Efficacy of Pelvic Floor Muscle Training, Yoga and Cognitive Behavioural Therapy for Urinary Incontinence in Diabetic Women – A Randomized Controlled Double Blinded Study

Abstract

Objective: The objective of the study was to analyse the efficacy of pelvic floor muscle training, yoga and cognitive behavioural therapy for urinary incontinence in diabetes women. Background: Urinary incontinence is one of the identified risk factors of diabetes mellitus, a recent hypothesis describes that diabetes mellitus and obesity are related to each other. Normally pelvic floor muscles contraction compresses the urethra and avoids urine leakage whenever there is an increased in intra-abdominal pressure and there by prevent urinary incontinence. Pelvic floor muscle training is the most commonly recommended physical therapy treatment for women with stress leakage of urine. Materials and Methods: This was an experimental study design with pre and post type. The study was conducted in the outpatient physiotherapy department of ACS medical college and hospital and took nearly 4 months to complete the study (Jan 2018 – April 2018). 45 samples were selected from 60 volunteers based on the inclusion criteria. 45 samples were divided into three group by the lottery method, Group A received pelvic floor muscle training and group B received yoga and group c received cognitive behavioral therapy for 8 weeks. The pre and post-test measurement were taken and compared by using questionnaire for urinary incontinence diagnosis and incontinence severity index. Results: On comparing Mean values of Group A, Group B and Group C on Post Test ISI score shows significant difference in the Mean values, but Group A shows 5.06 which has the Lowest Mean value is more effective than Group C at 7.40 and followed by Group B at 8.53 (P = 0.001) Conclusion: The present study concluded that pelvic floor muscle training is more effective than yoga and cognitive behavioural therapy in treating patients with urinary incontinence in diabetes women.