EFFECTIVENESS OF PELVIC FLOOR MUSCLE EXERCISES ON QUALITY OF LIFE IN ELDERLY ELDERLY WITH URINARY INCONTINENCE: LITERATURE REVIEW

Ni Kadek Diahwinny Indrayani; Ni Putu Geg Mas Widya Candra Pinasthy; Made Juliani; Ni Wayan Dewi Tarini; Made Ririn Sri Wulandari

Authors

Ni Kadek Diahwinny Indrayani Ganesha University of Education
Ni Putu Geg Mas Widya Candra Pinasthy Ganesha University of Education
Made Juliani Ganesha University of Education
Ni Wayan Dewi Tarini Ganesha University of Education
Made Ririn Sri Wulandari Ganesha University of Education

Keywords:

:Effectiveness, Pelvic floor muscle training, Urinary incontinence, Elderly

Abstract

Background:Urinary incontinence in the elderly has serious physical, psychological, and social impacts, and reduces quality of life. Pelvic Floor Muscle Exercise (PFME) is recommended as an effective non-pharmacological intervention, but its implementation is still limited. Objective: To evaluate the effectiveness of PFME on quality of life in elderly with urinary incontinence. Methods: A systematic literature review based on PRISMA guidelines of 15 primary articles published between 2014–2024, with inclusion criteria focusing on the elderly, PFME interventions, and quality of life measurements. Results: PFME consistently reduced the frequency of incontinence, increased voiding control, and improved physical and psychological quality of life. In elderly women, PFME reduced the frequency of incontinence by 74% (p > 0.05); in post-prostatectomy men, the combination of PFME with an oscillating rod increased the continence rate from 43% to 74% (p < 0.01). PFME was also effective in older adults with mild cognitive impairment, reducing daily episodes from 3.3 to 1.7 (p < 0.001), as well as increasing self-efficacy and decreasing depression scores (p < 0.01). Online approaches such as “teleGROUP” also showed positive long-term results (73% symptom reduction, p < 0.001). Conclusion: PFME has been shown to be an effective, safe, and adaptive intervention for the management of urinary incontinence in older adults, with a significant impact on quality of life. Educational support, technology, and an individualized approach can enhance its successful implementation.

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