Indian Journal of Physiotherapy & Occupational Therapy-An International Journal

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The effect of Tra Training alone and in Combination with Pelvic Floor Muscle Training in Women with Stress Urinary Incontinence


Affiliations
1 Amity Institute of Physiotherapy, Amity University, K- Block, Sector-44, Noida, India
     

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Objective: To study the effect of TrA training alone and in combination with PFM training in women with stress urinary incontinence.

Methodology: 45 female patients with mean age of 39.31±4.6 years, having stress urinary incontinence were selected and divided into three groups. Group A was given TrA training alone, group B was given "knack" advice, and group C was given TrA training in combination with PFM exercises for two consecutive weeks. The outcome measures were VAS score, TrA strength, pad weight and number of leaks and data was collected on Day 0, 7 and 14 of treatment.

Results: TrA training was found to be more effective than control in treating women with stress urinary incontinence. There was no statistically significant difference between the effects of TrA training alone and TrA training in combination with the PFM training. Both the trainings were found to be better than the control group.

Conclusion: TrA training alone & in combination with PFM training produces significant results in women with stress urinary incontinence. Therefore, both the exercises can be utilized as a treatment option in patients with stress urinary incontinence.


Keywords

Stress Urinary Incontinence, Pelvic Floor Muscles, Transversus Abdominis
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  • Diane F Borello-France, Halina M Zycynski, Patricia A Downey. Effect of PFM Exercise Position on Continence and Quality-of Life Outcomes in Women with Stress Urinary Incontinence.Phys Ther. 2006; 86:974-986.

  • Chantale Dumoulin, Phd, Pt.Physiotherapy for Persistant Postnatal Stress Urinary Incontinence: A Randomised Control Trial.American College of Obstetricians and Gyneacologists.Vol.104, NO.3, SEPTEMBER 2004.

  • Smith MD, Coppieters MW, Hodges PW. Postural response of the pelvic floor and abdominal muscles in women with and without incontinence. Neurourol Urodyn 2007; 26:377-84.

  • Santosh Kumari, AJ Singh, Vanita Jain. Treatment seeking behaviour for urinary incontinence among north Indian women. Indian J of Medical Sciences.2008: Volume 62; issue: 9; 352-356.

  • Ruth R. Sapsford, DipPthy, Paul W. Hodges, PhD. Contraction of the PFMs during abdominal maneuvers. APMR; August 2001. Volume: 82; issue 8:1081-1088.

  • Kari Bo, Siv Morkved, Helena Frawley and Margaret Sherburn. Evidence for Benefit of TrA Training Alone or in Combination With PFM Training to Treat Female Urinary Incontinence: A Systematic Review. Neurol Urodynam. 2009.

  • Bo K, Sherburn M, Allen T. Tranabdominal ultrasound measurement of PFM activity when activated directly or via a TrA muscle contraction. New Zealand J of Physiotherapy. 2004 November.

  • Sapsford RR, Hodges PW, Richardson CA. Coactivation of the abdominal and pelvic floor mucles during voluntary exercises. Neurology and Urodynamics.2001, 20(1):31-42.

  • Thompson J, O Sullivan P. Levator plate movement during voluntary PFM contraction in subjects with incontinence and prolapse: A crosssectional study and review. Int Urogynecol J Pelvic floor Dysfunct 2003; 14:84-8.

  • Cheri L. Drysdale, Jennifer E. Earl, and Jay Hertel. Surface Electromyographic Activty of the Abdominal Muscles during Pelvic-Tilt and Abdominal Hollowing.J Athi Train. 2004 Jan- Mar;39(1):32-36

  • Kaul Rohini, Thakral Gaurav, Sandhu Jaspal Singh. Omparison of eefects of Specific Stabilization Exercises and Conventional Back Extension exercises in Management of Chronic Disc prolapse. IJPOT. 2007; Vol.1: No.3 (07-09).

  • Fontana FE, Bressel E. Effort of surface stability on core muscle activity for dynamic resistance exercises. Int J Sport Physiol Perform. 2009 Mar;4(1):97-109.

  • Di Benedetto P, Coidessa A, Floris S. Rationale of PFMs training in women with urinary incontinence. Minerva Ginecol. 2008 Dec; 60(6):529-41.

  • Fabio Renovato Franca, Thomas Nogueira Burke. Segmental stabilization and muscular strengthning in chronic low back pain – a comparative study. Clinics. 2010; 65(10):1013-1017

  • Willardson JM, Fontana FE, Bressel E. Effort of surface stability on core muscle activity for dynamic resistance exercises. Int J Sport Physiol Perform. 2009 Mar; 4(1):97-109.

  • Manoj K Poonia, Ginpreet Kaur, Meena Chintamaneni. New insights into molecular targets for urinary incontinence. Ind J of Pharmacology. Year 2010; volume: 42, isuue 5: 261-266.

  • Kimberley Fisher, Lisa Riolo. Clinical question: What is the evidence regarding specific methods of pelvic floor exercise for a patient with urinary incontinence and mild anterior vaginal prolapse? Case Study. Physical therapy.2004 August.Volume 84. Number 8.

  • Margaret Polden and Jill Mantle. Physiotherapy in Obstetrics and Gynaecology. P.B. No. 7153. 354-358.

  • K Bo, Pt, PhD, M Sherburn, PT, M.Evaluation of female pelvic-floor muscle function and strength. Physical therapy Journal. 2005 March

  • Madill SJ, McLean L. Relationship between abdominal and pelvif floor muscle activation and intravaginal pressure during PFM contractions in healthy continent women. Neurourol Urodyn. 2006;25(7):722-30.


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  • The effect of Tra Training alone and in Combination with Pelvic Floor Muscle Training in Women with Stress Urinary Incontinence

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Authors

Chandan Kaur Khandpur
Amity Institute of Physiotherapy, Amity University, K- Block, Sector-44, Noida, India
Shipra Bhatia
Amity Institute of Physiotherapy, Amity University, K- Block, Sector-44, Noida, India

Abstract


Objective: To study the effect of TrA training alone and in combination with PFM training in women with stress urinary incontinence.

Methodology: 45 female patients with mean age of 39.31±4.6 years, having stress urinary incontinence were selected and divided into three groups. Group A was given TrA training alone, group B was given "knack" advice, and group C was given TrA training in combination with PFM exercises for two consecutive weeks. The outcome measures were VAS score, TrA strength, pad weight and number of leaks and data was collected on Day 0, 7 and 14 of treatment.

Results: TrA training was found to be more effective than control in treating women with stress urinary incontinence. There was no statistically significant difference between the effects of TrA training alone and TrA training in combination with the PFM training. Both the trainings were found to be better than the control group.

Conclusion: TrA training alone & in combination with PFM training produces significant results in women with stress urinary incontinence. Therefore, both the exercises can be utilized as a treatment option in patients with stress urinary incontinence.


Keywords


Stress Urinary Incontinence, Pelvic Floor Muscles, Transversus Abdominis

References