Effectiveness of Pelvic Floor (PF) Rehabilitation by Recruiting Abdominals (global) vs Kegels in the Management of Stress Urinary Incontinence in Women

Stress Urinary Incontinence (SUI) is a common problem among women. Kegels is a older method of conservative management of SUI while recruitment of abdominals during PFM contractions is a newer concept. Both have different philosophies.

Modified Oxford Grading Scheme (MOS) and Patient Incontinence Impact Questionnaire (PIIQ)

Place of the study-Health care Unit community centre of South Delhi. No. of subjects-17 women with complaint of SUI. Age-30-40 years. Randomly divided in two groups. Group one (nine subjects) were given PF rehabilitation by recruiting abdominals. Group two (eight subjects) were given kegels. Duration of study-Six weeks. All subjects attended the clinic for first three days daily. Group one were taught diaphragmatic breathing, abdominal and PFM contraction technique during activities of daily living (ADL). Group two was taught PFM contractions for slow twitch and fast twitch fibers and bracing of PF muscle during stressful activities. Once they learnt these techniques, they were advised to practice at home. They were asked to visit researcher once a week for six weeks thereafter. Pretest and posttest data was analysed.

Mean age of subjects were 36.2 years. Pretest and posttest mean and sd of Gp I and Gr II of PIIQ are 20.33 and +_ 0.5175, 17.33 and 17.33 and +_0.744 (for Gp I) and 20.75 and +_0.462, 18.62 and +_0.484 respectively.

Both groups showed good results but posttest means of Gp I showed better results.