Effect of the Eight Weeks of Core Stability Exercises on Urinary Incontinence and Quality of Life in Women with Urinary Stress Incontinence: A Quasi-Experimental Study

Document Type : Original Articles

Authors
1 MSc of Corrective Exercise and Sport Injuries, School of Physical Education and sport Sciences, Islamic Azad University of Isfahan (Khorasgan) Branch, Isfahan, Iran
2 Associate Professor, Department of Corrective Exercise and Sport Injuries, School of Physical Education and sport Sciences, Islamic Azad University of Isfahan (Khorasgan) Branch, Isfahan, Iran Iran
10.48305/jrrs.2023.41849.1056
Abstract
Introduction: Urinary incontinence is a debilitating and infuriating disorder that appears with involuntary excretion of urine, resulting in psychological, health-related and social complications. The aim of this study was to investigate the effect of eight weeks of core stability training on urinary incontinence and quality of life in women's with urinary incontinence.
Materials and methods: In this quasi-experimental study, 24 women with urinary incontinence were recruited and included through convenient sampling and randomly assigned into two equal-size groups marked as the experimental and the control. ICIQ-UISF questionnaire and SF-36 questionnaire, were used to assess urinary incontinence and quality of life (QoL). The experimental group participated in core stabilization exercises 45 minute a session, three sessions per week for eight weeks; the control group did not participate in any type of training in the same period. Data was analyzed by repeated measures analysis of variance at the significance level of 0.05.
Results: Following eight weeks of core stability training, significant improvement in urinary incontinence (F=93.7, P=0.001) and quality of life scores (F=28.1, P=0.001), was evident in the experimental group compared to the control group.
Conclusion: Core stabilization exercises seem to be an effective approach in urinary incontinence management in women. Thus, they are recommended to be included in management of women with urinary incontinency.
Keywords
Subjects

