Effect of Pilates compared to Pelvic Floor Muscle Training on urinary incontinence, pelvic floor muscle strength and respiratory in elderly women: a randomized clinical trial

INTERVENTION: E02.760.169.063.500.387.750 E02.779.474 G11.427.410.698 G11.427.410.698.277 This is a two‐arm, double‐blind, randomized controlled clinical trial. Experimental group: 17 elderly women with symptoms of stress urinary incontinence who will receive Mat Pilates sessions twice a week lasting 60 minutes each, for 3‐4 months. Control group: 17 elderly women with symptoms of stress urinary incontinence who will receive pelvic floor muscle training (PFM) sessions for 3‐4 months, twice a week, lasting 30 minutes. CONDITION: M01.060.116.100 Pelvic Floor; Urinary Incontinence PRIMARY OUTCOME: It is expected to find an improvement in respiratory muscle strength, represented by the increase in inspiratory and expiratory pressures measured in cmH2o and evaluated through manovacuometry, after the intervention period. It is expected to find an improvement in urinary leakage symptoms, represented by the decrease in the ICIQ‐SF score after the intervention period It is expected to find improvement in pelvic floor muscle strength, assessed through perineometry and represented by the increase in cmH2O values after the intervention period SECONDARY OUTCOME: Secondary outcomes are not expected INCLUSION CRITERIA: Being female; being between 60 – 79 years of age; presence of voluntary contraction of the pelvic floor muscles at least grade 2 defined as weak perineal contraction weak contraction on palpation; preserved cognitive function verified by the Mini Mental State Examination (MMSE) scored according to education level