https://doi.org/10.4081/uij.2021.266
Is hyacinth exercise better than pelvic floor exercise alone for urinary incontinence: A randomized trial
Submitted: 4 January 2021
Accepted: 6 August 2021
Published: 31 August 2021
Accepted: 6 August 2021
Abstract Views: 3208
PDF: 174
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All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
Authors
Urinary Incontinence (UI) negatively impact women’s physical, psychological and health-related quality of life. Pelvic strengthening exercise is the first line management in UI. We hypothesized that Hyacinth exercise is better than Pelvic Floor Exercise (PFE) in strengthening pelvic floor muscles, thus reducing female urinary incontinence. This randomized controlled trial involved 180 women with UI. Participants were taught on either Hyacinth exercise or PFE alone. Improvement in urinary symptoms and pelvic muscle strength were evaluated using a validated female pelvic floor questionnaire and objectively measured at 2 months and 6 months. Significant improvement in urinary symptoms and pelvic muscle strength post treatment at 2 months and 6 months was seen in both groups with p≤0.001. Although earlier improvement seen in Hyacinth group, it did not reach level of significant when compared, between the two exercises. Mean bladder score (PFE vs Hyacinth arm) 9.13±6.54 vs. 8.74±5.21, p=0.93 (2 months) and 5.80±4.15 vs. 5.79±4.22, p=0.92 (6 months). Although there was no statistical difference between the two groups for our primary and secondary outcomes, Hyacinth group demonstrated earlier improvement in urinary symptoms at 2 months.
Sims J, Browning C, Lundgren-Lindquist B, Kendig H. Urinary incontinence in a community sample of older adults: prevalence and impact on quality of life. Disabil Rehabil 2011;33:1389-98.
DOI: https://doi.org/10.3109/09638288.2010.532284
Swanson JG, Kaczorowski J, Skelly J, Finkelstein M. Urinary incontinence: common problem among women over 45. Can Fam Physician 2005;51:84-5.
Sandvik H. Female urinary incontinence Studies of epidemiology and management in general practice. Acta Obstetricia et Gynecologica Scandinavica 1996;75:952-4.
DOI: https://doi.org/10.3109/00016349609055035
Dumoulin C, Cacciari LP, Hay-Smith EJC. Pelvic floor muscle training versus no treatment, or inactive control treatments, for urinary incontinence in women. Cochrane Database Syst Rev 2018;10:Cd005654.
DOI: https://doi.org/10.1002/14651858.CD005654.pub4
Smith A, Bevan D, Douglas HR, James DJB. Management of urinary incontinence in women: summary of updated NICE guidance. BMJ 2013;347:f5170.
DOI: https://doi.org/10.1136/bmj.f5170
Bø K. Pelvic floor muscle training in treatment of female stress urinary incontinence, pelvic organ prolapse and sexual dysfunction. World J Urol 2012;30:437-43.
DOI: https://doi.org/10.1007/s00345-011-0779-8
Khong SY, Lilywaty I, Akmar Z, et al. Alternative slow and moderate exercises for management of pelvic floor muscles dysfunction. Neurourol Urodynam 2016;35:S90-S1.
Ibrahim F, Sian TC, Shanggar K, Razack AH. Muslim prayer movements as an alternative therapy in the treatment of erectile dysfunction: a preliminary study. J Phys Ther Sci 2013;25:1087-91.
Alabdulwahab SS, Kachanathu SJ, Oluseye K. Physical activity associated with prayer regimes improves standing dynamic balance of healthy people. J Phys Ther Sci 2013;25:1565-8.
DOI: https://doi.org/10.1589/jpts.25.1565
Segal S, Morse A, Sangal P, et al. Efficacy of FemiScan pelvic floor therapy for the treatment of urinary incontinence. Female Pelvic Med Reconstr Surg 2016;22:433-7.
DOI: https://doi.org/10.1097/SPV.0000000000000307
Ibrahim FB, Sian TC, Shanggar K, Razack AHA. Muslim Prayer Movements as an Alternative Therapy in the Treatment of Erectile Dysfunction: A Preliminary Study. Journal of Physical Therapy Science. 2013;25:1087 - 91.
DOI: https://doi.org/10.1589/jpts.25.1087
Baessler K, O'Neill SM, Maher CF, Battistutta D. A validated self-administered female pelvic floor questionnaire. Int Urogynecol J 2010;21:163-72.
DOI: https://doi.org/10.1007/s00192-009-0997-4
Auchincloss CC, McLean L. The reliability of surface EMG recorded from the pelvic floor muscles. J Neurosci Methods 2009;182:85-96.
DOI: https://doi.org/10.1016/j.jneumeth.2009.05.027
Mercier J, Morin M, Zaki D, et al. Pelvic floor muscle training as a treatment for genitourinary syndrome of menopause: A single-arm feasibility study. Maturitas 2019;125:57-62.
DOI: https://doi.org/10.1016/j.maturitas.2019.03.002
Braekken IH, Majida M, Engh ME, Bø K. Can pelvic floor muscle training reverse pelvic organ prolapse and reduce prolapse symptoms? An assessor-blinded, randomized, controlled trial. Am J Obstet Gynecol 2010;203:170.e1-7.
DOI: https://doi.org/10.1016/j.ajog.2010.02.037
Cavkaytar S, Kokanali MK, Topcu HO, et al. Effect of home-based Kegel exercises on quality of life in women with stress and mixed urinary incontinence. J Obstet Gynaecol 2015;35:407-10.
DOI: https://doi.org/10.3109/01443615.2014.960831
Donahoe-Fillmore B, Chorny W, Brahler CJ, et al. A comparison of two pelvic floor muscle training programs in females with stress urinary incontinence: a pilot study. J Appl Res 2011;11:73-83.
Kamran G. Physical benefits of (Salah) prayer-strengthen the faith and fitness. J Nov Physiother Rehabil 2018;2:43-53.
Nazish N, Kalra N. Muslim prayer-a new form of physical activity: a narrative review. Int J Health Sci Res 2018;8:337-44.
How to Cite
Kamarudin, M., Hong, J. G. S. ., Gunasagran, Y., Chuan, C. S., Razif, N. A. M., Khong, S. Y., & Tan, M. P. (2021). Is hyacinth exercise better than pelvic floor exercise alone for urinary incontinence: A randomized trial. Urogynaecologia, 33(1). https://doi.org/10.4081/uij.2021.266
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