Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2022 Sep 5:2022:2051374.
doi: 10.1155/2022/2051374. eCollection 2022.

The Effects of Pelvic Floor Muscle Exercise Combined with Core Stability Exercise on Women with Stress Urinary Incontinence following the Treatment of Nonspecific Chronic Low Back Pain

Shamima Islam Nipa  1   2 , Thanyaluck Sriboonreung  1 , Aatit Paungmali  1 , Chailert Phongnarisorn  3
Affiliations

The Effects of Pelvic Floor Muscle Exercise Combined with Core Stability Exercise on Women with Stress Urinary Incontinence following the Treatment of Nonspecific Chronic Low Back Pain

Shamima Islam Nipa et al. Adv Urol. .

Abstract

Aim: To compare the combined effects of core stability exercise and pelvic floor muscle exercise (PFME) with the effects of PFME alone on women with stress urinary incontinence (SUI) who experience nonspecific chronic low back pain (NSCLBP).

Methods: A stratified randomized controlled trial study (RCT) was conducted with 50 women with SUI who experienced LBP, aged 18-60 years and with pad weight ≥2 grams for the one-hour pad test. The respondents were divided into two groups: the intervention group (PFME + core stability exercise) and the control group (PFME). The primary outcomes were the amount and frequency of urine leakage, which were measured using the one-hour pad test and the Bengali-ISI subjective questionnaire. A secondary outcome was quality of life (QoL), which was measured using King's Health Questionnaire (KHQ). An ITT analysis was conducted using repeated measures ANOVA (2 × 2) with Bonferroni's post-hoc analysis. Results/Preliminary Findings. The findings illustrated that 72% (n = 18) of the intervention and 28% (n = 7) of the control group participants showed improvement in UI after 12 weeks of intervention. In addition, the amount and frequency of urine leakage significantly decreased in the intervention group compared to the control group (p ≤ 0.001).

Conclusion: The RCT-illustrated improvement of SUI in women with nonspecific chronic low back pain, reduction of frequency, and improvement of the QoL were more evident from PFME with core stability exercise than from PFME alone.

PubMed Disclaimer

Conflict of interest statement

The authors declare that there are no conflicts of interest regarding the publication of this study.

Figures

Figure 1
Figure 1
Consolidated Standards of Reporting Trials (CONSORT) flow diagram.
See this image and copyright information in PMC

References

    1. Nelas P., Duarte J., Dias A., Chaves C., Coutinho E., Amaral O. Vulnerability to stress and quality of life of women with urinary incontinence. Procedia-Social and Behavioral Sciences . 2016;217:1118–1123. doi: 10.1016/j.sbspro.2016.02.125. - DOI
    1. Cassidy T., Fortin A., Kaczmer S., Shumaker J. T., Szeto J., Madill S. J. Relationship between back pain and urinary incontinence in the Canadian population. Physical Therapy . 2017;97(4):449–454. doi: 10.1093/ptj/pzx020. - DOI - PubMed
    1. Smith M. D., Russell A., Hodges P. W. Do incontinence, breathing difficulties, and gastrointestinal symptoms increase the risk of future back pain? The Journal of Pain . 2009;10(8):876–886. doi: 10.1016/j.jpain.2009.03.003. - DOI - PubMed
    1. Radebold A., Cholewicki J., Panjabi M. M., Patel T. C. Muscle response pattern to sudden trunk loading in healthy individuals and in patients with chronic low back pain. Spine . 2000;25(8):947–954. doi: 10.1097/00007632-200004150-00009. - DOI - PubMed
    1. Sapsford R. R., Hodges P. W. Contraction of the pelvic floor muscles during abdominal maneuvers. Archives of Physical Medicine and Rehabilitation . 2001;82:1081–1088. doi: 10.1053/apmr.2001.24297. - DOI - PubMed

LinkOut - more resources