1.     Robinson, D., et al., Relationship between patient reports of urinary incontinence symptoms and quality of life measures. Obstetrics & Gynecology, 1998. 91(2): p. 224-228.
2.     Shahali, S., et al., Effects of Pelvic Floor Muscle Exercises on Quality of Life Outcomes in Women with Stress Urinary Incontinence. Armaghane Danesh, 2010. 15(2): p. 106-114.
3.     Wood, L.N. and J.T. Anger, Urinary incontinence in women. Bmj, 2014. 349.
4.     SH, G., Effect of kegel exercise and interfrential current in treatment women with stress urinary incontinence. 2011.
5.     Rashidi, F., et al., Prevalence of urinary incontinence in Iranian women: systematic review and meta-analysis. The Iranian Journal of Obstetrics, Gynecology and Infertility, 2019. 21(12): p. 94-102.
6.     Adamczuk, J., et al., Coping with stress and quality of life in women with stress urinary incontinence. Menopause Review/Przegląd Menopauzalny, 2015. 14(3): p. 178-183.
7.     Di Benedetto, P., A. Coidessa, and S. Floris, Rationale of pelvic floor muscles training in women with urinary incontinence. Minerva ginecologica, 2008. 60(6): p. 529.
8.     Khodarahmi, S., et al., Effect of exercise on stress urinary incontinence in women: A review study. Iranian Journal
of Obstetrics, Gynecology and Infertility, 2018. 21(3): p. 78-89.
9.     Urvaylıoğlu, A., S. Kutlutürkan, and D. Kılıç, Effect of Kegel exercises on the prevention of urinary and fecal incontinence in patients with prostate cancer undergoing radiotherapy. European Journal of Oncology Nursing, 2021. 51: p. 101913.
10. Hay-Smith, J., et al., Pelvic floor muscle training for prevention and treatment of urinary and faecal incontinence in antenatal and postnatal women. Cochrane Database Syst Rev, 2008. 4: p. CD.
11. Ayeleke, R.O., E.J.C. Hay‐Smith, and M.I. Omar, Pelvic floor muscle training added to another active treatment versus the same active treatment alone for urinary incontinence in women. Cochrane Database of Systematic Reviews, 2013. (11).
12. Bø, K. and R.D. Herbert, There is not yet strong evidence that exercise regimens other than pelvic floor muscle training can reduce stress urinary incontinence in women: a systematic review. Journal of physiotherapy, 2013. 59(3): p. 159-168.
13. Kibler, W.B., J. Press, and A. Sciascia, The role of core stability in athletic function. Sports medicine, 2006. 36:
p. 189-198.
14. McCaskey, A., The effects of core stability training on star excursion balance test and global core muscular endurance. 2011, University of Toledo.
15. Dupuis, O., P. Madelenat, and R. Rudigoz, Fecal and urinary incontinence after delivery: risk factors and prevention. Gynecologie, obstetrique & fertilite, 2004. 32(6): p. 540-548.
16. Dehghan-Manshadi, F., et al., Ultrasonic thickness of lateral abdominal wall muscles in response to pelvic floor muscle contraction in women with stress incontinency with and without chronic low back pain. Archives of Rehabilitation, 2014. 14(4): p. 50-57.
17. Hajebrahimi, S., et al., Validity and reliability of the International Consultation on Incontinence Questionnaire-Urinary Incontinence Short Form and its correlation with urodynamic findings. Urology journal, 2012. 9(4): p. 685.
18. Montazeri A, Goshtasebi A, and Vahdaninia M.S, The Short Form Health Survey (SF-36): translation and validation study of the Iranian version. Payesh (Health Monitor) Journal, 2006. 5(1): p. 0-0.
19. Willardson, J.M., Developing the core. 2013: Human Kinetics.
20. Wang, X., et al., Effect of app-based audio guidance pelvic floor muscle training on treatment of stress urinary incontinence in primiparas: a randomized controlled trial. International journal of nursing studies, 2020. 104:
p. 103527.
21. Rafiepoor, A., R.A. Rahiminezhad, and R. Rostami, The study of comparison of biofeedback kegel exercise treatment method on life’s quality enhancement in women with urge urinary incontinence. Health Psychology, 2017. 6(23): p. 5-16.
22. Golmakani, N., A. Esfalani, and M. Kabirian, Effect of exercises of pelvic-floor muscle strengthening on treatment of stress urinary incontinence: evidence-based review. The Iranian Journal of Obstetrics, Gynecology and Infertility, 2012. 15(26): p. 8-14.
23. Sar, D. and L. Khorshid, The effects of pelvic floor muscle training on stress and mixed urinary incontinence and quality of life. Journal of Wound Ostomy & Continence Nursing, 2009. 36(4): p. 429-435.
24. Boyle, R., et al., Pelvic floor muscle training for prevention and treatment of urinary and fecal incontinence in antenatal and postnatal women: a short version Cochrane review. Neurourology and urodynamics, 2014. 33(3):
p. 269-276.
25. Mobali, F., Y. Sokhangoei, and Z. Afsharmand, Psychological effects of 6-week Kegel exercises on Female MS (Multiple Sclerosis) with Urinary Incontinence (Case Study: Khuzestan Province). Biol Form Int J, 2016. 8(1):
p. 17.
26. Hoseinkhani, M. and F. Taghian, Effects of Kegel, Central, and Combined Stability Exercises on the Central Muscle Endurance and Quality of Life of Primiparous Women after Episiotomy. The Iranian Journal of Obstetrics, Gynecology and Infertility, 2018. 21(2): p. 60-68.
27. Richardson, C. and G. Jull, Muscle control–pain control. What exercises would you prescribe? Manual therapy, 1995. 1(1): p. 2-10.
28. Sapsford, R.R. and P.W. Hodges, Contraction of the pelvic floor muscles during abdominal maneuvers. Archives of physical medicine and rehabilitation, 2001. 82(8): p. 1081-1088.