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Year : 2016  |  Volume : 16  |  Issue : 2  |  Page : 162

Effect of pelvic floor exercises on stress urinary incontinence in women

1 Department of Physical Therapy, Akhavan Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
2 The Parliament Research Centre, Tehran, Iran
3 Department of Physical Therapy, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
4 Department of Clinical, Social Security Organization, Tehran, Iran

Date of Web Publication13-Apr-2016

Correspondence Address:
Suzan Sanavi
Department of Clinical, Social Security Organization, Tehran
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/1319-6308.180190

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How to cite this article:
Dijvejeen RG, Sanavi N, Karimi N, Sanavi S. Effect of pelvic floor exercises on stress urinary incontinence in women. Saudi J Sports Med 2016;16:162

How to cite this URL:
Dijvejeen RG, Sanavi N, Karimi N, Sanavi S. Effect of pelvic floor exercises on stress urinary incontinence in women. Saudi J Sports Med [serial online] 2016 [cited 2023 Feb 6];16:162. Available from: https://www.sjosm.org/text.asp?2016/16/2/162/180190


Urinary incontinence as a socially embarrassing condition has various types which stress incontinence (SI) is the most common, affecting 5-50% of females. SI is defined by involuntary leakage of urine on effort due to insufficient urethral support from the pelvic floor muscles (PFMs). [1] Pelvic muscle exercises such as Tanzberger [2] exercises strengthen the muscular components of the urethral closure. This study designed a pre- and post-test to assess the effect of Tanzberger exercises on PFM strength in 25 females aged 30-50 years old, diagnosed with SI by a nephrologist, excluding diabetes mellitus; congenital disorders; urinary tract infection; neurologic problems, tumors, and prolapse of the bladder, at the Akhavan Center. The participants were informed and consent about the study purposes and protocol. PFM function was assessed by the physical therapist with vaginal palpation during contraction based on squeezing on the finger of examiner, using the 6-point modified Oxford scale, [3] including grade 0-5 (no discernible muscle contraction, flicker of contraction, weak contraction as slight unsustained pressure on the examiner's finger, moderate contraction with lift of the muscle belly and also elevation of the posterior vaginal wall, good contraction with lift capable of elevating the posterior vaginal wall against resistance, strong contraction and resistance with lift lasting for 4 s or more, respectively). The participants were asked to sit on a Swiss ball (Fuqing Shengde Plastic & Rubber Products Co, Ltd. China) (55-65 cm), with flexed hip and knee (90°) and the feet on the ground, rolling the ball forward and then lateral sides, with or without lifting of the body, while contracting their PFM (50 contractions for each exercise), in exhaling and then relax in inhaling. In addition, the exercise was done lying on the back and the feet on the ball, similarly. The exercises were performed for 4 weeks consisting of three 45 min sessions per week. Data analyzes were performed using the SPSS version 16 (SPSS Inc., Chicago, IL)., and P < 0.05 were considered as significant. There was a significant difference (t = 2.739, P = 0.001) in the mean of PFM strength before and after treatment (1.5 ± 1.001 and 2 ± 1.023). Results from this study showed that PFM strength improved after treatment. This may be attributed to engagement of the diaphragm, abdominal and back muscles and improving the sensory perception of the pelvic floor.

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There are no conflicts of interest.

  References Top

Abdool Z. Female urinary incontinence: A review. S Afr Fam Pract 2007;49:34-9.  Back to cited text no. 1
Rao BK. Tanzberger approach in prevention and treatment of urinary incontinence in sports women. Physiother J Indian Assoc Physiotherapists 2009;6:25-8.  Back to cited text no. 2
Laycock J, Brown J, Cusack C, Green S, Jerwood D, Mann K, et al. Pelvic floor reeducation for stress incontinence: Comparing three methods. Br J Community Nurs 2001;6:230-7.  Back to cited text no. 3


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