Document Type : Original Articles

Authors

1 Rehabilitation Research Center, Department of Physiotherapy, Iran University of Medical Sciences (IUMS), Tehran, Iran. School of Rehabilitation Sciences, Department of Physiotherapy, Tehran University of Medical Sciences (TUMS), Tehran, Iran.

2 Rehabilitation Research Center, Department of Basic Sciences in Rehabilitation, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran.

3 Rehabilitation Research Center, Department of Physical Therapy, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran.

4 Department of Anatomical Sciences, Medical School, Arak University of Medical Sciences, Arak, Iran.

5 - Rehabilitation Research Center, Department of Physical Therapy, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran.

10.30476/jrsr.2022.93239.1227

Abstract

Background:
Obesity is known as an important risk factor in the development of UI (urinary incontinence). Physiotherapy (exercise therapy and biofeedback) has been presented as a common treatment for the improvement of UI. Pelvic floor physiotherapy (PFPT) with weight loss (WL) may significantly improve UI in obese women. This study aimed to compare the effects of PFPT with or without WL on UI symptoms in obese women.
Methods:
This non-randomized clinical trial was performed and 51 middle-aged obese women with UI were recruited. Twenty-nine women in the PFPT group received 12-session PFPT. Twenty-two women in the PFPT+WL group received 12-session PFPT and nutritionist recommendations for WL. The outcome measures included anthropometric measurements, strength and endurance of pelvic floor muscles, intravaginal pressure (IVP), international consultation on incontinence questionnaire (ICIQ-SF), visual analog scale (VAS), and quality of life (QOL). All measurements were performed at baseline and after 12-session treatment.
Results:
The PFPT+WL group had a 4.95 kg weight loss (P <0.001). Finally, the strength and endurance of PFM, IVP, ICIQ UI-SF, VAS, and QOL were showed significant improvement in both groups (P<0.001). The ICIQ UI-SF and total I-QOL in the PFPT+WL group were significantly different from those in the PFPT group (P=0.015, P=0.033 respectively), (95% CI: 2.23- 5.10 vs. 2.85- 5.35 and 180.48- 214.67 vs. 164.13- 203.39 respectively).
Conclusion:
The proposed protocol of applying PFPT with WL comparison to PFPT alone leads to much significant improvement in UI severity and QOL in middle-aged obese women with UI.

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