Effectiveness of Kegel Exercise Combined With Utkatasana on Symptoms Associated With Stress Urinary Incontinence On Middle Aged Women
Life Sciences-Health
DOI:
https://doi.org/10.22376/ijpbs/lpr.2022.12.6.SP25.L66-72Keywords:
Urinary Incontinence, Stress, Pelvic Floor Muscle Training, Asanas, Kegel Exercise, StrengthenAbstract
Millions of women are affected by Stress Urinary Incontinence (SUI). Here stress urinary incontinence refers to physical pressure rather than mental stress. SUI is one of the most common types of urinary incontinence. Kegel exercise and Utkatasana treats SUI symptoms by reinforcing weakened pelvic floor muscle and improving elasticity. But there was no evidence found that Kegel exercise combined with Utkatasana on symptoms associated with stress incontinence. so, the purpose of the study is to find out the effects of Kegel exercise and Kegel exercise combined with Utkatasana for symptoms associated with Stress Urinary Incontinence. This is a quasi-experimental study, 20 samples diagnosed with stress urinary incontinence referred from the department of urology of a tertiary care institution, aged between 25-50 years, who were willing were included in this study. Subjects having gynecological problems, neurological disorders, diabetes mellitus were excluded from this study. The subjects were evaluated and accessed before the beginning of the exercise session using unipolar scale questionnaire. Samples were divided into two groups A and B, Group A subjects received Kegel exercise alone and Group B subjects received Kegel exercise along with Utkatasana for a period of 3 months. The Pre and Post values were documented by using a unipolar scale questionnaire. Data are interpreted with the help of an Incontinence quality of life questionnaire (schurch). The data was analyzed under 3 domains namely Avoidance and Limiting Behaviour(ALB), Psycho-Social Impacts(PSI), and Social Embarrassment (SE). The data obtained from both Group A & Group B were documented and analyzed. Based on the statistical analysis it is found that the subjects in Group B showed marked improvement in Avoidance and Limiting Behaviour (ALB), Psycho-Social Impacts (PSI), and Social Embarrassment(SE) than those from the subjects of Group A Statistics were estimated for all 22 items and for the 3 domains of the I-QOL.: According to the results Kegel exercise combined with Utkatasana was found to be an effective treatment than the Kegel treatment alone for symptoms associated with SUI.
References
Lukacz ES, Santiago-Lastra Y, Albo ME, Brubaker L. Urinary Incontinence in Women: A Review. JAMA. 2017 Oct 24;318(16):1592-1604. doi: 10.1001/jama.2017.
Batmani, S., Jalali, R., Mohammadi, M. et al. Prevalence and factors related to urinary incontinence in older adults women worldwide: a comprehensive systematic review and meta-analysis of observational studies. BMC Geriatr 21, 212 (2021). https://doi.org/10.1186/s12877-021-02135-8
Cho ST, Kim KH. Pelvic floor muscle exercise and training for coping with urinary incontinence. J Exerc Rehabil. 2021 Dec 27;17(6):379-387. doi: 10.12965/jer.2142666.333.
J.Y.Hong, “The efficacy of pelvic floor muscle exercise in patients with genuine stress incontinence”, Korean journal of Urology, vol.38, no.6, pp.639-643, 1997.
Wieland LS, Shrestha N, Lassi ZS, Panda S, Chiaramonte D, Skoetz N. Yoga for treating urinary incontinence in women. Cochrane Database Syst Rev. 2019 Feb 28;2(2):CD012668. doi: 10.1002/14651858.CD012668.
Kashdan TB, Rottenberg J. Psychological flexibility as a fundamental aspect of health. Clin Psychol Rev. 2010 Nov;30(7):865-78. doi: 10.1016/j.cpr.2010.03.001.
Léger D, Guilleminault C, Bader G, Lévy E, Paillard M. Medical and socio-professional impact of insomnia. Sleep. 2002 Sep 15;25(6):625-9
Swithenbank LV, Abrams P. The impact of urinary incontinence on the quality of life of women. Wld J Urol 1999;17:225-9.
Mallah F, Montazeri A, Ghanbari Z, Tavoli A, Haghollahi F, Aziminekoo E. Effect of Urinary Incontinence on Quality of Life among Iranian Women. J Family Reprod Health. 2014 Mar;8(1):13-9.
Nilsson M, Lalos A, Lalos O. The impact of female urinary incontinence and urgency on quality of life and partner relationship. Neurourol Urodyn. 2009;28(8):976-81. doi: 10.1002/nau.20709.
Mills, Curtiss DO, MPH; Evans, Alicia MD; Rogers, Tyler MD. Is yoga an effective treatment of urinary incontinence in women?. Evidence-Based Practice: April 2021 - Volume 24 - Issue 4 - p 41-42 doi: 10.1097/EBP.0000000000000446.
Sobana R, Parthasarathy S, Duraisamy, Jaiganesh K, Vadivel S. The effect of yoga therapy on selected psychological variables among male patients with insomnia. J Clin Diagn Res. 2013 Jan;7(1):55-7. DOI: 10.7860/JCDR/2012/5056.2669.
Parthasarathy S, Jaiganesh K, Duraisamy. Effect of Integrated Yoga Module on Selected Psychological Variables among Women with Anxiety Problem. West Indian Med J. 2014 Jan;63(1):78-80. DOI: 10.7727/wimj.2012.054.
Jaiganesh K, Duraisami V, Parthasarathy S. Combined effect of inclusive games and yogic relaxation on the selected domestic skills among physically challenged boys. International Journal of Yoga. 2011: 4 (2) 100-101.
Fricke, Anja MSc1; Lark, Sally D. PhD1; Fink, Philip W. PhD2; Mundel, Toby PhD2; Shultz, Sarah P. PhD1,3. Exercise Interventions to Improve Pelvic Floor Muscle Functioning in Older Women With Urinary Incontinence: A Systematic Review. Journal of Women's Health Physical Therapy: July/September 2021 - Volume 45 - Issue 3 - p 115-125 doi: 10.1097/JWH.0000000000000202
Published
How to Cite
Issue
Section
Copyright (c) 2022 Murugaraj T, Ashila, Sabarish Hariharan,Mossadeq A, Shanmugananth E

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.