Introduction: The aim of the study was to assess the influence of the implemented therapeutic programme, which consisted of body posture correction and of change of habits, on the pelvic floor muscle function in women with stress urinary incontinence. Material and methods: The 60 women were randomly divided into two groups: the study population and the clinical control group (subjects received envelopes with numbers of the group: 1- study population aged 38.3 ± 5.54, 2- clinical control group aged 35.5 ± 4.7. We used the following research methods: A personal questionnaire with subjects’ demographics and with questions related to the type of work, physical activity, childbirths and any issues related to the pelvic floor (pre-test), Pelvic floor muscle assessment with the use of the PERFECT Scheme and the Oxford scale palpation examination, sEMG with intravaginal electrode and manometry with an intravaginal probe—pre-test and post-test. Subjective assessment of body posture in the sagittal plane according to the McKenzie methodology. Results: In both groups, VRP (resting vaginal pressure) and resting PFM tension were significantly reduced. The strength and endurance of PFM, tension during MVC and VSP (intravaginal pressure during contraction) increased, with no difference between the groups. SUI decreased significantly, and quality of life improved significantly in both groups. Conclusions: Education of the pelvic floor and changing habits significantly affected the activity of PFM and improved the quality of life in the group of patients with SUI. The posture correction therapy with manual therapy and stretching exercises did not increase this effect.
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Introduction: Urinary incontinence (UI) is a common health problem, which affects an increasing number of people at any age. This disease influences the physical and mental condition. People who suffer from chronic lumbar pain are more likely to have stress urinary incontinence. The aim of this study was to assess the incidence of involuntary urine leakage among group of patients with lumbar spine disc disease. An additional purpose was to find risk factors of UI in this group. Material and methods: The study was conducted in the spine surgery department in one of orthopedic hospitals. The study group consisted of adults diagnosed with lumbar spine discopathy with sciatica. The control group included healthy participants. There were 50 subjects in each group. Results: Based on statistical analysis, there is no significant difference between the study and the control group in the occurrence of urinary incontinence problem. Subjects with UI had a higher level of disability. Almost 74% people of the study group and 66% of the control group have never heard about the most popular form of urinary incontinence treatment, which is a pelvic floor muscles training. Conclusions: 1. The main risk factors for urinary incontinence in the study group were the nature of the work performed and the sex. Hard physical work significantly increases the risk of UI. 2. The level of knowledge of treatment and prevention of urinary incontinence among participants was very low, therefore there is a need for education in this area.
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