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Combination of Otago Exercises and Pelvic Floor Muscle Strengthening Exercise AID in avoiding Urinary Incontinence and Fall Risk among Women


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1 Dr. MGR Educational and Research Institute, ACS Medical College and Hospital, Vellappanchavadi, Chennai -77, India
     

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Aim - This study intends to compare the combination of Pelvic Floor Muscle Strengthening Exercise (PFMSE) with OTAGO exercise and Stay Active and Independent for Life (SAIL) exercises separately for managing UI and fall risk among women. Background of the study - Urinary incontinence (UI) is the unintentional passing of the urine and is defined by the International Incontinence Society as an “Involuntary loss of urine which is objectively a demonstrable, Social and Hygienic Problem”. It is a disorder of the reservoir function of the lower urinary tract, comprising the bladder, urethra, and sphincter muscles (1). Urinary incontinence is not just a medical problem but affects the emotional, psychological and social life of the individuals. This problem is observed both in men and women, but tends to be more common among the latter. The prevalence of falls in Indian older adults ranges from 14% to 53%. The risk factor for falls include: older age, gait deficit, malnutrition, visual impairment, muscle weakness, impaired balance and the risk of fall increases as the age. Procedure – After obtaining the approval from the institutional review board, this experimental study was conducted at the outpatient physiotherapy department. 30 females who fulfilled the inclusion and exclusion criteria were selected and they were grouped into Group A and GroupB. The outcome measures used were Berg Balance scale, The Urogenital Distress Inventory (UDI)-6 and Incontinence Impact Questionnaire (IIQ)-7. GroupA received Otago exercises and Group B received SAIL exercises. Both groups received pelvic floor muscle exercises. Result – on comparing the data’s obtained it was evident that GroupA showed significant improvement than GroupB, which states that Otago exercises along with pelvic floor muscle strengthening exercises are effective in reducing urinary incontinence and fall risk.

Keywords

Urinary Incontinence, Otago, SAIL, PFME.
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  • GB Madhuri. Textbook of Physiotherapy for Obstetrics and Gynecological Conditions. Vol. 9, Ajanta Offset and Packaging Ltd.,2007. 39-44 p.

  • David H. Thom, Guri Rortveit. Prevalence of postpartum urinary incontinence: a systematic review. Acta Obstet Gynecol Scand [Internet]. 2011;89(12).: https://obgyn.onlinelibrary.wiley.com/doi/abs/10.3109/00016349.2010.526188

  • Margarer Polden Grad DIP phys, Jill Mantle BS, Grad Dip phys , MCSP ,Dip, Tp. Physiotherapy in Obstetrics and Gynecology. Vol. 11, P. L. Printers. 353-357 p.

  • Tracy Washington Cannon, Margot Damaser. Pathophysiology of the lower urinary tract: continence and incontinence. Clin Obstet Gynecol [Internet]. 2004;47(1):28–35. https://scholar.google.co.in/scholar?hl=en&as_sdt=0%2C5&as_vis=1&q=pathophysiology+of+the+lower+urinary+tract+infection%3A+continence+and+incontinence&oq=pathophysiology+of+the+lower+urinary+tract+infection%3A+continence+and+incont#d=gs_qabs&p=&u=%23p%3Dfzn9rdgGdCEJ

  • Jennifer L Martin, KS Williams, Keith R Abrams, David A Turner, Alex J Sutton, C Chapple, RP Assassa, Chris Shaw, Francine M Cheater. Systematic review and evaluation of methods of assessing urinary incontinence. Natl Coord Cent Heal Technol Assess [Internet]. 2006;10(6). https://scholar.google.co.in/scholar?hl=en&as_sdt=0%2C5&as_vis=1&q=systematic+review+and+evaluation+of+methods+of+assessing+urinary+incontinence&btnG=#d=gs_qabs&p=&u=%23p%3DDQiqONoZE3UJ

  • Mary E. Tinetti, M.D., Mark Speechley, Ph.D., and Sandra F. Ginter, R.N. Risk Factors for Falls among Elderly Persons Living in the Community. N Engl J Med [Internet]. 1988; 319:1701–7. http://www.nejm.org/doi/full/10.1056/nejm198812293192604

  • Pauline E Chiarelli, Lynette A Mackenzie, Peter G Osmotherly. Urinary incontinence is associated with an increase in falls: a systematic review. Aust J Physiother [Internet]. 2009;55(2):92–3. https://scholar.google.co.in/scholar?hl=en&as_sdt=0%2C5&as_vis=1&q=urinary+incontinence+is+associated+with+an+increase+in+falls+a+systemic+review+&btnG=#d=gs_qabs&p=&u=%23p%3DIEu-FqE4w_cJ

  • Jeanette S Brown, Catherine S Bradley, Leslee L Subak, Holly E Richter, Stephen R Kraus, Linda Brubaker, Feng Lin, Eric Vittinghoff, Deborah Grady. The sensitivity and specificity of a simple test to distinguish between urge and stress urinary incontinence. Ann Intern Manag [Internet]. 2006;144(10):715–23. https://scholar.google.co.in/scholar?hl=en&as_sdt=0%2C5&as_vis=1&q=the+sensitivity+and+specificity+of+a+simple+test+to+distinguish+between+urge+and+stress+incontinence+&btnG=#d=gs_qabs&p=&u=%23p%3Dm4dvKp8IhkwJ

