DOI: https://doi.org/10.14710/nmjn.v11i1.32156

Effectiveness of Pelvic Floor Muscle Training and Yoga on the Quality of Life in Perimenopausal Women with Urinary Incontinence

*Juliani Purba  -  Politeknik Kesehatan Kementerian Kesehatan Medan, Indonesia
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Abstract

Background: Urinary incontinence is a symptom of genitourinary disease in perimenopausal women that can seriously affect both physical and mental health and quality of life (QOL). Pelvic floor muscle training (PFMT) and yoga are the exercises that have been applied to treat urinary incontinence. Research that compares the effect of PFMT and yoga on improving the quality of life of women with urinary incontinence is necessary.
Purpose: This study aimed to compare the effectiveness of PFMT and yoga to improve the QOL in perimenopausal women with urinary incontinence.
Methods: A quasi-experimental study with a nonequivalent control group design involving 48 perimenopausal women with all types of urinary incontinence was conducted. The participants were selected by consecutive sampling and equally divided into two groups. Each group was given the PFMT intervention and yoga exercise three times a week for eight weeks. The QOL was assessed using the incontinence impact questionnaire short form (IIQ-7). The data were analyzed by the Mann-Whitney U test, Wilcoxon signed rank test, and paired sample t-test.
Results: The mean (standard deviation) score of total IIQ-7 in the PFMT group were lower (3.58 [2.57]) than that in the yoga group (5.17 [2.14]; p=0.061). There were differences in IIQ-7 score in the domains of physical activity (p<0.001), social relationships (p<0.001), and traveling (p<0.001) in the PFMT group. In contrast, in the yoga group, differences were found only in the emotional health domain (p=0.039). The IIQ-7 score was better in the PFMT group than in the yoga group.
Conclusion: PFMT was as effective as yoga exercise to improve the QOL. PFMT and yoga should be taught to perimenopausal women with urinary incontinence.

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Keywords: Pelvic floor muscle training; perimenopause; quality of life; urinary incontinence; yoga

