ABSTRACT
Background: Fecal incontinence is characterized by the involuntary leakage of stool from the bowel through the anus. Kegel exercises have demonstrated improved muscle strength in managing fecal incontinence. Additionally, pelvic floor exercises have also been shown to enhance muscle strength and decrease the severity of fecal incontinence.
Objectives: The main goal of the study was to determine the effectiveness of pelvic floor exercises and anal sphincter exercises in strengthening muscles and reducing the severity of fecal incontinence.
Subjects and Methods: This single case study focused on a 55-year-old individual with fecal incontinence that reported decreased muscle strength and increased severity of symptoms. The subject underwent Kegel and pelvic floor exercises for 12 weeks, with six sessions per week. Assessments were conducted using the Wexner scale and the modified Oxford scale. Scores were recorded at the end of the pre-test, and then at the 4th week, 6th week, and 12th week to evaluate changes.
Result: The pre-test and post-test values for severity on the Wexner scale were 15 and 5, respectively. For muscle strength, the pre-test and post-test values on the Modified Oxford scale were 1 and 3, respectively. The statistical report indicates a significant increase. in muscle strength and a decrease in the severity of fecal incontinence in the subject.
The study concluded that the combination of Kegel exercises and pelvic floor exercises was effective in increasing muscle strength and reducing the severity of fecal incontinence in the subject.
Clinical Implication: The combined effectiveness of Kegel exercises and pelvic floor exercises was found to have a significant impact on increasing muscle strength and reducing the severity of fecal incontinence in the subject.
Key Words: Fecal incontinence, muscle strengthening, level of severity, kegel exercises, pelvic floor exercises, wexner scale, modified oxford scale.
