in Postpartum Females: Kegel Exercises and Stabilization Exercises for Urinary Incontinence in Postpartum Females

Amna  Khalid; Summan  Fatima; Wajheeha Khan; Iram  Zia; Jawad  Ahmad

doi:10.54393/pjhs.v3i04.144

Authors

Amna Khalid College of Physical Therapy, Government College University Faisalabad
Summan Fatima College of Physical Therapy, Government College University Faisalabad
Wajheeha Khan College of Physical Therapy, Government College University Faisalabad
Iram Zia College of Physical Therapy, Government College University Faisalabad
Jawad Ahmad College of Physical Therapy, Government College University Faisalabad

DOI:

https://doi.org/10.54393/pjhs.v3i04.144

Keywords:

Stress urinary incontinence, Kegel exercises, stabilization exercises, postpartum

Abstract

Stress urinary incontinence (SUI) is the spontaneous urine loss upon any effort or physical activity, or coughing or sneezing. Objectives: This study aimed to investigate the effects of Kegel exercises and stabilization exercises on urinary incontinence along with the improvement in the strength of pelvic floor. Methods: This was a quasi-experimental study in which purposive sampling was done from postpartum females from Physiotherapy OPDs of Government hospitals of Faisalabad after meeting inclusion exclusion criteria. Thirty females with urinary incontinence were assigned into two groups: Group A and Group B. Group A received Kegel exercises for 4 weeks and group B received stabilization exercises for 4 weeks. Data was analyzed by SPSS version 16. Paired T test was used for inter-group analysis and independent T test was used for intra-group analysis. Results: The study concluded that the incidence of stress urinary incontinence increases with age as 36.7% participants of the study were from 51-60 years of age group. This study also proved that both kegel exercise and stabilization exercise were beneficial in treating stress urinary incontinence and showed significant difference with a p value of 0.012. Conclusions: It showed that stabilization exercises are a better approach in treating stress urinary incontinence by showing greater mean value of 2.533 ± 1.187. In the end, kegel exercises are primary treatment of stress urinary incontinence but when doing them alone, they showed lesser improvement with a mean value of 1.533 ± 0.833.

References

Tähtinen RM, Cartwright R, Tsui JF, Aaltonen RL, Aoki Y, Cárdenas JL, et al. Long-term Impact of Mode of Delivery on Stress Urinary Incontinence and Urgency Urinary Incontinence: A Systematic Review and Meta-analysis. European urology oncology. 2016 Jul; 70(1):148-158. doi: 10.1016/j.eururo.2016.01.037.

Siahkal SF, Iravani M, Mohaghegh Z, Sharifipour F, Zahedian M. Maternal, obstetrical and neonatal risk factors’ impact on female urinary incontinence: A systematic review. International urogynecology journal. 2020 Nov; 31(11):2205-24.

Leroy LD, Lúcio A, Lopes MH. Risk factors for postpartum urinary incontinence. Revista da Escola de Enfermagem da USP. 2016 Mar; 50:0200-7.

Moossdorff-Steinhauser HF, Berghmans B, Spaanderman ME, Bols EM. Prevalence, incidence and bothersomeness of urinary incontinence in pregnancy: a systematic review and meta-analysis. International urogynecology journal. 2021 Jul; 32(7):1633-52.

Osman NI, Li Marzi V, Cornu JN, Drake MJ. Evaluation and Classification of Stress Urinary Incontinence: Current Concepts and Future Directions. European Urology Focus. 2016 Aug; 2(3):238-244. doi: 10.1016/j.euf.2016.05.006.

Xue K, Palmer MH, Zhou F. Prevalence and associated factors of urinary incontinence in women living in China: a literature review. BMC urology. 2020 Dec; 20(1):1-26.

Aoki Y, Brown HW, Brubaker L, Cornu JN, Daly JO, Cartwright R. Urinary incontinence in women. Nature reviews Disease primers. 2017 Jul; 3(1):1-20.

Li H, Wu RF, Qi F, Xiao AM, Ma Z, Hu Y, et al. Postpartum pelvic floor function performance after two different modes of delivery. Genetics and Molecular Research. 2015 Apr; 14(2):2994-3001. doi: 10.4238/2015.April.10.9.

Herbison GP and Dean N. Weighted vaginal cones for urinary incontinence. Cochrane Database of Systematic Reviews. 2013;(7).

Yüce T, Dökmeci F, Çetinkaya ŞE. A prospective randomized trial comparing the use of tolterodine or weighted vaginal cones in women with overactive bladder syndrome. European journal of obstetrics, gynecology, and reproductive biology. 2016 Feb; 197:91-7. doi: 10.1016/j.ejogrb.2015.11.034.

Kaya S, Akbayrak T, Gursen C, Beksac S. Short-term effect of adding pelvic floor muscle training to bladder training for female urinary incontinence: a randomized controlled trial. International Urogynecology Journal. 2015 Feb; 26(2):285-93. doi: 10.1007/s00192-014-2517-4.

Chang SR, Chen KH, Lin HH, Chao YM, Lai YH. Comparison of the effects of episiotomy and no episiotomy on pain, urinary incontinence, and sexual function 3 months postpartum: a prospective follow-up study. International journal of nursing studies. 2011 Apr; 48(4):409-18. doi: 10.1016/j.ijnurstu.2010.07.017.

Gomes-Neto M, Lopes JM, Conceição CS, Araujo A, Brasileiro A, Sousa C, et al. Stabilization exercise compared to general exercises or manual therapy for the management of low back pain: A systematic review and meta-analysis. Physical Therapy in Sport. 2017 Jan; 23:136-142. doi: 10.1016/j.ptsp.2016.08.004.

Urme NA, Alam F, Jahan N. Effectiveness of Specific Lumbar Stabilization Exercise for LBP among Postpartum Women: A Quasi-Experimental Study. Journal of Advanced Academic Research. 2021 Jun; 8(1):79-95.

Khosravi A, Riazi H, Simbar M, Montazeri A. Effectiveness of Kegel exercise and lubricant gel for improving sexual function in menopausal women: A randomized trial. European Journal of Obstetrics & Gynecology and Reproductive Biology. 2022 Jul; 274:106-12.

Simpson AN, Garbens A, Dossa F, Coyte PC, Baxter NN, McDermott CD. A cost-utility analysis of nonsurgical treatments for stress urinary incontinence in women. Female pelvic medicine & reconstructive surgery. 2019 Jan; 25(1):49-55.

Gibson W and Wagg A. Incontinence in the elderly, 'normal' ageing, or unaddressed pathology? Nature Reviews Urology. 2017 Jul; 14(7):440-448. doi: 10.1038/nrurol.2017.53.

Gibson W and Wagg A. New horizons: urinary incontinence in older people. Age and ageing. 2014 Mar; 43(2):157-63.

Fathy Ahmed N and Atef Osman H. Effect of Pelvic Floor Stabilization Exercises on Symptoms and Quality of Life among Women with Stress Urinary Incontinence. Egyptian Journal of Health Care. 2020 Mar; 11(1):1139-52.

Khorasani F, Ghaderi F, Bastani P, Sarbakhsh P, Berghmans B. The Effects of home-based stabilization exercises focusing on the pelvic floor on postnatal stress urinary incontinence and low back pain: a randomized controlled trial. International Urogynecology Journal. 2020 Nov; 31(11):2301-7.