Acta Scientific Women's Health (ASWH)(ISSN: 2582-3205)

Clinical Trial Volume 5 Issue 11

Effect of Aquatic Therapy in Stress Urinary Incontinence: A Randomized Clinical Trial

Binal Dave(PT)*, Keshar Choudhary(PT) and Swati Singh(PT)

Department of Women’s Health Department, University of Technology, India

*Corresponding Author:Binal Dave, Department of Women’s Health Department, University of Technology, India.

Received: October 11, 2023; Published: October 24, 2023

Abstract

Background: Stress urinary incontinence (SUI) can have a significant impact on the quality of life of affected individuals. The condition can lead to physical discomfort, emotional distress, and limitations in daily activities, which can greatly affect overall well-being and psychological health.

Stress urinary incontinence is a common condition characterized by the involuntary leakage of urine during physical activities such as coughing, sneezing, or exercising. SUI can significantly impact the quality of life and psychological well-being of affected individuals, leading to social isolation and decreased participation in daily activities. Traditional treatment approaches for SUI include pelvic floor muscle training, pharmacotherapy, and surgical interventions. Aquatic therapy has been widely recognized for its benefits in improving muscle strength, flexibility, cardiovascular fitness, and functional capacity in various patient populations.

Aims and Objectives: While the existing literature on aquatic therapy for stress urinary incontinence (SUI) provides valuable insights, there are several research gaps and limitations that need to be addressed. These include the need for standardized protocols, long-term functional outcome assessments, exploration of optimal dosage and progression, standardized reporting, inclusion of objective measures, consideration of cultural and contextual factors, and long-term cost-effectiveness data. Addressing these research gaps will contribute to a better understanding of the effectiveness, optimal implementation, and economic implications of aquatic therapy in SUI management, ultimately improving the quality of care provided to individuals affected by this condition.

Materials and Methods: In the randomized clinical trial conducted in individuals with SUI, participants were randomly assigned to either an aquatic therapy group or a control group. The aquatic therapy group received a specific protocol of exercises tailored to address the pelvic floor muscles and other muscle groups involved in continence control. The control group received standard care or an alternative intervention, such as traditional pelvic floor muscle training.

Objective and subjective outcome measures should be selected to assess the effectiveness of aquatic therapy in SUI. Objective measures may include urinary leakage episodes, pad weight tests, or urodynamic assessments. Subjective measures can include validated questionnaires assessing SUI symptoms, quality of life, and patient-reported outcomes. These measures should be collected at baseline, during the intervention period, and at follow-up points to evaluate short-term and long-term effects.

Conclusion: While the study provides valuable insights, further research is warranted to validate and expand upon these findings. Future studies should explore long-term effects, comparative effectiveness against other treatments, underlying mechanisms, optimal treatment parameters, and the impact of aquatic therapy in diverse populations. These findings suggest that aquatic therapy is an effective intervention for managing SUI. It can lead to a reduction in SUI symptoms, improved quality of life, enhanced bladder control, and increased participant satisfaction. The study highlights the potential of aquatic therapy as a non-invasive and well-received treatment option for individuals with SUI.

Keywords: Stress Urinary Incontinence; Aquatic Therapy; Pelvic Floor Physiotherapy; Hydrotherapy; Urinary Incontinence

References

  1. Alves da Silva C., et al. “Aquatic exercise for the treatment of stress urinary incontinence: A systematic review with meta-analysis”. Journal of Sports Sciences17 (2019): 2011-2019.
  2. Alves da Silva C., et al. “Aquatic exercise for women with stress urinary incontinence: A randomized controlled trial”. International Urogynecology Journal7 (2020): 1353-1361.
  3. , et al. “Aquatic exercise and urinary incontinence: A systematic review and meta-analysis”. European Journal of Obstetrics & Gynecology and Reproductive Biology 248 (2020): 20-28.
  4. Bø, K., et al. “Pelvic floor muscle exercise for the treatment of female stress urinary incontinence: III. Effects of two different degrees of pelvic floor muscle exercises”. Neurourology and Urodynamics5 (2009): 368-373.
  5. Cacciari LP., et al. “Aquatic physical therapy for the treatment of urinary incontinence in elderly women: A systematic review”. Journal of Physical Therapy Science4 (2017): 748-752.
  6. Castro-Rodriguez A., et al. “The efficacy of aquatic therapy for women with urinary incontinence: A systematic review and meta-analysis. Journal of Clinical Medicine 10.3 (2021): 469.
  7. Hatzigiannis A., et al. “Aquatic physical therapy for the treatment of urinary incontinence in women: A systematic review”. International Urogynecology Journal3 (2017): 353-361.
  8. Hsu Y J., et al. “Effectiveness of aquatic exercise for treatment of stress urinary incontinence in women: A systematic review and meta-analysis of randomized controlled trials”. American Journal of Physical Medicine & Rehabilitation8 (2020): 706-716.
  9. Komesu Y M., et al. “Effect of aquatic exercise on nocturia in elderly women with urinary incontinence”. International Urogynecology Journal10 (2015): 1543-1549.
  10. Valiani M., et al. “Effectiveness of aquatic exercises for female stress urinary incontinence: A systematic review and meta-analysis”. Neurourology and Urodynamics2 (2020): 577-592.
  11. Terlikowski R., et al. “The effectiveness of aquatic exercises in the treatment of urinary incontinence in women: A systematic review and meta-analysis”. Archives of Gynecology and Obstetrics6 (2019): 1619-1629.
  12. Ramos-Jiménez A., et al. “Effects of aquatic aerobic exercise on the urinary incontinence of obese women”. American Journal of Physical Medicine & Rehabilitation7 (2017): 485-492.
  13. Matsumoto K., et al. “Effects of aquatic exercise on the prevention and management of urinary incontinence in pregnant women: A systematic review and meta-analysis”. Archives of Physical Medicine and Rehabilitation 10 (2021): 2042-2051.
  14. Li Y., et al. “The effectiveness of aquatic exercise for the treatment of patients with stress urinary incontinence: A systematic review and meta-analysis”. International Journal of Environmental Research and Public Health 20 (2019): 3917.
  15. Sacco E., et al. “Efficacy of pelvic floor muscle training and hypopressive exercises for treating pelvic organ prolapse symptoms and sexual dysfunction in women: Randomized controlled trial”. Urology 115 (2018): 187-193.
  16. Khatri R., et al. “Effects of aquatic and land-based exercise programs on women with urinary incontinence: A randomized controlled trial”. Journal of Women's Health Physical Therapy3 (2019): 128-137.
  17. Skoetz N., et al. “Effectiveness of aquatic exercise for the treatment of urinary incontinence in women: A systematic review and meta-analysis”. BMC Women's Health1 (2017): 71.
  18. Lopes M H., et al. “Effects of aquatic exercise on cardiovascular fitness and postural control in postmenopausal women with mild to moderate urinary incontinence: A randomized controlled trial”. Menopause 8 (2018): 889-895.
  19. Huang H Y., et al. “Aquatic training effect on postpartum urinary incontinence: A randomized controlled trial”. Journal of Obstetric, Gynecologic& Neonatal Nursing3 (2020): 243-251.

Citation

Citation: Binal Dave., et al. “Effect of Aquatic Therapy in Stress Urinary Incontinence: A Randomized Clinical Trial".Acta Scientific Women's Health 5.11 (2023): 30-46.

Copyright

Copyright: © 2023 Binal Dave., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.




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