The study aimed to examine study the effects of pelvic floor muscle training and whole body vibration training on female stress urine incontinence patients, where female were given particular positions over a platform with bilateral knee flexion (300) and with bilateral ankle dorsiflexion (150) accordingly along with pelvic floor muscle training for 12 weeks.

Randomized  control trial was conducted. 90 female between the age of 35-60 years diagnosed with stress urinary incontinence referred by gynecologist were included in the study. Females were divided into three groups Group A (n=30) received whole body vibration therapy (Bilateral knee flexion 300) with PFMT Group B (N=30) received (Bilateral ankle dorsiflexion 150) and Group C (n=30) was control group received conventional therapy and demonstrated with pelvic floor exercises at home and weekly  follow up was taken. Intervention was given thrice a week for 12 weeks. Outcome measure used were Brink Scale, Perineometry to assess pelvic floor muscle strength, one hour pad test to assess severity of incontinence and King’s health questionnaire (KHQ) to assess quality of life in female with urinary incontinence. Exercise protocol using WBVT was prepared and progression of exercises was done by increasing frequency and repetition of exercises and PFMT progression of exercises was done by performing exercises by changing position like supine, sitting and standing. Participants were assessed at baseline and at the end of 12th week.

The statistical analysis was conducted using SPSS statistical software version 26.0 by IBM Corp. in Armonk, N.Y., USA. The significance level was established at 5%. A p-value below 0.05 was considered significant. Data does not show normal distribution hence non-parametric test was used for analysis. Within group analysis was performed using Wilcoxon signed rank test and kruskal Wallis test was performed for between group analyses.

Participants with stress urinary incontinence significantly in all variables in all three groups over a period of 12 weeks. On within group analysis WBVT with PFMT showed significant difference with p<0.05 in pelvic floor muscle strength, Pad test and quality of life., between group pre-post difference showed significant difference with p<0.05 for all the variable except for quality of life (KHQ) outcome role limitation, physical limitation. Multiple comparisons of variable between groups showed Group A & Group B showed improvement in comparison to Group C.

Whole body vibration therapy along with Pelvic floor muscle exercises enhances outcomes in individuals with stress urinary incontinence. WBVT with PFMT helps to activate pelvic floor muscle tone to enhance pelvic floor muscle strength this would help to decline episodes of number of urine leakage.

Whole body vibration therapy can be used as effective tool along with PFMT to engage pelvic floor muscle and generating muscle power and PFMT helps to activate the muscle to retain the muscle strength and endurance and minimize symptoms of stress urinary incontinence.

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