ABSTRACT
Background: Pelvic organ prolapse (uterine) is a gynecological disorder commonly found in multiparous and postmenopausal women. The primary causes of pelvic floor weakness include pregnancy and childbirth, pelvic surgeries, nerve damage, weightlifting, chronic coughing and sneezing, vaginal births, and inherently weak connective tissue and fascia. The pelvic floor muscles, which support the bladder, colon, and vagina, can be strengthened using Kegel exercises, also referred to as pelvic floor exercises. Exercises for hypopression include lowering pelvic, thoracic, and abdominal pressure. areas. These exercises are performed to achieve a more toned abdomen and/or to strengthen the muscles of the pelvic floor.
Objectives: The study's primary objective was to evaluate the efficacy of Kegel exercises and hypopressive exercises on strengthening among postpartum ladies who have uterine prolapse in stage 1.
Subjects And Methods: A comparative study design incorporating pre- and post-tests was utilized. Twenty patients with stage 1 uterine prolapse were chosen through criterion-based random sampling and assigned at random to one of the two treatment groups. Group A was given Kegel exercises for four weeks, while Group B performed hypopressive exercises. The efficacy of the treatments was measured using a Perineometer. Both paired and single "t" tests were conducted to evaluate the efficacy of the treatment, with a p-value of less than 0.05 taken into "significant."
Result:The team that underwent hypopressive exercises demonstrated a greater reduction in prolapse (mean difference of 21.2) compared to the group that performed Kegel exercises (mean difference of 0.48) at a significance level of 0.05.
Conclusion:When combined with conventional exercises, four weeks of hypopressive exercises lead to a significant reduction in prolapse, as well as improvements in strength and uterine prolapse.
Clinical Implications: Hypopressive activities have been shown to significantly impact the control of uterine prolapse when combined with conventional exercises such as planks, diaphragmatic breathing, and Swiss ball dog holds.
Keywords:Pelvic organ weakness(uterine), Kegel exercise, Hypopressive exercise, Perineometer.
