Abstract
Background: Urinary incontinence (UI) is a familiar manifestation that can affect women of all ages, with a wide range of severity and nature. While rarely life-threatening, incontinence may seriously influence the physical, psychological and social wellbeing of affected individuals.
 Objective: The main objective of the study is to assess the effectiveness of pelvic floor muscle exercises (PFME) or Kegel’s exercise on urinary incontinence among middle aged women of selected urban community of Raipur (C.G).
 Methodology: A community based quazi - experimental study was conducted among 60 middle aged women having mild to moderate degree of urinary incontinence. The sample were selected by nonrandomised purposive technique The baseline data were collected from 60 samples (30 in experimental group and 30 in control group) by standardised tool - Questionnaire for urinary incontinence diagnosis (QUID) on urinary incontinence. The experimental group was taught to practise Kegel’s exercise for 4 week followed by post- test of both control & experimental group to compare the data for effectiveness.
 Results: Comparison of mean and SD of pre-test and post-test level of urinary incontinence among middle aged women in experimental group & control group (un paired t -test) showed that the calculated value (2.1) of t was higher than the table value (2) at 0.05 level which shows that PFME is effective in improving symptoms of urinary incontinence if practised on regular basis. Factors positively associated with urinary incontinence were parity, type of delivery and nature of work.
 Conclusion: Middle aged women with urinary incontinence will be greatly benefitted with regular pelvic floor muscle exercise. Health care practitioner should train & educate them on correct ways of performing Kegel’s exercise at community level.
Highlights
Pelvic floor muscle exercises (PFME) popularly known as Kegels exercise designed for tightening of pelvic floor muscle strengthening was first described by Arnold Kegel is considered as exclusive & most preferred treatment for management of urinary incontinence along with wide range of medical & surgical treatment [7]
A community based Quasi experimental study was conducted to assess the effect of Pelvic floor muscle exercise (Kegel’s) on urinary incontinence among middle aged women of selected area of Rajendra Nagar, Raipur
An RCT done on 97 Iranian post-menopausal women to assess the effect of pelvic floor muscle exercises (PFME) on sexual dysfunction reported that the scores of arousal, orgasm & satisfaction were significantly higher in interventional group in comparison with control group
Summary
AND BACKGROUNDUrinary incontinence is a multifarious ailment characterised by involuntary leakage of urine, a global and extensive disorder affecting millions of people worldwide [1].Urinary incontinence affects women more than men the accurate prevalence is not known every quarter (25%) out of four person could be affected by urinary incontinence in their life span [2].The personal and social well-being of a person is severely affected by the negative consequences of urinary incontinence specially among middle aged women [3].Owing to the people’s perception of urinary incontinence as a natural consequence of aging and matter of shame & guilt it often remains underreported [4,5].functional therapy/Kegels exercise shows better symptom relief & in a proportionately higher ratio comparing to surgery alone [8].An RCT to assess the effectiveness of PFMC to reverse pelvic organ prolapse and symptoms of pelvic muscle dysfunction revealed that PFMC has no adverse effect and can be used to minimise the pelvic muscle dysfunction symptoms & pelvic organ prolapsed [9,10].Many studies revealed that PFMT plays very important role in improving sexual health of women and the sexual satisfaction among partner [6,11]. The personal and social well-being of a person is severely affected by the negative consequences of urinary incontinence specially among middle aged women [3]. Urinary incontinence (UI) is a familiar manifestation that can affect women of all ages, with a wide range of severity and nature. Objective: The main objective of the study is to assess the effectiveness of pelvic floor muscle exercises (PFME) or Kegel’s exercise on urinary incontinence among middle aged women of selected urban community of Raipur (C.G). Methodology: A community based quazi - experimental study was conducted among 60 middle aged women having mild to moderate degree of urinary incontinence. The experimental group was taught to practise Kegel’s exercise for 4 week followed by post- test of both control & experimental group to compare the data for effectiveness. Results: Comparison of mean and SD of pre-test and post-test level of urinary incontinence among
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