Effect of global postural correction exercises on stress urinary incontinence during pregnancy: A randomized controlled trial


  • Asmaa M. El Bandrawy Cairo University, Egypt
  • Mohammed Naeem Mohamed Beni-Suef University, Egypt
  • Hossam AlDin H. Kamal Al-Azhar University, Egypt
  • Hamada Ahmed Hamada Cairo University, Egypt
  • Rami Abbas Beirut Arab University, Lebanon
  • Marwa Abd El-Rahman Mohamed Cairo University, Egypt


Kegel exercise, Postural correction, Stress urinary incontinence


Background: One of the many consequences of pregnancy that may negatively affect a woman’s quality of life is stress urinary incontinence caused by activities of daily living especially those associated with increased intraabdominal pressure. Objective: This research aimed to explore the impact of global postural correction exercises on stress urinary incontinence among pregnant women. Participants and Methodology: Forty primigravida female at their third trimester (aged between 26–36 years), with a single fetus, diagnosed with stress urinary incontinence take part in the research. Participants were assigned randomly into two groups: Study group (group A; n = 20) and control group (group B; n = 20). The participants were tested twice, before and after a 12-week period, during which group A received global postural correction exercises in addition to Kegel exercises, while group B performed only Kegel exercises. A perineometer was used to evaluate the change in vaginal squeeze pressure both before and after conducting the study. UDI-6 was utilized to assess changes in incontinence severity symptoms. Results: Findings revealed a significant increase in the mean value of vaginal squeeze pressure (p < .05) in the post-test condition in comparison to the pre-test in both groups A and B. Additionally, there was a main decrease (p < .05) in the mean value of UDI-6 in both groups. Moreover, findings showed a significant negative (inverse) correlation (p < .05) between the difference in vaginal squeeze pressure and the UDI-6 in all patients. Conclusions: Postural correction exercises in addition to Kegel exercises are effective in reducing urine leakage in women with stress urinary incontinence and should be an integral part of the management of such condition.


Download data is not yet available.


Alvim, F. C., Peixoto, J. G., Vicente, E. J., Chagas, P. S., & Fonseca, D. S. (2010). Influences of the extensor portion of the gluteus maximus muscle on pelvic tilt before and after the performance of a fatigue protocol. Rev Bras Fisioter, 14(3), 206-213.

Bai, S. W., Kang, J. Y., Rha, K., Lee, M. S., Kim, J. Y., & Park, K. H. (2002). Relationship of urodynamic parameters and obesity in women with stress urinary incontinence. The Journal of reproductive medicine, 47(7), 559-563.

Ben Ami, N., & Dar, G. (2018). What is the most effective verbal instruction for correctly contracting the pelvic floor muscles? Neurourology and urodynamics, 37(8), 2904-2910. https://doi.org/10.1002/nau.23810

Cammu, H., Van Nylen, M., Blockeel, C., Kaufman, L., & Amy, J. J. (2004). Who will benefit from pelvic floor muscle training for stress urinary incontinence? Am J Obstet Gynecol, 191(4), 1152-1157. https://doi.org/10.1016/j.ajog.2004.05.012

Capson, A. C., Nashed, J., & McLean, L. (2011). The role of lumbopelvic posture in pelvic floor muscle activation in continent women. J Electromyogr Kinesiol, 21(1), 166-177. https://doi.org/10.1016/j.jelekin.2010.07.017

Cerruto, M., Vedovi, E., Mantovani, W., D'Elia, C., & Artibani, W. (2012). Effects of ankle position on pelvic floor muscle electromyographic activity in female stress urinary incontinence: preliminary results from a pilot study. Archivio italiano di urologia, andrologia: organo ufficiale [di] Societa italiana di ecografia urologica e nefrologica, 84(4), 184-188.

Chen, K. M., Chen, M. H., Hong, S. M., Chao, H. C., Lin, H. S., & Li, C. H. (2008). Physical fitness of older adults in senior activity centres after 24-week silver yoga exercises. J Clin Nurs, 17(19), 2634-2646. https://doi.org/10.1111/j.1365-2702.2008.02338.x

Dedinsky, R., Baker, L., Imbus, S., Bowman, M., & Murray, L. (2017). Exercises that facilitate optimal hamstring and quadriceps co-activation to help decrease acl injury risk in healthy females: a systematic review of the literature. Int J Sports Phys Ther, 12(1), 3-15.

Dolan, L. M., Walsh, D., Hamilton, S., Marshall, K., Thompson, K., & Ashe, R. G. (2004). A study of quality of life in primigravidae with urinary incontinence. Int Urogynecol J, 15(3), 160-164. https://doi.org/10.1007/s00192-004-1128-x

El-Bandrawy, A. M., Nashed, A. B., Hamada, A. H.& Ghareeb, H. A.(2019). Effect of diaphragmatic breathing exercises and pelvic floor retraining on postmenopausal stress urinary incontinence: A randomized controlled trail. Fizjoterapia polska, 2, 60-64.

El Nahas, E. M., Mohamed, M. A., & Kamal, H. M. (2017). Postnatal rehabilitation of pelvic floor muscles using aerobic and Kegel exercises. Bulletin of Faculty of Physical Therapy, 22(2), 67.

