Effect of spinal stabilization exercises to reduce urinary incontinence in the elderly

Sakipour, F; Mojtahedi, H

Volume 15, Issue 13 (9-2017) RSMT 2017, 15(13): 61-69 | Back to browse issues page

‎ 20.1001.1.22520708.1396.15.13.7.5

Mendeley

Zotero

RefWorks

Sakipour F, Mojtahedi H. Effect of spinal stabilization exercises to reduce urinary incontinence in the elderly. RSMT 2017; 15 (13) :61-69
URL: http://jsmt.khu.ac.ir/article-1-214-en.html

Effect of spinal stabilization exercises to reduce urinary incontinence in the elderly

F Sakipour

, H Mojtahedi

, farahnazsakipour@gmail.com

Abstract: (6257 Views)

Urinary incontinence has an increasing process among aged women and its statistics in women in The Home for the Elderly is more than others. The purpose of this study is to investigate effect of 4 weeks Spinal Stabilization exercises on urinary incontinence of the elderly people. In this study, participants are elderly women from age of 50 to 70 years old (67±11kg and BMI of 27±4kg/m2), who were placed in two experimental and control groups (10 people in each group) for 4 weeks (3 sessions per week). Urinary incontinence of the participants was measured through ICIQ-OAB questionnaire in pretest and posttest steps. According to abnormal distribution of data, nonparametric tests are used such as Wilcoxon and U Mann Whitney tests to test intragroup and intergroup variations at the level of p≤0.05. Spinal stabilization exercises caused significant reduction of urinary incontinence in elderly women (p=0.001), so that the exercises can result in insignificant reduction of urinary frequency per day (p=0.083), significant reduction of urinary frequency per night (p=0.001), stress of fast use of WC (p=0.001) and leakage of urine (p=0.002). Moreover, intergroup investigations showed that experimental group has lower urinary incontinence than control group (p=0.01). Spinal stabilization exercises can result in reduction of urinary incontinence and its components through strengthening pelvic floor and abdominal muscles.

Keywords: Women, Elderly, Urinary Incontinence, Spinal Stabilization Exercises

Full-Text [PDF 747 kb] (2208 Downloads)

Type of Study: Research |
Received: 2016/01/6 | Accepted: 2017/01/17 | Published: 2017/08/23

References

1. Jaafari, A., Madaen, S.K., Sehati Shafaee, F., Safaeeian, A. (2004). Effect of pelvic floor muscle exercise for symptoms of stress urinary incontinence in the postpartum period. Medical Journal of Tabriz University of Medical Science & Health Service. 2(62): 18-22.

2. Golmakani, N., Esfalani, A., Kabirian, M. (2012). Exercises to strengthen the pelvic floor muscles in the treatment of stress urinary incontinence: an evidence-based review. Irene Journal in Obstetrics and Gynecology. 26(15): 8-14.

3. Abrams, P., Cardozo, L., Fall, M., Griffiths, D., Rosier, P., UImsten, U. (2002). The standardisation of terminology of lower urinary tract function report from the standardisation sub-committee of the international continence society. Journal of Neurourology and Urodynamics. 21(2):78–167.

4. Hunskaar, S., Lose, G., Sykes, D., Voss, S. (2004). The prevalence of urinary incontinence in women in four European countries. BJU International . 93(3): 324-30.

5. DeLancey, J. (1994). Structural support of the urethra as it relates to stress urinary incontinence: the hammock hypothesis. American Journal of Obstetrics and Gynecology. 170(6):1713–23.

6. Ghaderi, F., Ebrahimi, S., Salavati, M., Maaroufi, N. (2003). Effect of spinal stabilization exercises on the back muscle function back in the sagittal board in healthy individuals. Iran Medical Science University Journal. 34(10): 263-76.

7. Rezaeepour, A., Mirmolaee, S.T., Mahmoudi, M., Jabbari khan, Z. (2002). Study in quality of life in women with urinary incontinence. Hayat Journal. 3(8): 13-21.

8. Dehghan Manshadi, F., Sarraf Zade, J., Ghanbari, Z., Kazem Nejhad, A., Azeghani, M.R., Parnianpour, M. (2013). Pelvic posture change in the standing situation and its impact on the ultrasonic indexes of urinary control in women with and without SUI. Journal of Research in Rehabilitation Sciences. 7(9): 1245-66.

9. Farzinmehr, A., Moezzi, A., Kouhpaie Zade, J. (2013). Combination therapy of the central trunk and the perineum muscles to improve the women with stress urinary incontinence. Iran Medical Science University Journal. 109(20)

10. Baba Mohammadi, H., Khalili, H. (2000). Effect of pelvic floor exercises in treatment of urinary incontinence in the elderly in gharazi and emam reza hospitals in sirjan 1379. Journal of Medical Science and Health Care of Shahid Sadoughi University of Yazd. 3(11): 61-7.

11. Hemmati, S.H., Rajabi, R., Karimi, N., Jahandide, A.A. (2011). Effect of intensive supervised core stability training on pain and disability in women with chronic non-specific low back pain. Koumesh Journal. 3(12): 244-52.

12. Junyang, J., Kwang, A., Youngbuhm, H. (2012). Clinical and functional anatomy of the urethral sphincter. International Neurourology Journal. 16(3): 102–6.

13. Jackson, R.A., Vittinghoff, E., Kanaya, A.M., Miles, T.P., Resnick, H.E., Kritchevsky, S.B., Simonsick, E.M., Brown, J.S. (2004). Urinary incontinence in elderly women: findings from the Health, Aging, and Body Composition Study. Obstetrics & Gynecology. 104(2): 301-7.

14. Mommsen, S., Foldspang, A. (1994). Body mass index and adult female urinary incontinence. World Journal of Urology.12(6): 319-22.

15. Dooley, Y., Kenton, K., Cao, G., Luke, A., Durazo Arvizu, R., Kramer, H., Brubaker, L. (2007). Urinary incontinence prevalence: results from the national health and nutrition examination survey. Journal of Urology. 179(2): 656-61.

16. Minassian, V.A., Stewart, W.F., Wood, G.C. (2008). Urinary incontinence in women: variation in prevalence estimates and risk factors. Journal of Obstetrics and Gynaecology. 111(2 pt 1): 324-31.

17. Markland, A.D., Richter, H.E., Fwu, C.W., Eggers, P., Kusek, J.W. (2011). Prevalence and trends of urinary incontinence in adults in the United States, 2001 to 2008. Journal of Urology. 186(2): 589-93.

18. Clark, M., Hoogenboom, B., Bennett, J. (2011). Establishing core stability in rehabilitation: rehabilitation techniques for sports medicine and athletic training, fifth edition. McGraw-Hill. 103-4.

19. Balmforth, J.R., Mantle, J., Bidmead, J., Cardozo, L. (2006). A prospective observational trial of pelvic floor muscle training for female stress urinary incontinence. BJU International Journal. 98(4): 811-17.

20. BØ, K. (2004). Pelvic floor muscle training is effective in the treatment of female stress urinary incontinence, but how does it work. International Urogynecol Journal Pelvic Floor Dysfunct. 2(15): 76-84.

21. Dalpiaz, O., Curti, P. (2006). Role of perineal ultrasound in the evaluation of urinary stress incontinence and pelvic organ prolapse: A systematic review. Neurourology and Urodynamics Journal. 4(25): 301-6.

22. Zacharin, R. (1996). Pelvic floor reconstruction: The present state of the art. Journal of Pelvic Medicine & Surgery. 2(3): 105-7.