EFFECT OF PELVIC FLOOR REHABILITATION ON SEXUAL FUNCTION ( HET'S FSF) AND PELVIC FLOOR MUSCLE STRENGTH (HET'S MMT) AMONG FEMALES WITH STRESS URINARY INCONTINENCE.

Dr. Deepti W1, Dr. Amrit K1, Dr. Dhara A2

Research Type

Clinical

Abstract Category

Rehabilitation

Abstract 514
On Demand Rehabilitation
Scientific Open Discussion Session 34
On-Demand
Stress Urinary Incontinence Physiotherapy Rehabilitation Pelvic Floor New Devices
1. MVP'S College of Physiotherapy, Nashik, Maharashtra, India, 2. WOW IIPRE , Ahmedabad, Gujarat,India
Presenter
W

Wadhwa Dr. Deepti
Links

Abstract

Hypothesis / aims of study 
“URINE LEAKAGE IS VERY COMMON BUT NOT NORMAL” 
The pelvic floor has an important role in female sexual function (SF) [1]. 
Rezaei et al.2017 reported that the majority of postpartum women had sexual dysfunction [2].
There is an agreement in many studies that pelvic floor muscle training is a first-line treatment of pelvic floor dysfunction [3],and pelvic floor muscle training can prevent postpartum pelvic muscles impair and sexual dysfunction [4].

AIMS: 

PRIMARY AIMS:
To determine the effect of pelvic floor rehabilitation on sexual function (HET’S FSF) and pelvic floor muscle strength (HET’S MMT) among female with stress urinary incontinence.

HYPOTHESIS:
There will be differences on sexual function (HET’S FSF) and pelvic floor muscle strength (HET’S MMT) among female with stress urinary incontinence who responded to pelvic floor rehabilitation.
Study design, materials and methods 
Quasi experimental type of study.  
Sample Size- 80. (G * Power Software)
Sampling Method- Convenient
OUTCOME MEASURE:  at first day of assessment and after 6 weeks of treatment
1.HET’S female sexual function : Scale has 5 components laxity, desire, arousal, lubrication, orgasm. total maximum scoreof scale is 50.
 2. HET’S MMT(pelvic floor strength) : 0-3 grades for strength.
INCLUSION CRITERIA: Age 25-59 years, SUI diagnosed by urogynecologist, postpartum after 1 year.
EXCLUSION CRITERIA: pregnant women, pelvic or abdominal surgeries within last 6 months, UTI, neurological or psychiatric disease
TREATMENT :
 Pelvic floor rehabilitation
 -6 weeks, 5 times per week. 45 min / session
Mirror biofeedback
WOW PF 360 target activation paraurtheral muscles ,
PNF manual 
Strength training
Results 
MMT  
	        PRE	      POST
MEAN	1.413	2.3
SD	0.4954	0.7008
p VALUE	<0.001
Significance	Extremely Significant

	FSF 

	        PRE         POST
MEAN	30.25	39.71
SD	5.984	6.76
p VALUE	<0.001
Significance	Extremely Significant

INTERPRETATION :   Significant difference is observed between pre and post treatment values of HET's MMT (p<0.001) and HET's FSF (p<0.001)
Interpretation of results 

                                        

                                    

                                    
                                    

                                        

                                            Concluding message
                                        

                                        

                                            
It has been suggested that  women who has stress urinary incontinence may benefit from pelvic floor rehabilitation, increasing the sexual health and pelvic floor muscle strength. 
Therefore, health professionals like Physiotherapist should encourage women to do postnatal exercise.

                                        

                                    

                                

                            

                        

                        
                        
                                

                                    

                                        

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                                            References
                                        


                                        

                                            
  1. Het Desai. HET’S Manual of pelvic floor rehabilitation. Jaypee medical publishers. New Delhi.First edition:2020.
  2. T.Y. Rosenbaum. pelvic floor involvement in male and female sexual dysfunction and the role of pelvic floor rehabilitation in treatment: a literature review. J Sex Med, 4 (1) (2007), pp. 4-13
  3. N. Rezaei, A. Azadi, K. Sayehmiri, R. Valizadeh Postpartum sexual functioning and its predicting factors among Iranian women. Malays J Med Sci: MJMS, 24 (1) (2017), pp. 94-103

                                        

                                    

                                

                            

                        

                        
                        

                            

                                

                                    

                                        

                                            Disclosures
                                        

                                        

                                            Funding NO SOURCE OF FUNDING Clinical Trial Yes Public Registry No RCT No Subjects Human Ethics Committee MVP College of Physiotherapy Helsinki Yes Informed Consent Yes 
                                        

                                    

                                

                            

                        

                        
                        
                        
                        

                            23/04/2024 01:38:10