A Comparative Study on Urinary Incontinence to Improve Pelvic Floor Strength in The Female Population with Pelvic Floor Dysfunctions Embryological K-Cat Concept Based Exercises Versus Traditional Pelvic Floor Exercises
Keywords:
Urinary Incontinence, jaw & pelvis Concept, Pelvic Floor Dysfunction, Pad Test, Post-Void Residual, Fascial Connections, K-CAT, K-CAT pelvic floor exercise, long exhalation, neural tube, gluteal squeezeAbstract
Urinary Incontinence is an involuntary and uncontrolled leakage of urine mostly due to detrusor overactivity. Studies indicate that 9% to 39% of women experience daily urinary incontinence. In women over 60 years of age one out of three women experience urinary incontinence. Different types of urinary incontinence are seen such as stress, urge, mixed, overflow and functional. Many factors seem to influence the rate of leakage such as sneezing, coughing, physical activity. In most cases except neurological conditions and tumors, urinary incontinence presented along with pelvic floor dysfunction which is categorized as either hyperactivity of pelvic floor muscles or hypertonicity and lastly overactivity of pelvic floor muscles. In most studies it has been evident that state of pelvic floor muscles can cause urinary incontinence. This study will help us identify the efficacy of traditional exercises which are readily practiced in managing urinary incontinence simultaneously comparing with K-CAT based exercises which are more advanced and logical approach in managing urinary incontinence by using different connections of pelvic floor commonly seen with breathing and jaw positioning.[i]
Background: Urinary incontinence (UI) is a common issue among women, often caused by pelvic floor dysfunction. While traditional pelvic floor exercises are commonly prescribed, emerging approaches such as the Embryological neural tube continuity through Jaw & Pelvis concept offer a novel perspective by targeting the functional linkage between the anterior and posterior neuropore through the continuity and the diaphragmatic connection well established in adult through breathing (pressure gradient difference management).
Objective: To assess the effectiveness of Embryological Jaw & Pelvis connection in managing urinary incontinence in women with pelvic floor dysfunction.
Methods: A total of 60 female participants aged 30 to 60 years with urinary incontinence were enrolled and treated using the embryologicalJaw & Pelvis connection for 12 weeks or 3 months. The outcomes were evaluated using the 1-hour pad test and post-void residual (PVR) volume measured through ultrasonography. Pre- and post-treatment comparisons were analyzed using paired t-tests
- [i]Lukacz ES, Santiago-Lastra Y, Albo ME, Brubaker L. Urinary Incontinence in Women: A Review. JAMA. 2017 Oct 24;318(16):1592-1604.
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References
Lukacz ES, Santiago-Lastra Y, Albo ME, Brubaker L. Urinary Incontinence in Women: A Review. JAMA. 2017 Oct 24;318(16):1592-1604.
Abrams P, Cardozo L, Wagg A, Wein A. Incontinence: 6th International Consultation on Incontinence. Paris: ICUD-EAU; 2017.
Bø K, Berghmans B, Mørkved S, Kampen MV. Evidence-Based Physical Therapy for the Pelvic Floor. Elsevier Health Sciences; 2015.
Moore KL, Persaud TVN, Torchia MG. The Developing Human: Clinically Oriented Embryology. 11th ed. Philadelphia: Elsevier; 2019.
Sadler TW. Langman’s Medical Embryology. 14th ed. Philadelphia: Wolters Kluwer; 2019.
Schleip R, Findley TW, Chaitow L, Huijing PA. Fascia: The Tensional Network of the Human Body. Churchill Livingstone; 2012.
Myers TW. Anatomy Trains: Myofascial Meridians for Manual and Movement Therapists. 4th ed. Edinburgh: Elsevier; 2020.
Bordoni B, Morabito B, Simonelli M, Toccafondi A. The fascial system and exercise intolerance in patients with chronic heart failure. Open Cardiovasc Med J. 2015;9:224–30.
DiFrancisco-Donoghue J, Werner WG, Douris PC, Lamberg EM. Comparison of pelvic floor strength and EMG activity in continent and incontinent women during functional tasks. Urol Nurs. 2011;31(5):261-7.
Scaer RC. The trauma spectrum: Hidden wounds and human resiliency. New York: Norton; 2005.
Porges SW. The polyvagal theory: phylogenetic substrates of a social nervous system. Int J Psychophysiol. 2001;42(2):123–46.
Upledger JE, Vredevoogd JD. Craniosacral Therapy. Eastland Press; 1983.
Cuccia AM, Caradonna C. The relationship between the stomatognathic system and body posture. Clin Pract. 2009;59(4):421-6.
Abrams P, Cardozo L, Wagg A, Wein A. Incontinence. 6th ed. Bristol: International Continence Society; 2017.
Dumoulin C, Cacciari LP, Hay‐Smith EJC. Pelvic floor muscle training versus no treatment, or inactive control treatments, for urinary incontinence in women. Cochrane Database Syst Rev. 2018;10:CD005654.
Hay-Smith J, Herderschee R, Dumoulin C, Herbison GP. Comparisons of approaches to pelvic floor muscle training for urinary incontinence in women. Cochrane Database Syst Rev. 2011;(12):CD009508.
Myers TW. Anatomy Trains: Myofascial Meridians for Manual and Movement Therapists. 4th ed. Elsevier; 2020.
Stecco C. Functional Atlas of the Human Fascial System. 1st ed. Elsevier; 2014.
Tozzi P. Selected fascial aspects of osteopathic practice. J Bodyw Mov Ther. 2012 Jan;16(1):503-19.
Franklyn-Miller A, Roberts A, Hulse D, Foster C. Biomechanical overload syndrome: defining a new diagnosis. Br J Sports Med. 2014 Apr;48(6):415-6.
Moore KL, Persaud TVN, Torchia MG. The Developing Human: Clinically Oriented Embryology. 10th ed. Philadelphia: Elsevier; 2015.
Carlson BM. Human Embryology and Developmental Biology. 5th ed. Philadelphia: Elsevier; 2013.
Upledger JE, Vredevoogd JD. Craniosacral Therapy. Seattle: Eastland Press; 1983.
van der Kolk B. The Body Keeps the Score: Brain, Mind, and Body in the Healing of Trauma. New York: Penguin; 2015.
Tran LN, Puckett Y. Urinary Incontinence. [Updated 2023 Aug 8]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan
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