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EFFECTIVENESS OF KEGEL EXCERCISES WITH AND WITHOUT INTERFERENTIAL THERAPY IN STRESS URINARY INCONTINENCE IN POSTPARTUM FEMALES

. Ayesha Ejaz , Sana Tauqeer , Hammad Shakeel, chanman Laal , Dr Peraha Wagan , Dr. Usman Ghanni


Abstract

This study was conducted with the intention of assessing the efficacy of Kegel exercises alone and the addition of Interferential Therapy to the treatment of postpartum women suffering from the condition of stress urinary incontinence (SUI). A Comparative study design was adopted for implementation among the private Hospitals of Rahim Yar Khan, for a period of four months post-synopsis approval. A total of sixty postpartum women, satisfying the assessment criteria were chosen and divided equally into two groups for treatment with either Kegel exercises or combined Kegel exercises and Interferential Therapy, for a period of six weeks. The key factors of assessment for these subjects would include the number of episodes of incontinence, quantity of leakage, strength of pelvic floor muscles, and the effect of urinary incontinence on overall quality of life. These parameters of assessment could be measured by using the 'Incontinence Frequency Chart', 'Standardized Pad Test', 'Perioneometry', 'International Consultation on Incontinence Questionnaire- Urinary Incontinence Short Form (ICIQ- UISF)' and 'Incontinence Quality of Life Questionnaire (I-QOL)' respectively. All these parameters for data processing were conducted with the aid of 'SPSS software 25.0'. The study comprised 60 postpartum females divided into two groups, namely 'Kegel Exercises (KE)' and 'Combined Kegel Exercise with Interferential Therapy (KE+IF)' with thirty females in each group. These two groups of females possessed mean ages of thirty and twenty eight point eight respectively. Both groups revealed notable changes for the better post treatment with respect to all parameters. Decreases were more pronounced for the 'KE+IF group', with respect to 'frequency of episodes of incontinence (1.37 vs. 0.5)' and 'Quantity of leakage (10.57 vs.5.17)' and also 'pad test (23.57 vs. 15.03)' along with 'increase of perineometer (20.37 vs. 10.27)' and also 'ICIQ scoring (6.8 vs. 3.5)' compared to 'KE group'. The study upholds ethical standards for processing, which has been approved by the 'ethical standards of TIMES Institute, Multan'. This study makes valuable contributions to the need for optimizing postpartum SUI treatment and could form the standard for more successfully treating postpartum women.

Keywords: Stress Urinary Incontinence, Postpartum Women, Kegel Exercises, Interferential Therapy, Pelvic Floor Muscle Training.

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