Abstract
Objective: To determine the comparative effectiveness of pelvic floor muscle exercises with Pfilates exercises for the treatment of
stress urinary incontinence among females.
Study Design: Randomized controlled clinical trial
Place and Duration: The study was conducted in Women Health Clinic near Jinnah hospital, Lahore for the duration from 5th August
2017 till 15th April, 2018.
Methodology: Participants were randomized into two groups (27 in each group). Group A and B received pelvic floor muscle
exercises and Pfilates exercise program respectively. Exercise therapy consisted of 12 sessions biweekly for 6 weeks for the duration
of 1 hour per session for both groups. Baseline assessment of pelvic floor muscle strength was done using manual muscle testing
and graded with Modified Oxford Scale. Two questionnaires- Urinary Incontinence diagnosis (QUID) and Incontinence Impact
questionnaire (IIQ-7) were also collected. The post-treatment assessments were made at 3th and 6th week.
Results: Total 54 patients were randomized of which 47 completed the study. Mean pre-treatment score of questionnaire for
Urinary incontinence diagnosis for the group A and B were 11.00 ± 2.12 and 10.70±1.82 which were improved to 7.83± 1.90 and
8.17±1.37 respectively. Similarly, mean baseline incontinence impact questionnaire scores for group A and B were 50.00 ± 12.60
and 49.30 ± 9.00 which were improved to 41.13 ± 9.78 points (18% improved) in group A (p=0.001) and to 32.27 ± 6.18 points (35%
improved) in group B (p=0.001). Mean baseline Modified Oxford scale scores for group A and B were 1.58 ± 0.59 and 1.27 ± 0.45
which were improved to 3.09 ± 0.72 (p=0.039) and 2.74 ± 0.69 (p=0.101) respectively.
Conclusion: The Pfilates method promoted similar outcomes in comparison to pelvic floor muscle training when applied to patients
for a span of 6 weeks. None of the group is superior statistically over the other.
Sameera Mushtaq, Ashfaq Ahmed. (2019) Effectiveness of Pelvic floor muscle training versus Pfilates exercise program to treat stress urinary incontinence in females: A randomized control trial, Isra Medical Journal, Volume 11, Issue 4 (Part-B).
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