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  1. Abrams, P., Cardozo, L., Fall, M., Griffiths, D., Rosier, P., Ulmsten, U., Van Kerrebroeck, P., Victor, A., & Wein, A. (2002). The standardisation of terminology of lower urinary tract function: Report from the standardisation sub-committee of the international continence society. Neurourology and Urodynamics, 21(2), 167–178. https://doi.org/10.1002/nau.10052
  2. Aoki, Y., Brown, H. W., Brubaker, L., Cornu, J. N., Daly, J. O., & Cartwright, R. (2017). Urinary incontinence in women. Nature Reviews Disease Primers, 3, 1–44. https://doi.org/10.1038/nrdp.2017.42
  3. Cacciari, L. P., Dumoulin, C., & Hay-smith, E. J. (2019). Pelvic floor muscle training versus no treatment, or inactive control treatments for urinary incontinence in women: A Cochrane systematic review abridged republication. Brazilian Journal of Physical Therapy, 23(2), 93–107. https://doi.org/10.1016/j.bjpt.2019.01.002
  4. Dumoulin, C., Hay-Smith, E. J., & Mac Habée-Séguin, G. (2014). Pelvic floor muscle training versus no treatment, or inactive control treatments, for urinary incontinence in women. Cochrane Database of Systematic Reviews, 5, CD005654. https://doi.org/10.1002/14651858.CD005654.pub3
  5. Fitz, F., Sartori, M., Girão, M. J., & Castro, R. (2017). Pelvic floor muscle training for overactive bladder symptoms: A prospective study. Revista Da Associacao Medica Brasileira, 63(12), 1032–1038. https://doi.org/10.1590/1806-9282.63.12.1032
  6. Haakstad, L. A. H., Gjestvang, C., Lamerton, T., & Bo, K. (2020). Urinary incontinence in a fitness club setting: Is it a workout problem? International Urogynecology Journal, 31, 1795–1802. https://doi.org/10.1007/s00192-020-04253-0
  7. Huang, A. J., Jenny, H. E., Chesney, M. A., Schembri, M., & Subak. L. L. (2014). A group-based yoga therapy intervention for urinary incontinence in women: A pilot randomized trial. Female Pelvic Medicine & Reconstructive Surgery, 20(3), 147–154. https://doi.org/10.1097/SPV.0000000000000072
  8. Jayabharathi, B., & Judie. A. (2014). Complementary health approach to quality of life in menopausal women: A community-based interventional study. Clinical Interventions in Aging, 9, 1913–1921
  9. Kim, G. S., Kim, E. G., Shin, K. Y., Choo, H. J., & Kim, M. J. (2015). Combined pelvic muscle exercise and yoga program for urinary incontinence in middle-aged women. Japan Journal of Nursing Science, 12(4), 330–39. https://doi.org/10.1111/jjns.12072
  10. Kwon, B. E., Kim, G. Y., Son, Y. J., Roh, Y. S., & You, M. A. (2010). Quality of life of women with urinary incontinence: A systematic literature review. International Neurourology Journal, 14(3), 133–140. https://doi.org/10.5213/inj.2010.14.3.133
  11. Lemeshow, S., Hosmer, D. W., Klar, J., & Lwanga, S. K. (1990). Adequacy of sample size in health studies. John Wiley & Sons Ltd
  12. Lin, Y., Chang, S., Hsieh, W., & Chang, Y. (2018). Persistent stress urinary incontinence during pregnancy and one year after delivery; its prevalence, risk factors and impact on quality of life in Taiwanese women: An observational cohort study. Taiwanese Journal of Obstetrics & Gynecology, 57(3), 340–345. https://doi.org/10.1016/j.tjog.2018.04.003
  13. Liu, L., Zhang, Y., Gong, J., Chen, X., Wu, H., & Zhu, W. (2018). Effects of different treatment methods on the clinical and urodynamic state of perimenopausal women with stress urinary incontinence. Iranian Journal of Public Health, 47(8), 1090–1097
  14. Mallah, F., Montazeri, A., Ghanbari, Z., Tavoli, A., Haghollahi, F., & Aziminekoo, E. (2014). Effect of urinary incontinence on quality of life among Iranian women. Journal of Family and Reproductive Health, 8(1), 13–19
  15. Mishra,G. D., Cardozo, L., & Kuh, D. (2010). Menopausal transition and the risk of urinary incontinence: Results from a British prospective cohort. BJU International, 106(8), 1170–1175. https://doi.org/10.1111/j.1464-410X.2010.09321.x
  16. Momenimovahed, Z., Tiznobaik, A., Pakgohar, M., Montazeri, A., & Taheri, S. (2018). Incontinence impact questionnaire (IIQ-7) and urogenital distress inventory (UDI-6): Translation and psychometric validation of the Iranian version. Journal of Clinical and Diagnostic Research, 12(5), QC15–18. https://doi.org/10.7860/JCDR/2018/34315.11538
