IJPR.2021.198

Type of Article:  Original Research

Volume 9; Issue 8 (December 2021)

Page No.: 4071-4078

DOI: https://dx.doi.org/10.16965/ijpr.2021.198

Augmented Core Breathing Pelvic Floor Muscle Training for Patients with Genitourinary Syndrome in Different Phases of Menopause

S. Sasirekha 1, M. Anbupriya 1, E. Maruthi Prasad *2.

1 SRM College of Physiotherapy, SRM Institute of Science and Technology, SRM nagar, Kattankulathur, Chengalpattu District, Tamil Nadu 603203, India.

*2 Department of Physiotherapy, Shree Velan’s multispecialty clinic, Kamarajapuram, Guduvanchery, Chengalpattu District, Tamil Nadu 603202, India.

Corresponding Author:  E. Maruthi Prasad, Department of Physiotherapy, Shree Velan’s multispecialty clinic, Kamarajapuram, Guduvanchery, Chengalpattu District, Tamil Nadu 603202, India.  E-Mail:  emaruthip@gmail.com

ABSTRACT

Pelvic floor muscle has a role in core breathing for twenty-four hours and offers an influence to modulate the lumbar spine and pelvic floor. Several studies reported on pelvic floor muscle strength. Women with genitourinary syndrome do not seek care for their condition and are dismayed to speak with the health care provider about the condition. In the present work, we evaluated the efficiency of augmented core breathing in the genitourinary syndrome of menopause for pelvic floor muscle strength. We tested the role of augmented core breathing efficacy using pelvic floor muscle training in patients with the genitourinary syndrome. Our data revealed significant beneficial effects of core breathing with pelvic floor muscle training and Kegel’s exercise in patients with genitourinary syndrome in different phase of menopause.

Key words: genitourinary syndrome; menopause; pelvic exerciser; pelvic floor muscle training; Utian quality of life scale.

REFERENCES

[1]. Kim, H.K., et al., The Recent Review of the Genitourinary Syndrome of Menopause. J Menopausal Med, 2015;21(2):65-71.
[2]. Kagan, R., S. Kellogg-Spadt, and S.J. Parish, Practical Treatment Considerations in the Management of Genitourinary Syndrome of Menopause. Drugs Aging, 2019;36(10):897-908.
[3]. Lovegrove Jones, R.C., et al., Mechanisms of pelvic floor muscle function and the effect on the urethra during a cough. Eur Urol, 2010;57(6):1101-10.
[4]. Patni, R., Genitourinary Syndrome of Menopause. Journal of mid-life health, 2019;10(3):111-113.
[5]. Meeta, et al., Clinical practice guidelines on menopause: An executive summary and recommendations. Journal of mid-life health, 2013;4(2):77-106.
[6]. Portman, D.J. and M.L. Gass, Genitourinary syndrome of menopause: new terminology for vulvovaginal atrophy from the International Society for the Study of Women’s Sexual Health and the North American Menopause Society. Menopause, 2014;21(10):1063-8.
[7]. Kim, H.-K., et al., The Recent Review of the Genitourinary Syndrome of Menopause. Journal of menopausal medicine, 2015;21(2):65-71.
[8]. Alvisi, S., et al., Vaginal Health in Menopausal Women. Medicina (Kaunas, Lithuania), 2019;55(10):615.
[9]. Alperin, M., et al., The mysteries of menopause and urogynecologic health: clinical and scientific gaps. Menopause (New York, N.Y.), 2019;26(1):103-111.
[10]. Woodard, T.L. and M.P. Diamond, Physiologic measures of sexual function in women: a review. Fertility and sterility, 2009;92(1):19-34.
[11]. Mac Bride, M.B., D.J. Rhodes, and L.T. Shuster, Vulvovaginal atrophy. Mayo Clin Proc, 2010;85(1):87-94.
[12]. Kingsberg, S., S. Kellogg, and M. Krychman, Treating dyspareunia caused by vaginal atrophy: a review of treatment options using vaginal estrogen therapy. International journal of women’s health, 2010;1:105-111.
[13]. Amabebe, E. and D.O.C. Anumba, The Vaginal Microenvironment: The Physiologic Role of Lactobacilli. Frontiers in medicine, 2018;5:181-181.
[14]. Brotman, R.M., et al., Association between the vaginal microbiota, menopause status, and signs of vulvovaginal atrophy. Menopause (New York, N.Y.), 2014;21(5):450-458.
[15]. Marshall, P.W. and B.A. Murphy, Core stability exercises on and off a Swiss ball. Arch Phys Med Rehabil, 2005;86(2):242-9.
[16]. Khan, N.A.J., et al., Slipping Rib Syndrome in a Female Adult with Longstanding Intractable Upper Abdominal Pain. Case Reports in Medicine, 2018;7484560.
[17]. Kibler, W.B., J. Press, and A. Sciascia, The Role of Core Stability in Athletic Function. Sports Medicine, 2006;36(3):189-198.
[18]. Park, S.-H. and C.-B. Kang, Effect of Kegel Exercises on the Management of Female Stress Urinary Incontinence: A Systematic Review of Randomized Controlled Trials. Advances in Nursing, 2014;640262.
[19]. Park, S.H., et al., [Effect of Kegel exercise to prevent urinary and fecal incontinence in antenatal and postnatal women: systematic review]. J Korean Acad Nurs, 2013;43(3):420-30.
[20]. Parish, S.J., et al., Impact of vulvovaginal health on postmenopausal women: a review of surveys on symptoms of vulvovaginal atrophy. International journal of women’s health, 2013;5:437-447.
[21]. Faubion, S.S., L.T. Shuster, and A.E. Bharucha, Recognition and management of nonrelaxing pelvic floor dysfunction. Mayo Clinic proceedings, 2012;87(2):187-193.
[22]. Mac Bride, M.B., D.J. Rhodes, and L.T. Shuster, Vulvovaginal atrophy. Mayo Clinic proceedings, 2010;85(1):87-94.
[23]. Goldstein, I., et al., Multidisciplinary overview of vaginal atrophy and associated genitourinary symptoms in postmenopausal women. Sexual medicine, 2013;1(2):44-53.
[24]. Dalal, P.K. and M. Agarwal, Postmenopausal syndrome. Indian journal of psychiatry, 2015;57(Suppl 2):S222-S232.
[25]. Rahn, D.D., et al., Vaginal estrogen for genitourinary syndrome of menopause: a systematic review. Obstetrics and gynecology, 2014;124(6):1147-1156.
[26]. Mercier, J., et al., Pelvic floor muscles training to reduce symptoms and signs of vulvovaginal atrophy: a case study. Menopause, 2016;23(7):816-20.
[27]. Akuthota, V., et al., Core Stability Exercise Principles. Current Sports Medicine Reports, 2008;7(1).
[28]. Raizada, V. and R.K. Mittal, Pelvic floor anatomy and applied physiology. Gastroenterology clinics of North America, 2008;37(3):493-vii.

Cite this article: S. Sasirekha, M. Anbupriya, E. Maruthi Prasad.  Augmented Core Breathing Pelvic Floor Muscle Training for Patients with Genitourinary Syndrome in Different Phases of Menopause. Int J Physiother Res 2021;9(6):4071-4078. DOI: 10.16965/ijpr.2021.198