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Impact of Kegel Exercises and Transcutaneous Tibial Nerve Stimulation on Low Back Pain in Women with Stress Urinary Incontinence: A Randomized Controlled Trial |
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PP: 29-36 |
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Author(s) |
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Doaa A. Abdel Hady,
Amel M. Yousef,
Mahitab M. Yosri,
Fahima M. Okeel,
Abdel Rahman Hegazy,
Omar M. Mabrouk,
Said A. Mohamed,
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Abstract |
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| Background: Low back pain (LBP) was evidenced to be associated with stress urinary incontinence (SUI), both of which are common problems in women. Aim: This study aimed to determine the impact of Kegel exercises and transcutaneous tibial nerve stimulation (TTNS) on LBP in women with SUI. Methods: Forty-five females complaining of LBP associated with SUI were randomly chosen from the outpatient clinic at Deraya University. Their ages varied from 35 to 45 years, their body mass index (BMI) was 25-30 kg/m2, with a number of parities ≤ three normal vaginal deliveries. They participated in the study after, at least two years from the last delivery. They were divided into three equal groups at random (A, B&C). Group A received standard LBP protocol, group B received (TTNS) and Kegel exercises and group C received the standard LBP therapy, TTNS and Kegel exercises. Evaluation for the three groups was done before and after the interventions by ultrasonography imaging, urinary distress inventory-6 (UDI-6) & modified Oxford scale to assess pelvic floor muscle (PFM) function, while visual analog scale (VAS), Oswestry disability index questionnaire (ODIQ) & Pain Pressure Algometry (PPA) were used to assess LBP. Results: Analysis indicated a significant improvement in LBP in the three groups as well as PFM thickness and force in the groups B and C, whereas, there was no statistically significant difference in the group A post-treatment. Comparison between groups post treatment showed significant differences in VAS, ODIQ and UDI-6. For (PPT), PFM thickness & force and modified Oxford scale, there was no statistically significant difference between the groups B & C, while there were significant differences between the groups A&B and A&C. Conclusion: Combining Kegel exercises with standard LBP treatment and TTNS is effective in reducing LBP as well as improving PFM function in women with SUI.
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