Stres Üriner İnkontinansı Olan Kadınlarda İki Farklı Egzersiz Eğitiminin Etkilerinin Karşılaştırılması

Abstract

The aim of this study was to reveal and compare the effects of traditional pelvic floor muscle training (T-PFMT) and functional pelvic floor muscle training (F-PFMT) in women diagnosed with stress urinary incontinence (SUI). 41 individuals diagnosed with SUI and with an average age of 53.80±11.74 years were included in the study. Individuals were randomly assigned to Group 1 (T-PFMT, n=21) or Group 2 (F-PFMT, n=20). Individuals were evaluated 3 times in total: before the 8-week intervention period, at the end of the 4th intervention week and at the end of the 8th intervention week. As primary outcome measure, subjective SUI severity and the general impact of SUI on daily life was evaluated with the International Incontinence Consultation Questionnaire-Short Form. As secondary outcome measurements, pelvic floor muscle strength was evaluated with the Modified Oxford Scale, objective SUI severity was evaluated with the 1-hour pad test, the effect of SUI on sub-dimensions of quality of life (QoL) was evaluated with the King Health Questionnaire, and individuals' symptom severity and perception of recovery were evaluated with Patient Global Impression of Severity and Change Scales. As a result of the study, statistically (p<0.05) or clinically significant (p<0.10) changes were detected in all outcome measures except general health perception in both intervention groups compared to baseline evaluations. In comparisons between groups, F-PFMT was found to be more effective in increasing pelvic floor muscle strength and reducing objective SUI severity compared to T-PFMT (p<0.05). In addition, it was determined that F-PFMT and T-PFMT improved subjective SUI severity, the impact of SUI on daily life, and incontinence-specific QoL at a similar level, and the perceived improvement levels with both interventions were similar. In conclusion, F-PFMT should be considered as an alternative and effective method to T-PTMT in the management of SUI in women, taking into account individual characteristics and preferences. Further studies should be planned to reveal the long-term comparative results of T-PFMT and F-PFMT.