Effect of Mobile App-Based Pelvic Floor Combined with Hip Muscle Training on Stress Urinary Incontinence in Women.

OBJECTIVE

This study was designed to evaluate the impact of mobile app-based pelvic floor combined with hip muscle training on female stress urinary incontinence (SUI).

METHODS

The clinical data of female patients with SUI treated in our hospital from January 2021 to December 2023 were retrospectively collected. They were divided into the control group and combined group according to the difference in treatment style. The control group received conventional pelvic floor muscle training (PFMT) treatment, and the combined group received mobile app-based PFMT combined with hip muscle training treatment.

RESULTS

A total of 113 patients were included (55 in the control group and 58 in the combination group). Their general data were comparable ( > 0.05). Repeated measures analysis of variance (ANOVA) revealed a significant interaction between measurement time and group on International Consultation on Incontinence Questionnaire-Short Form (ICIQ-SF) ( < 0.05), with significant main effects of time and group ( < 0.001). Simple effect analysis showed no significant ICIQ-SF difference between the groups before training ( > 0.05). At 8 and 12 weeks, the combination group had a lower ICIQ-SF than the control group ( < 0.05). Before exercise, we found no significant difference in 1-hour PAD between the groups ( > 0.05); After exercise, the combination group outperformed the control group ( < 0.05). Post-exercise, the combination group had a lower incontinence episode frequency (IEF) and higher electromyography parameters than the control group ( < 0.05). The combination group's treatment compliance was significantly better than the control group's ( < 0.05).

CONCLUSIONS

Mobile application-based pelvic floor and hip muscle training can effectively reduce urinary incontinence symptoms, improve disease severity, decrease incontinence frequency, enhance pelvic floor function and ensure high treatment compliance in female patients with SUI, making it a promising clinical approach.