Effectivnesss of Physiotherapy Interventions on Stress Urinary Incontinence in Female Dancers

Abstract

Background: Dancing involves high as well as moderate impact activities, interplay between aesthetic and physical demands which collectively increases intra-abdominal pressure responsible for stress urinary incontinence in female dancers. Practicing Kegel’s and Behavioural Intervention therapy can minimize severity of problem. Objectives: To find out effectiveness of Kegel’s exercises, Behavioural intervention therapy and combination of both on stress urinary incontinence in female dancers using IIQ and Pad test Methodology: Permission was taken from institutional ethical committee. 90 female dancers were assessed using QUID and dancers having stress urinary incontinence aged 18-25 years; practicing since 5 years were selected. Pre intervention evaluation was followed by Kegel’s exercise for Group A, behavioral intervention therapy for Group B and combination of Kegel’s exercise along with behavioral intervention therapy for Group C. Post intervention assessment was carried out. Results: Data was statistically analyzed using Wilcoxon test for within the groups and among the groups by using Kruskal-wallis test. IIQ for group A pre-intervention mean was 5.5± 1.45 and post intervention mean was 4.7±1.04 with p <0.00048, For group B pre-intervention mean was 5.8 ± 1.27 and post 5.1± 1.27 with p<0.003 and For group C pre-intervention mean was 5.9±1.18 and post intervention mean was 4.4±0.85 with p<0.0001 which is very significant, while comparing group A B and C IIQ post values p<0.08812 which is not significant. Pad test for group A pre intervention mean7.3±1.78 was and post intervention mean was 6.4±1.4 with p<0.0001, For group B pre intervention mean was7.5±1.48 and post intervention mean was 6.7±1.44 with p<0.0001, For group C pre intervention mean was7.8±1.47 and post intervention mean was 6.2±1.21with p<0.0001 which is significant while comparing group A B and C Pad test post values p<0.08812 which is not significant. Conclusion: Our study concludes the effectiveness of various Physiotherapy interventions within the groups and all interventions being equally effective.