Efficacy of pilates exercises on postmenopausal stress urinary incontinence / Wafaa Mohmmed Elsayed Ghoneem ; Supervised Amel Moahmed Yousef , Marwa Esmael Hasanin , Mohammed Fawzy Abo Elinin

Thesis (M.Sc.) - Cairo University - Faculty of Physical Therapy - Department of Physical Therapy for Gynecology and Obstetrics

Urinary incontinence (UI) is very common all over the world, especially among women`, the current study was conducted to investigate the effects of adding Pilates exercises to pelvic floor exercises aiming to manage postmenopausal women stress urinary incontinence. Methods: 50-60 years old, postmenopausal thirty women with mild to moderate stress urinary incontinence were allocated randomly into two equal groups: Group A (Control group) received pelvic floor exercises from different positions (crock-lying, sitting, and standing) while Group B (Study group) received both Pilates exercises with pelvic floor exercises. All exercises were performed twice a week, for three months . Perineometer was used for measuring pelvic floor muscles strength (pneumatic pelvic muscle trainer XFT-0010) and severity of stress urinary incontinence was measured by The Revised Urinary Incontinence Scale (RUIS) before and after treatment program. Results: A statistically significant increase of Squeeze vaginal pressure and significant reduction of Revised urinary incontinence scale after treatments in comparison to before treatment in both groups. Moreover, no significant mean values differences in "post" test in-between both groups in the two tested variables. However, a clinically valuable improve was in favour of study group related to percentage of changes between study group values and control group values before and after treatment . Conclusion: Pelvic Floor muscle Exercises (PFE) is effective in improving post-menopausal stress urinary incontinence either alone or with Pilates exercises but doing both types of exercise together is more valuable from the practical point of view.

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