Investıgatıon Of The Effect Of Pelvıc Floor And Abdomınal Muscle Traınıng Accordıng To Severıty Of Urınary Incontınence In Women Wıth Stress Type Urınary Incontınence


Thesis Type: Postgraduate

Institution Of The Thesis: Gazi University, Sağlık Bilimleri Enstitüsü, FİZYOTERAPİ VE REHABİLİTASYON ANABİLİM DALI, Turkey

Approval Date: 2019

Thesis Language: Turkish

Student: HAVVA SÜMEYYE ÖZER

Supervisor: İlke Keser

Abstract:

The aim of this study is to investigate the effect of incontinence severity on pelvic floor

and abdominal muscle strengthening training in women with stress urinary incontinence.

Sixteen patients with stress urinary incontinence and mixed urinary incontinence were

included in the study. According to 24-hour pad test (24hPT), individuals were divided

into two groups as group 1 (24hPT 4-20gr, mild group, n: 9) and group 2 (21g and above in

24hPT, moderate and severe group, n: 7). The groups were taught pelvic floor muscle

training to strengthen the pelvic floor muscles and abdominal exercises to strengthen the

abdominal muscles for 6 weeks. Urinary incontinence, pelvic floor muscle strength

measurement, quality of life, symptom and presence of pelvic floor dysfunction were

evaluated respectively 24hPT, Electromyography (EMG) Biyofeedback device, King’s

Health Questionnaire (KHQ), Urogenital Distress Inventory (UDI-6), Global Pelvic Floor

Bother Questionnaire (GPFBQ). Evaluations were performed at the beginning and end of

the physiotherapy program, and subjective improvement rate was determined. After

treatment 24hPT values decreased in groups, but this decrease was only significant in

group 2 (p<0.05). The increase in the EMG-Biyofeedback values of both groups were

determined significant (p<0.05). The scores obtained in KHQ, UDI-6 and GPFBQ

decreased significantly in both groups at the end of treatment (p<0.05). Any difference was

detected between the groups in terms of other evaluation parameters and subjective

improvement rate except for 24 hPT (p>0.05). The results obtained from this study showed

that there was no difference between mild and moderate-severe groups in terms of having

benefit from strengthening training to the pelvic floor and abdominal muscles. It was

proved that, regardless of the severity of urinary incontinence, an increase in pelvic floor

muscle strength and quality of life, a decrease in urinary incontinence symptoms and pelvic

floor dysfunction could be achieved with physiotherapy application and improvements in

subjective recovery rate were provided.

Key Words : Stress Urinary Incontinence, Pelvic Floor Muscles, Abdominal Muscles,

Incontinence Severity