Effect of Postural Reeducation Versus Pelvic Floor Muscle Training on Stress Urinary Incontinence

Effect of Postural Reeducation Versus Pelvic Floor Muscle Training on Stress Urinary Incontinence

The purpose of the study is to evaluate the effects of postural reeducation compared to pelvic floor muscle training on urinary incontinence (UI) symptoms, the impact of UI, and quality of life (QoL) in women experiencing stress urinary incontinence (SUI)

The study is designed as a randomized- controlled trial. It will be carried out on women suffering from stress urinary incontinence referred after urology consultations to the Physiotherapy Clinic in Soad Kafafy hospital.

UI, particularly SUI, affects up to 28% of the population and occurs during activities like coughing or sneezing due to inadequate urethral closure pressure. The pelvic floor muscles play a critical role in supporting pelvic organs and maintaining continence. Pelvic floor dysfunction is a significant contributor to SUI. Postural dysfunction can increase mechanical stress and lead to pelvic floor dysfunction. Postural re-education techniques aim to correct imbalances and improve pelvic floor muscle activity, potentially alleviating SUI symptoms by restoring muscle efficiency and enhancing continence.

Inclusion Criteria:

• Fifty females with stress urinary incontinence.
• Age of 30-40 years.
• Body mass index (BMI) > 30 kg/m2

Exclusion Criteria:

• Genital prolapse grade 3 or 4 based on Pelvic Organ Prolapse Quantification Classification (POP-Q).
• Overactive bladder (OAB)
• Functional impairment (Barthel scale <85 points).
• Neurological or cognitive impairment (mini mental examination <24 points).
• Any other type of urinary incontinence.
• Pregnancy.
• History of spinal, hip, knee or foot surgery, pelvic and abdominal surgery (including cesarean section)
• Smoking, chronic cough, history of respiratory diseases, osteoporosis (self-reported).