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Ineffect of tele-based modified pilates on menopausal symptoms and pelvic floor muscle dysfunction in premenopausal women. A randomized controlled trial

T. Kavya, B. Sathya Prabha, P. Ponmathi – Ineffect of tele-based modified pilates on menopausal symptoms and pelvic floor muscle dysfunction in premenopausal women. A randomized controlled trial – Fizjoterapia Polska 2024; 24(2); 367-373

DOI: https://doi.org/10.56984/8ZG5608C3D

Abstract

Background. Menopause is defined as the endless cessation of period caused by a reduction of ovarian follicular exertion. During this period women may experience hot flashes, sweating, sleep issues, heart discomforts, vertigo, fatigue, headache, frequent urination, weak pelvic floor muscles (PFM), muscular and joint pain, emotional insecurity, depression. Exercise and other physical activities can help relieve menopausal symptoms (MPS) and improve PFM function in premenopausal women. Among these activities, pilates is a safe technique to improve one’s physical and psychological performance.

Aim. To find out the effect of tele- based modified Pilates on menopausal symptoms and pelvic floor muscle dysfunction in pre- menopausal women.

Methodology. Women were screened for menopausal symptoms and pelvic floor distress using Menopausal Rating Scale (MRS) and Pelvic Floor Distress Inventory (PFDI). Based on the inclusion and exclusion criteria, subjects were allocated randomly into 2 groups as Group A – Control (CG) and Group B – Experimental (EG). Subjects in both the groups have been assessed with MRS and PFDI along with Transverse Abdominis (TrA) and PFM strength. Subjects in the CG followed aerobics exercise – walking for 8 weeks. Subjects in the EG followed TMPE as a group session for 40 minutes. Both the groups were assessed during the first session and final session after 8 weeks.

Result. TMPE group has shown significant improvement in reducing MPS and pelvic floor distress. It was noted that TMPE had shown improvement in PFM and TrA muscle strength than control group.

Conclusion. Pilates group had shown improvement in MPS and it reduces pelvic floor distress symptoms coupled with PFM and TrA muscle strength improvement.

Keywords

menopause, menopausal symptoms (MPS), pelvic floor muscle (PFM) dysfunction, tele-based modified pilates exercise (TMPE), physical activity (PA)

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Impact of Electronic Balance Training on Postural Instability in Postmenopausal Women: a Randomized Controlled Trail

Reham Ebrahim Mohammed, Hamada Ahmed Hamada, Amel Mohamed Yousef, Khadega Sayed Abdul Aziz, Ghada Mohamed Koura, Rafik Radwan

Reham Ebrahim Mohammed, Hamada Ahmed Hamada, Amel Mohamed Yousef, Khadega Sayed Abdul Aziz, Ghada Mohamed Koura, Rafik Radwan – Impact of Electronic Balance Training on Postural Instability in Postmenopausal Women: a Randomized Controlled Trail. Fizjoterapia Polska 2019; 19(3); 100-105

Abstract
Purpose. Determination of Electronic Balance Board effect on Balance in Women in their postmenopausal period was the aim of this study. Subjects and Methods. Our study design was a randomized, single blind controlled trial. A total of 40 sedentary, medically stable women in their postmenopausal stage complained of poor life quality. The range of the participated women ranged between 50 to 65 years that were randomly allocated into 2 equal number groups: group (A), that participate in the electronic balance board training program in addition to balance rehabilitation program and aerobic exercise, and group (B), which received balance rehabilitation program and aerobic exercise. Each group received 3 sessions weekly for one month. The stability index, AP index and ML index was recorded before and after the intervention. Results. There were a significant reduction in overall stability index, AP index and ML index in group A in compared to group B at the stage of post treatment. Conclusion. A program of four weeks’ electronic balance board besides balance rehabilitation program and aerobic exercise yield improvement in the balance of the Biodex Balance System than a balance rehabilitation program alone in treating problems of postmenopausal balance.

Key words:
Balance, Electronic balance, Aerobic exercises, Menopause

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