  • Natalia Price, Rehana Dawood, Simon R Jackson. Pelvic floor exercise for urinary incontinence: a systematic literature review. Maturitas [Internet]. 2010;67(4):309–15. https://scholar.google.co.in/scholar?hl=en&as_sdt=0%2C5&as_vis=1&q=pelvic+floor+exercise+for+urinary+incontinence+a+systematic+literature+review+&btnG=#d=gs_qabs&p=&u=%23p%3DgYLND5Trb78J

  • A John Campbell, M Clare Robertson, Melinda M Gardner, Robyn N Norton, Murray W Tilyard, David M Buchner. Randomised controlled trial of a general practice programme of home based exercise to prevent falls in elderly women. BMJ [Internet]. 1997;315(7115):1065–9https://scholar.google.co.in/scholar?hl=en&as_sdt=0%2C5&as_vis=1&q=randomized+controlled+trail+of+a+general+practice+programme+of+home+based+exercise+to+prevent+falls+in+elderly+women&btnG=#d=gs_qabs&p=&u=%23p%3DtltXoA8BaPEJ

  • York SC, Shumway-Cook A, Silver IF, Morrison AC. A translational research evaluation of the Stay Active and Independent for Life (SAIL) community-based fall prevention exercise and education program. Heal Promot Pract [Internet]. 2011;12(6):832–9: https://www.ncbi.nlm.nih.gov/m/pubmed/21191079/

  • Fariba Ghaderi, PhD, PT and Ali E. Oskouei, PhD, PT. Physiotherapy for Women with Stress Urinary Incontinence: A Review Article. J Phys Ther Sci [Internet]. 2014;26(9):1493–1499. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4175265/#__ffn_sectitle

  • Thomas S, Mackintosh S, Halbert J. Does the “Otago exercise programme” reduce mortality and falls in older adults?: a systematic review and meta-analysis. Age Ageing [Internet]. 2010;39(6):681–7. https://www.ncbi.nlm.nih.gov/pubmed/20817938?access_num=20817938&link_type=MED&dopt=Abstract


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  • Combination of Otago Exercises and Pelvic Floor Muscle Strengthening Exercise AID in avoiding Urinary Incontinence and Fall Risk among Women

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Authors

G. Yuvarani
Dr. MGR Educational and Research Institute, ACS Medical College and Hospital, Vellappanchavadi, Chennai -77, India
V. Rajalaxmi
Dr. MGR Educational and Research Institute, ACS Medical College and Hospital, Vellappanchavadi, Chennai -77, India
K. Kamatchi
Dr. MGR Educational and Research Institute, ACS Medical College and Hospital, Vellappanchavadi, Chennai -77, India
G. Tharani
Dr. MGR Educational and Research Institute, ACS Medical College and Hospital, Vellappanchavadi, Chennai -77, India
K. Muthulakshmi
Dr. MGR Educational and Research Institute, ACS Medical College and Hospital, Vellappanchavadi, Chennai -77, India
I. Sumaiya Banu
Dr. MGR Educational and Research Institute, ACS Medical College and Hospital, Vellappanchavadi, Chennai -77, India

Abstract


Aim - This study intends to compare the combination of Pelvic Floor Muscle Strengthening Exercise (PFMSE) with OTAGO exercise and Stay Active and Independent for Life (SAIL) exercises separately for managing UI and fall risk among women. Background of the study - Urinary incontinence (UI) is the unintentional passing of the urine and is defined by the International Incontinence Society as an “Involuntary loss of urine which is objectively a demonstrable, Social and Hygienic Problem”. It is a disorder of the reservoir function of the lower urinary tract, comprising the bladder, urethra, and sphincter muscles (1). Urinary incontinence is not just a medical problem but affects the emotional, psychological and social life of the individuals. This problem is observed both in men and women, but tends to be more common among the latter. The prevalence of falls in Indian older adults ranges from 14% to 53%. The risk factor for falls include: older age, gait deficit, malnutrition, visual impairment, muscle weakness, impaired balance and the risk of fall increases as the age. Procedure – After obtaining the approval from the institutional review board, this experimental study was conducted at the outpatient physiotherapy department. 30 females who fulfilled the inclusion and exclusion criteria were selected and they were grouped into Group A and GroupB. The outcome measures used were Berg Balance scale, The Urogenital Distress Inventory (UDI)-6 and Incontinence Impact Questionnaire (IIQ)-7. GroupA received Otago exercises and Group B received SAIL exercises. Both groups received pelvic floor muscle exercises. Result – on comparing the data’s obtained it was evident that GroupA showed significant improvement than GroupB, which states that Otago exercises along with pelvic floor muscle strengthening exercises are effective in reducing urinary incontinence and fall risk.

Keywords


Urinary Incontinence, Otago, SAIL, PFME.

References