The Effect of Eight-Eeek Kegel Training on Quality of Life in Postmenopausal Females with Urinary Incontinence

Afshari, Elham; Eftekhari, Elham

doi:10.18502/ehj.v10i1.15964

Volume 10, Issue 1 (June 2024) Elderly Health Journal 2024, 10(1): 35-42 | Back to browse issues page

‎ 10.18502/ehj.v10i1.15964

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Afshari E, Eftekhari E. The Effect of Eight-Eeek Kegel Training on Quality of Life in Postmenopausal Females with Urinary Incontinence. Elderly Health Journal 2024; 10 (1) :35-42
URL: http://ehj.ssu.ac.ir/article-1-311-en.html

The Effect of Eight-Eeek Kegel Training on Quality of Life in Postmenopausal Females with Urinary Incontinence

Elham Afshari

, Elham Eftekhari ^*

Sports Medicine Research Center, Najafabad Branch Islamic Azad University, Najafabad, Iran , e.eftekhari66@gmail.com

Abstract: (51 Views)

Introduction: Urinary incontinence (UI) is the leakage of urine which is often uncontrollable and can negatively impact on the quality of life (QoL). The aim of this study was to determine the effects of an eight-week of Kegel exercise as a complementary therapy on QoL in postmenopausal females with UI.
Methods: The study design was a quasi-experimental pre-test post-test with a control group trial. The participants were Iranian women aged between 60 to 95 years with UI problems referring to medical centers in Najafabad city in Isfahan Province, Iran. Twenty four female UI patients were recruited and randomly divided into Kegel exercise (n = 12) and control group (n = 12). The Kegel group received exercise three times a week for eight-week, and the control group continued their routine life. The Questionnaire for Urinary Incontinence Diagnosis and the World Health Organization Quality of Life questionnaire were used for data collection. The variables were measured before and after the Kegel protocol in both groups. Descriptive statistics and analysis of covariance were used to assess variable differences between groups (p < 0.05).
Results: The mean age of UI patients was 70.83 ± 7.61 years old. Analysis of variance demonstrated a significant decrease in stress urinary incontinence symptoms (F = 61.88, p = 0.01), urge urinary incontinence symptoms (F = 111.56, p = 0.01), and UI symptoms (F = 88.20, p = 0.01), and significant increase in physical health (F = 28.93, p = 0.01), psychological health (F = 15.35, p = 0.01), social relationships (F = 18.83, p = 0.01), environment health (F = 155.51, p = 0.01), QoL (F = 132.07, p = 0.01) in Kegel exercise group.
Conclusion: Kegel exercise can be an effective complementary therapy for improving QoL in postmenopausal female suffering from UI. Healthcare providers should consider recommending Kegel exercise as part of comprehensive treatment approach for postmenopausal female with UI to help alleviate symptoms and enhance their overall QoL.

Corresponding Author: Elham Eftekhari
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Keywords: Urinary Incontinence, Exercise Therapy, Quality of Life, Postmenopausal, Aging

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Type of Study: Research | Subject: General
Received: 2024/03/26 | Accepted: 2024/06/12 | Published: 2024/06/21

References

1. Trowbridge ER, Hoover EF. Evaluation and treatment of urinary incontinence in women. Gastroenterology Clinics of North America. 2022; 51(1): 157-75.

2. Mallah F, Montazeri A, Ghanbari Z, Tavoli A, Haghollahi F, Aziminekoo E. Effect of urinary incontinence on quality of life among Iranian women. Journal of Family & Reproductive Health. 2014; 8(1): 13-9.

3. Ahmed HM, Osman VA, Al-Alaf SK, Al-Tawil NG. Prevalence of urinary incontinence and probable risk factors in a sample of Kurdish women. Sultan Qaboos University Medical Journal. 2013; 13(2): 269-74.

4. Khandelwal C, Kistler C. Diagnosis of urinary incontinence. American Family Physician. 2013; 87(8): 543-50.

5. El Khoudary SR, Greendale G, Crawford SL, Avis NE, Brooks MM, Thurston RC, et al. The menopause transition and women's health at midlife: a progress report from the Study of Women's Health Across the Nation (SWAN). Menopause. 2019; 26(10): 1213-27.

6. Prajapati MM. Awareness regarding menopausal symptoms and effect on daily life of postmenopausal women. Journal of Patan Academy of Health Sciences. 2020; 7(1): 130-6.

7. Ali AM, Ahmed AH, Smail L. Psychological climacteric symptoms and attitudes toward menopause among Emirati women. International Journal of Environmental Research and Public Health. 2020; 17(14): 1-20.

