Effect of Maximum Repetition of Pelvic Floor Stabilization Exercise in Stress Urinary Incontinence

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 viii 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