  17. Nayak, G., Kamath, A., Kumar, P. N., & Rao. (2014). Effect of yoga therapy on physical and psychological quality of life of perimenopausal women in selected coastal areas of Karnataka, India. Journal of Mid-Life Health, 5(4), 180–185. https://doi.org/10.4103/0976-7800.145161
  18. Nguyen, T. M., Do, T. T. T., Tran, T. N., & Kim, J. H. (2020). Exercise and quality of life in women with menopausal symptoms: A systematic review and meta-analysis of randomized controlled trials. International Journal of Environmental Research and Public Health, 17, 7049. https://doi.org/10.3390/ijerph17197049
  19. Nusee, Z., Rusly, A., Jamaluddin, A. R., Abdulwahab, D. F., & Ismael, R. (2016). Translation and validation of bahasa Malaysia version of urogenital distress inventory (UDI-6) and incontinence impact quality of life questionnaires (IIQ-7), a cross sectional study. Malaysian Journal of Medical Sciences, 23(3), 57–63. http://www.mjms.usm.my/MJMSvol23no3.html
  20. Pang, R., Chang, R., Zhou, X., & Jin. C. (2017). Complementary and alternative medicine treatment for urinary incontinence. IntechOpen. https://www.intechopen.com/books/synopsis-in-the-management-of-urinary-incontinence/complementary-and-alternative-medicine-treatment-for-urinary-incontinence
  21. Radzimińska, A., Strączyńska, A., Weber-Rajek, M., Styczyńska, H., Strojek, K., & Piekorz. Z. (2018). The impact of pelvic floor muscle training on the quality of life of women with urinary incontinence: A systematic literature review. Clinical Interventions in Aging, 13, 957–965. https://doi.org/10.2147/CIA.S160057
  22. Ramalho, L., Varella, D., Bezerra, R., Clara, M., De Oliveira, E., Hellouyse, P., Melo, A., Maria, T., & Maranhão, D. (2016). Assessment of lower urinary tract symptoms in different stages of menopause. Journal of Physical Therapy Science, 28(11), 3116–3121. https://doi.org/10.1589/jpts.28.3116
  23. Rathore, M., Agrawal, S, Nayak, P. K., Sinha, M., & Sharma, D K. (2014). Exploring the significance of ‘ mudra and bandha ’ in pelvic floor dysfunction. Yoga Mimamsa, 46(3), 59. https://doi.org/10.4103/0044-0507.159737
  24. Reed, S. D., Guthrie, K. A., Newton, K. M., Garnet, L., Booth-laforce, C., Caan, B., Carpenter, J. S., Cohen, L. S., Dunn, A. L., Ensrud, K. E., Freeman, E. W., Hunt, J. R., Joffe, H., Larson, J. C., Learman, L. A., Rothenberg, R., Seguin, R. A., Sherman, K. J., Sternfeld, B. S., & Lacroix, A. Z. (2014). Menopausal quality of life: A RCT of yoga, exercise and omega-3 supplements. American Journal of Obstetrics and Gynecology, 210(3), 244.e1-244.e11. https://doi.org/10.1016/j.ajog.2013.11.016
  25. Ripoll, E. A., & Mahowald, D. R. (2002). Hatha yoga therapy management of urologic disorders. World Journal of Urology, 20(5), 306–309. https://doi.org/10.1007/s00345-002-0296-x
  26. Senra, C., & Pereira, M. G. (2015). Quality of life in women with urinary incontinence. Revista Da Associacao Medica Brasileira, 61(2), 178–183. https://doi.org/10.1590/1806-9282.61.02.178
  27. Shahali, S., Kashanian, M., Azari, A., & Salehi, R. (2010). Effects of pelvic floor muscle exercises on quality of life outcomes in women with stress urinary incontinence. Medical Journal of the Islamic Republic of Iran, 24(3), 159–162
  28. Tendean, H. (2007). Deteksi inkontinensia urin pada usia post menopause dengan menggunakan kuesioner IIQ-7 dan UDI-6 [Urinary incontinence detection in post-menopause age using IIQ-7 and UDI-6 questionnaires]. Jurnal Kedokteran Maranatha, 6(2), 30–43
  29. Topuz, Ş., & Seviğ, E. (2016). Effects of kegel exercises applied to urinary incontinence on sexual satisfaction. International Journal of Clinical and Experimental Medicine, 9(6), 12365–12374
  30. Vinchurkar, S. A., & Arankalle. D. V. (2015). Integrating yoga therapy in the management of urinary incontinence: A case report. Journal of Evidence-Based Complementary & Alternative Medicine, 20(2), 154–156. https://doi.org/10.1177/2156587214563311
  31. Waetjen, L. E., Ye, J., Feng, W., Johnson, W. O., Greendale, G. A., Sampselle, C. M., Sternfield, B., Harlow, S. D., & Gold, E. B. (2009). Association between menopausal transition stages and developing urinary incontinence. Obstetrics & Gynecology, 114(5), 989–998. https://doi.org/10.1097
  32. World Health Organization. (1997). WHOQOL: Measuring quality of life. https://apps.who.int/iris/handle/10665/63482

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