8. Distler W. Urinary incontinence-taboo during postmenopause. Zeitschrift fur Arztliche Fortbildung und Qualitatssicherung. 2000; 94(3): 211-5.

9. Huang YC, Chang KV. Kegel exercises. Treasure Island (FL): StatPearls Publishing; 2022.

10. Milsom I, Gyhagen M. The prevalence of urinary incontinence. Climacteric: The Journal of the International Menopause Society. 2019; 22(3): 217-22.

11. Sazonova NA, Kiseleva MG, Gadzhieva ZK, Gvozdev MY. Urinary incontinence in women and its impact on quality of life. Urologiia. 2022: 2: 136-9.

12. Elenskaia K, Haidvogel K, Heidinger C, Doerfler D, Umek W, Hanzal E. The greatest taboo: urinary incontinence as a source of shame and embarrassment. Wiener Klinische Wochenschrift. 2011; 123(19-20): 607-10.

13. Saboia DM, Firmiano MLV, Bezerra KC, Vasconcelos JAN, Oriá MOB, Vasconcelos CTM. Impact of urinary incontinence types on women's quality of life. Revista da Escola de Enfermagem da U S P. 2017; 51: 1-8.

14. Pizzol D, Demurtas J, Celotto S, Maggi S, Smith L, Angiolelli G, et al. Urinary incontinence and quality of life: a systematic review and meta-analysis. Aging Clinical and Experimental Research. 2021; 33(1): 25-35.

15. Abu Raddaha AH, Nasr EH. Kegel exercise training program among women with urinary incontinence. Healthcare. 2022; 10(12): 1-12.

16. 16. Papanikolaou DT, Lampropoulou S, Giannitsas K, Skoura A, Fousekis K, Billis E. Pelvic floor muscle training: Novel versus traditional remote rehabilitation methods. A systematic review and meta-analysis on their effectiveness for women with urinary incontinence. Neurourology and Urodynamics. 2023; 42(4): 856-74.

17. Kharaji G, ShahAli S, Ebrahimi-Takamjani I, Sarrafzadeh J, Sanaei F, Shanbehzadeh S. Supervised versus unsupervised pelvic floor muscle training in the treatment of women with urinary incontinence - a systematic review and meta-analysis. International Urogynecology Journal. 2023; 34(7): 1339-49.

18. Radzimińska A, Strączyńska A, Weber-Rajek M, Styczyńska H, Strojek K, Piekorz Z. The impact of pelvic floor muscle training on the quality of life of women with urinary incontinence: a systematic literature review. Clinical Interventions in Aging. 2018; 13: 957-65.

19. Park SH, Kang CB, Jang SY, Kim BY. Effect of Kegel exercise to prevent urinary and fecal incontinence in antenatal and postnatal women: a systematic review. Journal of Korean Academy of Nursing. 2013; 43(3): 420-30.

20. 20. Kolcaba K, Dowd T, Winslow EH, Jacobson AF. Kegel exercises. Strengthening the weak pelvic floor muscles that cause urinary incontinence. The American Journal of Nursing. 2000; 100(11): 59.

21. Nilsen I, Rebolledo G, Acharya G, Leivseth G. Mechanical oscillations superimposed on the pelvic floor muscles during Kegel exercises reduce urine leakage in women suffering from stress urinary incontinence: A prospective cohort study with a 2-year follow up. Acta Obstetricia et Gynecologica Scandinavica. 2018; 97(10): 1185-91.

22. Cavkaytar S, Kokanali MK, Topcu HO, Aksakal OS, Doğanay M. Effect of home-based Kegel exercises on quality of life in women with stress and mixed urinary incontinence. Journal of Obstetrics and Gynaecology: the Journal of the Institute of Obstetrics and Gynaecology. 2015; 35(4): 407-10.

23. Hoseini SS, Ghahremani L, Khorasani F, Yarelahi M, Asadollahi A. Training of pelvic floor muscle training improves the severity and quality of urine incontinence and increases social participation of older women in Southern Iran. Current Aging Science. 2024; 17(1): 68-73.

24. Vasiee A, Mozafari M, Ghiasi N, Pakzad R, Masoumi M. Effect of Kegel’s exercises on urinary incontinence, frailty syndrome, and self-esteem after TURPturp: a RCT. Salmand: Iranian Journal of Ageing. 2024; 19(1): 54-69. [Persian]

25. Hajebrahimi S, Nourizadeh D, Hamedani R, Pezeshki MZ. Validity and reliability of the International Consultation on Incontinence Questionnaire-Urinary Incontinence Short Form and its correlation with urodynamic findings. Urology Journal. 2012; 9(4): 685-90.

