Tag: pelvic floor exercises

Procjena učinkovitosti fizioterapije i njezin utjecaj na kvalitetu života žena sa stresnom urinarnom inkontinencijom

Agata Kwiatkowska, Anna Czarniecka, Anna Mickiewicz

Agata Kwiatkowska, Anna Czarniecka, Anna Mickiewicz – Evaluation of the effectiveness of physiotherapy and its impact on the quality of life of female patients with stress urinary incontinence –  Fizjoterapia Polska 2026; 26(1); 6-15

DOI: https://doi.org/10.56984/8ZG2EFA73KJ

Sažetak
Cilj istraživanja. Cilj ovog istraživanja bio je procijeniti učinkovitost fizioterapijskog liječenja, s posebnim naglaskom na vježbe mišića zdjeličnog dna, u skupini žena sa stresnom urinarnom inkontinencijom (SUI).
Materijal i metode. Primijenjen je prije–poslije intervencijski dizajn bez kontrolne skupine. U istraživanje je uključeno 18 žena u dobi od 26 do 50 godina. Uključene su žene s urodinamski i ginekološki potvrđenom stresnom urinarnom inkontinencijom koje su bile kandidatkinje za konzervativno liječenje. Fizioterapiju je provodio iskusni uroginekološki fizioterapeut. Učinkovitost liječenja procijenjena je na temelju promjena u rezultatima UDI-6 i IIQ-7 prije i nakon intervencije.
Rezultati. Statistička analiza pokazala je značajne razlike prije i nakon fizioterapijskog programa u ukupnim rezultatima UDI-6 upitnika, kao i u pojedinačnim pitanjima unutar UDI-6 upitnika u ispitivanoj skupini (p<0.001). Također su utvrđene značajne razlike prije i nakon fizioterapijskog programa u ukupnim rezultatima IIQ-7 upitnika i u pojedinačnim pitanjima unutar IIQ-7 upitnika (p<0.001). U ispitivanoj skupini uočeno je klinički značajno poboljšanje. Prosječni rezultat UDI-6 smanjio se za približno 75 % (s 54,40 na 13,43), a rezultat IIQ-7 za približno 76 % (sa 76,11 na 18,50) nakon završetka fizioterapijskog programa, što upućuje na visoku učinkovitost intervencije.
Zaključci. Provedeni fizioterapijski program, s posebnim naglaskom na vježbe mišića zdjeličnog dna, u skupini žena sa stresnom urinarnom inkontinencijom pridonio je značajnom smanjenju težine simptoma i poboljšanju kvalitete života pacijentica.

Ključne riječi
fizioterapija, vježbe zdjeličnog dna, kvaliteta života, stresna urinarna inkontinencija

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Effect of pilates exercises on stress urinary incontinence in post-menopausal women: A randomized control trial

Wafaa M. Ghoniem, Amel M. Youssef, Said A. Mohamed, Mohammed F. Abo Elinin, Marwa Esmael Hasanin


Wafaa M. Ghoniem, Amel M. Youssef, Said A. Mohamed, Mohammed F. Abo Elinin, Marwa Esmael Hasanin – Effect of pilates exercises on stress urinary incontinence in post-menopausal women: A randomized control trial. Fizjoterapia Polska 2022; 22(2); 82-87

Abstract
Background and objective. Urinary incontinence (UI) is very common all over the world, especially among women, the current study conducted to investigate the effects of adding Pilates exercises to pelvic floor exercises aiming to manage postmenopausal women stress urinary incontinence. Methods. thirty postmenopausal women with mild to moderate stress urinary incontinence their age ranged from 50-60 years old, were allocated into two equal groups randomly Group A (control) group received pelvic floor muscle exercises from different positions (crock-lying, sitting, and standing) while group B (study) group received both Pilates exercises with pelvic floor exercises. All exercises were performed twice a week, for twelve weeks. Perineometer was used for measuring pelvic floor muscles strength (pneumatic pelvic muscle trainer XFT-0010) and severity of stress urinary incontinence was measured by The Revised Urinary Incontinence Scale (RUIS) before and after treatment program. Results. A significant improve of Squeeze vaginal pressure after in compared to before treatment and significant reduction of Revised urinary incontinence scale after treatments in compared to before treatment in both groups. Moreover, no significant mean values differences in “post” test in-between both groups in the two tested variables. However, a clinically valuable improve was in favour of study group. Conclusion. Pelvic Floor Muscle Exercises (PFE) is effective in improving post-menopausal stress urinary incontinence either alone or with Pilates exercises but doing both types of exercise together is more valuable from the practical point of view.
Key words:
stress urinary incontinence, revised urinary incontinence scale, squeeze vaginal pressure, pelvic floor exercises, pilates exercises
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