Background:
Stress
urinary incontinence (SUI) ,the most common type of UI, is the
involuntary leakage of urine from the urethra with an increase in
intra-abdominal pressure. Pelvic Floor Muscle( PFM) dysfunction in women may
lead to SUI . Thus, one of
the effective managements in SUI is Pelvic Floor Muscle Training. PFM strength
has a strong relationship with abdominal muscles work, therefore, in the
present study, a combination training of PFMT and core exercises is used for
the management of SUI.
Methods: The
study was a semi experimental control trail which was approved by the Ethical Committee of Medical Sciences/Tehran
University , Main participants were 22 women with proven stress urinary
incontinence , VAS score , IQOL questionnaire , PFM strength ,PFM static and PFM dynamic tests were evaluated pre and
post intervention. The subjects were conducted a three-weekly training program
under supervision
Results: Conservative
management & exercise therapy is recommended as a first line treatment for
SUI. The
results of this
study showed that combined exercise training of core muscles & PFM was
associated with the improvement of SUI, in reducing incontinency, increasing the score of
IQOL questionnaire, improvement of the PFM strength and endurance in a short
duration. There were significant
differences in our variables pre and post intervention,
including 60% increasing of the total score of IQOL questionnaire, 57%
reduction in VAS score and 76% increase in pelvic floor muscle strength .
Conclusions: Our
findings showed the positive effects of this new exercise protocols in
improving the physical condition and quality of life in all participants.
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