{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T15:22:26Z","timestamp":1787757746535,"version":"build-2784847793"},"reference-count":23,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2022,1]]},"abstract":"\n Background:<\/jats:title>\n Urinary incontinence (UI) is a significant health problem with serious physical, psychological, and social consequences. Pelvic floor muscle exercise (PFME) is proven efficacious in the prevention and management of UI. A lack of trained physiotherapist in rural areas mars the uptake of physiotherapy and therefore innovative mechanisms are required. The present study was undertaken to evaluate the usefulness of home-based physiotherapy in the management of UI.<\/jats:p>\n <\/jats:sec>\n \n Materials and Methods:<\/jats:title>\n A total of 49 women, who screened positive for UI from a larger study conducted in 4 randomly selected villages of Charutar region, were included in the study. They were assigned home-based or supervised regimens randomly. All participants received education about UI and its management. A structured PFME schedule was developed. Participants in the supervised group received PFME by a trained physiotherapist, while those in the home-based group received training on exercise. Details of each session were documented through a daily diary in both groups. Revised urinary incontinence scale (RUIS) and incontinence impact questionnaire (IIQ-7) were administered at baseline and after 6 months to assess and compare the impact across groups.<\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n \n Analysis of variance (with\n post hoc<\/jats:italic>\n comparisons) was employed to compare the effect of physiotherapy across groups. Only 18 (10 supervised and 8 home-based group) out of 49 women participated. Another 10 provided the required data, albeit had not done any exercises. The mean standard deviation of RUIS (\n P<\/jats:italic>\n = 0.84) and IIQ-7 (\n P<\/jats:italic>\n = 0.55) scores was similar at baseline across the groups. The RUIS (\n P<\/jats:italic>\n = 0.01) and IIQ-7 (\n P<\/jats:italic>\n = 0.006) improved significantly; however,\n post hoc<\/jats:italic>\n analysis revealed that both RUIS and IIQ-7 improved significantly only in the supervised group.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion:<\/jats:title>\n Supervised exercise worked better, whereas home-based exercise failed to achieve the desired impact. Identifying barriers in home-based exercise and finding feasible solutions would prove a breakthrough in the management of UI in resource-limited settings.<\/jats:p>\n <\/jats:sec>","DOI":"10.4103\/jmh.jmh_83_21","type":"journal-article","created":{"date-parts":[[2022,5,2]],"date-time":"2022-05-02T06:58:20Z","timestamp":1651474700000},"page":"74-79","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":4,"title":["Comparison of Effectiveness of Home-Based Verses Supervised Pelvic Floor Muscle Exercise in Women with Urinary Incontinence"],"prefix":"10.4103","volume":"13","author":[{"given":"Daxa G.","family":"Mishra","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Smruti Bhalendu","family":"Vaishnav","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ajay 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