Effects of Stabilization Exercises and Pelvic Floor Muscle Training on Urinary Parameters in Individuals with Chronic Low Back Pain and Urinary Incontinence: A Randomized Controlled Trial

TL;DR

A study found that combining stabilization exercises with pelvic floor muscle training improves urinary symptoms in women with chronic low back pain and incontinence.

Contribution

This study introduces a combined intervention of stabilization exercises and pelvic floor muscle training for urinary incontinence in CLBP patients.

Findings

Combined PFMT and stabilization exercises showed greater improvement in urinary symptoms than standard PFMT or control.

Both intervention groups improved urinary symptoms and quality of life compared to the control group.

Results suggest combined training may be more effective for urinary incontinence in CLBP patients.

Abstract

Background/Objectives: This randomized controlled trial aimed to investigate the effects of stabilization exercises combined with pelvic floor muscle training (PFMT) on urinary parameters in individuals with chronic low back pain (CLBP) and urinary incontinence. Methods: A total of 44 women aged 18–65 years were randomized into three groups: PFMT combined with stabilization exercises, standard PFMT group, and a control group. The intervention groups participated in an 8-week exercise program. Urinary symptoms, anxiety, and quality of life were assessed using validated questionnaires. Results: The primary outcome (UDI) demonstrated significantly greater improvement in the PFMT combined with stabilization group compared with both the standard PFMT and control groups (p < 0.01). Post-treatment comparisons indicated that both intervention groups showed significant improvements in urinary symptoms and quality of life compared with the control group (p < 0.05). Conclusions: PFMT combined with stabilization exercises may be an effective approach for improving urinary parameters. Further studies are warranted to better elucidate the efficacy of PFMT combined with stabilization exercises. Trial Registration: ClinicalTrials.gov Identifier: NCT05666427.

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