Comparing Pelvic Floor Muscle Training Alone Versus With Hypopressive Exercises for Strength, Pain, and Quality of Life in Women with Pelvic Organ Prolapse

What this Trial Is About

Pelvic Organ Prolapse POP is a common condition in women caused by weak pelvic floor muscles, leading to the descent of pelvic organs and reduced quality of life. This trial compares pelvic floor muscle training PFMT alone versus PFMT combined with hypopressive exercises in women aged 45 to 65 with stage I-II POP. The goal is to see which approach better improves muscle strength, reduces pain during intercourse dyspareunia, and enhances overall quality of life. Participants are divided into two groups one group receives PFMT combined with hypopressive exercises, and the other group receives PFMT alone. The PFMT program includes five appointments over four weeks, teaching correct muscle contractions and providing a personalized home exercise plan. The hypopressive exercise group performs progressive breathing and posture exercises over four weeks, increasing in intensity and duration each week to improve core control and postural stability. During the study, muscle strength is measured with the Modified Oxford Scale, pain is assessed using the Numeric Pain Rating Scale, and quality of life is evaluated with the Pelvic Floor Impact Questionnaire PFIQ-7. Participants keep exercise diaries to track adherence. Data analysis will determine if adding hypopressive exercises to PFMT offers greater benefits after one month of treatment. The total participation period is one month, with outcomes assessed at the end of treatment.

Effects of Pelvic Floor Muscle Training With & Without Hypopressive Exercises