Ghaderi, F., Mohammadi, K., Sasan, R. A., Kheslat, S. N., & Oskouei, A. E. (2016). Effects of stabilization exercises focusing on pelvic floor muscles on low back pain and urinary incontinence in women. Urology, 93, 50-54. https://doi.org/10.1016/j.urology.2016.03.034

Gilleard, W., Lai, D. T., Levinger, P., & Begg, R. K. (2008). Detecting trunk motion changes due to pregnancy using pattern recognition techniques. Paper presented at the 2008 30th Annual International Conference of the IEEE Engineering in Medicine and Biology Society. https://doi.org/10.1109/iembs.2008.4649684

Hannestad, Y. S., Rortveit, G., Daltveit, A. K., & Hunskaar, S. (2003). Are smoking and other lifestyle factors associated with female urinary incontinence? The Norwegian EPINCONT Study. BJOG: An International Journal of Obstetrics & Gynaecology, 110(3), 247-254. https://doi.org/10.1046/j.1471-0528.2003.02327.x

Haylen, B. T., Freeman, R. M., Swift, S. E., Cosson, M., Davila, G. W., Deprest, J., . . . Webb, R. J. (2011). An International Urogynecological Association (IUGA) / International Continence Society (ICS) joint terminology and classification of the complications related directly to the insertion of prostheses (meshes, implants, tapes) & grafts in female pelvic floor surgery. Int Urogynecol J, 22(1), 3-15. https://doi.org/10.1007/s00192-010-1324-9

Manshadi, F. D., Ghanbari, Z., Miri, E.-S., & Azimi, H. (2016). Postural and musculoskeletal disorders in women with urinary incontinence: A research report. Journal of Clinical Physiotherapy Research, 1(1), 27-31.

Martins, G., Soler, Z. A., Cordeiro, J. A., Amaro, J. L., & Moore, K. N. (2010). Prevalence and risk factors for urinary incontinence in healthy pregnant Brazilian women. Int Urogynecol J, 21(10), 1271-1277. https://doi.org/10.1007/s00192-010-1185-2

Mørkved, S., & Bø, K. (1999). Prevalence of urinary incontinence during pregnancy and postpartum. Int Urogynecol J, 10(6), 394-398. https://doi.org/10.1007/s001920050067

Mørkved, S., Bø, K., Schei, B., & Salvesen, K. Å. (2003). Pelvic floor muscle training during pregnancy to prevent urinary incontinence: a single-blind randomized controlled trial. Obstetrics & Gynecology, 101(2), 313-319. https://doi.org/10.1097/00006250-200302000-00018

Oliveira, L. F., Vieira, T. M., Macedo, A. R., Simpson, D. M., & Nadal, J. (2009). Postural sway changes during pregnancy: a descriptive study using stabilometry. European Journal of Obstetrics & Gynecology and Reproductive Biology, 147(1), 25-28. https://doi.org/10.1016/j.ejogrb.2009.06.027

Park, M. J., & Park, J. S. (2003). Effect of a posture training program on cobb angle and knowledge of posture of elementary school students. Journal of Korean Academy of Nursing, 33(5), 643-650. https://doi.org/10.4040/jkan.2003.33.5.643

Prather, H., Dugan, S., Fitzgerald, C., & Hunt, D. (2009). Review of anatomy, evaluation, and treatment of musculoskeletal pelvic floor pain in women. Pm r, 1(4), 346-358. https://doi.org/10.1016/j.pmrj.2009.01.003

Ptaszkowski, K., Zdrojowy, R., Slupska, L., Bartnicki, J., Dembowski, J., Halski, T., & Paprocka-Borowicz, M. (2017). Assessment of bioelectrical activity of pelvic floor muscles depending on the orientation of the pelvis in menopausal women with symptoms of stress urinary incontinence: continued observational study. Eur J Phys Rehabil Med, 53(4), 564-574.

Sangsawang, B., & Sangsawang, N. (2013). Stress urinary incontinence in pregnant women: a review of prevalence, pathophysiology, and treatment. Int Urogynecol J, 24(6), 901-912. https://doi.org/10.1007/s00192-013-2061-7

Senturk, S., & Kara, M. (2012). Risk factors and prevalence of urinary incontinence in postmenopausal women living in Turkey. Clin Exp Obstet Gynecol, 39(1), 69-71.

Taradaj, J., Franek, A., Brzezinska-Wcislo, L., Cierpka, L., Dolibog, P., Chmielewska, D., . . . Kusz, D. (2008). The use of therapeutic ultrasound in venous leg ulcers: a randomized, controlled clinical trial. Phlebology, 23(4), 178-183. https://doi.org/10.1258/phleb.2008.008015

Wijma, J., Weis Potters, A. E., de Wolf, B. T., Tinga, D. J., & Aarnoudse, J. G. (2001). Anatomical and functional changes in the lower urinary tract during pregnancy. Bjog, 108(7), 726-732. https://doi.org/10.1111/j.1471-0528.2001.00123.x

Wlazlak, E., Surkont, G., Shek, K. L., & Dietz, H. P. (2015). Can we predict urinary stress incontinence by using demographic, clinical, imaging and urodynamic data? Eur J Obstet Gynecol Reprod Biol, 193, 114-117. https://doi.org/10.1016/j.ejogrb.2015.07.012



How to Cite

El Bandrawy, A. M., Mohamed, M. N., Kamal, H. A. . H., Hamada, H. A., Abbas, R., & Mohamed, M. A. E.-R. (2020). Effect of global postural correction exercises on stress urinary incontinence during pregnancy: A randomized controlled trial. Journal of Human Sport and Exercise, 15(3proc), S869-S878. Retrieved from https://www.jhse.ua.es/article/view/2020-v15-n3-proc-global-postural-correction-exercises-stress-uri