Pelvic floor muscle weakness is one of the most important causes of incontinence. There are many studies supporting that pelvic floor muscle training prevents incontinence and reduces symptom severity, and with A level of evidence, it is among the first in the conservative treatment of incontinence. Functional status and balance problems are common in elderly people with incontinence, and it is known that functional type incontinence is common. Elderly people with incontinence most often fall while trying to get to the toilet. Balance exercises are recommended for falls and balance problems. The aim of this study is to examine whether pelvic floor muscle training (PFMT) combined with Otago exercises is effective on symptoms, balance and functional status in elderly people with UI living in nursing homes, compared to PFMT alone.
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incontinence symptoms and severity
Timeframe: baseline and week 12 (after intervention)
balance
Timeframe: baseline and week 14 (after intervention)
bladdery diary
Timeframe: baseline and week 12 (after intervention)
Senior fitness test- functional performance-30-second chair stand test
Timeframe: baseline and week 12 (after intervention)
Senior fitness test- functional performance-Eight (2.45m) Food Up and Go Test
Timeframe: baseline and week 12 (after intervention)
Senior fitness test- functional performance-Chair Sit and Reach Test
Timeframe: baseline and week 12 (after intervention)
Senior fitness test- functional performance-Two Minutes Step Test
Timeframe: baseline and week 12 (after intervention)
Muscle Function- Pelvic floor muscles-Superficial electromyography (EMG)
Timeframe: baseline and week 12 (after intervention).
Fear of falling-Fall Efficacy Scale (FES)
Timeframe: baseline and week 12 (after intervention).