26. Díaz-Álvarez L, Lorenzo-Gallego L, Romay-Barrero H, Prieto-Gómez V, Torres-Lacomba M, Navarro-Brazález B. Does the contractile capability of pelvic floor muscles improve with knowledge acquisition and verbal instructions in healthy women? a systematic review. International Journal of Environmental Research and Public Health. 2022; 19(15): 1-14.

27. Bradley CS, Rovner ES, Morgan MA, Berlin M, Novi JM, Shea JA, et al. A new questionnaire for urinary incontinence diagnosis in women: development and testing. American Journal of Obstetrics and Gynecology. 2005; 192(1): 66-73.

28. Mokhlesi SS, Kariman N, Ebadi A, Khoshnejad F, Dabiri F. Psychometric properties of the questionnaire for urinary incontinence diagnosis of married women of Qom city in 2015. Journal of Rafsanjan University of Medical Sciences. 2017; 15(10): 955-66. [Persian]

29. What quality of life? The WHOQOL Group. World Health Organization Quality of Life Assessment. World Health Forum. 1996; 17(4): 354-6.

30. Dumoulin C, Cacciari LP, Hay-Smith EJC. Pelvic floor muscle training versus no treatment, or inactive control treatments, for urinary incontinence in women. The Cochrane Database of Systematic Reviews. 2018; 10(10): 1-158.

31. Yang SJ, Liu YT, Lo SS, Tsai CC, Pan PJ. Effect of a comprehensive rehabilitation program for community women with urinary incontinence: a retrospect cohort study. Healthcare. 2021; 9(12): 1-12.

32. Nejat S, Montazeri A, Holakouie Naieni K, Mohammad K, Majdzadeh R. The World Health Organization quality of Life (WHOQOL-BREF) questionnaire: Translation and validation study of the Iranian version. Journal of School of Public Health and Institute of Public Health Research. 2006; 4(4): 1-12. [Persian]

33. Moreno AL, Benitez CM, Castro RA, Girão MJ, Baracat EC, de Lima GR. Urodynamic alterations after pelvic floor exercises for treatment of stress urinary incontinence in women. Clinical and Experimental Obstetrics & Gynecology. 2004; 31(3): 194-6.

34. Kashanian M, Shah Ali S, Nazemi M, Baha Sadri S. Evaluation of the effect of Kegel exercise and Kegel master device on the urinary incontinence in women of reproductive age and a comparison between them. Razi Journal of Medical Sciences. 2010; 17(77): 55-66. [Persian]

35. Aksac B, Aki S, Karan A, Yalcin O, Isikoglu M, Eskiyurt N. Biofeedback and pelvic floor exercises for the rehabilitation of urinary stress incontinence. Gynecologic and Obstetric Investigation. 2003; 56(1): 23-7.

36. Carneiro EF, Araujo Ndos S, Beuttenmüll L, Vieira PC, Cader SA, Cader SA, et al. The anatomical-functional characteristics of the pelvic floor and quality of life of women with stress urinary incontinence subjected to perineal exercises. Actas Urologicas Espanolas. 2010; 34(9): 788-93.

37. Borello-France DF, Zyczynski HM, Downey PA, Rause CR, Wister JA. Effect of pelvic-floor muscle exercise position on continence and quality-of-life outcomes in women with stress urinary incontinence. Physical Therapy. 2006; 86(7): 974-86.

38. Kaya S, Akbayrak T, Gursen C, Beksac S. Short-term effect of adding pelvic floor muscle training to bladder training for female urinary incontinence: a randomized controlled trial. International Urogynecology Journal. 2015; 26(2): 285-93.

39. Grimes WR, Stratton M. Pelvic floor dysfunction. Treasure Island (FL): StatPearls Publishing LLC.; 2023.

40. Gowda SN, Bordoni B. Anatomy, abdomen and pelvis: levator ani muscle. Treasure Island (FL): StatPearls Publishing LLC.; 2023.

41. Cacciari LP, Dumoulin C, Hay-Smith EJ. Pelvic floor muscle training versus no treatment, or inactive control treatments, for urinary incontinence in women: a cochrane systematic review abridged republication. Brazilian Journal of Physical Therapy. 2019; 23(2): 93-107.

42. Cho ST, Kim KH. Pelvic floor muscle exercise and training for coping with urinary incontinence. Journal of Exercise Rehabilitation. 2021; 17(6): 379-87.