ABSTRACT

AIM AND OBJECTIVE: This study aims to investigate the effectiveness of the Knack maneuver and hypopressive exercises in treating stress urinary incontinence following hysterectomy. METHOD: A study involving 40 subjects with Stress Urinary Incontinence post-hysterectomy divided them into two groups: Group A received Knack maneuvers, and Group B underwent Hypopressive exercises. Both groups performed interventions five days a week for five weeks. Pre- and post-intervention assessments included pelvic floor muscle strength/endurance via perineometer and quality of life using ICIQ-UI-SF questionnaire. RESULT: Data from participants receiving Knack maneuvers (Group A) and Hypopressive exercises (Group B) were analyzed using SPSS 26.0. Descriptive statistics determined mean and standard deviation. Normality was assessed with Shapiro-Wilkinson test. Inferential statistics between groups were calculated using Mann-Whitney U, and within-group analysis was conducted using Wilcoxon Matched Pair Test. Significance was set at p<0.05. CONCLUSION: The study concludes that both Hypopressive exercises and the Knack maneuver effectively improve pelvic floor muscle strength, endurance, and overall quality of life in individuals with stress urinary incontinence post-hysterectomy. However, Hypopressive exercises were found to be more effective than the Knack maneuver in enhancing these outcomes. Keywords: Hysterectomy, Stress Urinary Incontinence, Pelvic floor muscles, Hypopressive exercises, Knack maneuver, Perineometer
Publication date: 01/05/2025

https://ijbpas.com/pdf/2025/May/MS_IJBPAS_2025_9026.pdf

Download PDF
https://doi.org/10.31032/IJBPAS/2025/14.5.9026