A Comparative Analysis of Conventional Therapy and Pilates on Quality of Life in Pelvic Organ Prolapse
DOI:
https://doi.org/10.71164/socialmedicine.v19i1.2026.2025Keywords:
Patient education postmenopausal, pelvic floor rehabilitation, Psychology, Exercises.Abstract
Purpose. Pelvic Organ Prolapse is a condition causing pelvic floor descent, leading to discomfort, urinary issues, and reduced quality of life. Conventional therapy, including pelvic floor exercises, is widely used, while Pilates, a mind-body exercise program, is gaining popularity for core strengthening and pelvic floor rehabilitation. This study aims to analyze and compare the impact of these two interventions on quality of life in women diagnosed with pelvic organ prolapse. Methods. This randomized controlled trial included 100 women aged 35-60 years with stage I-III POP, recruited from a tertiary care hospital. Subject randomized in to two groups: Conventional Therapy (n=50) or Pilates (n=50). The intervention spanned 12 weeks, with three sessions per week. QoL was assessed using the validated Pelvic Floor Impact Questionnaire-7 (PFIQ-7) at baseline and after the intervention. Secondary outcomes included pelvic floor muscle strength measured using the Modified Oxford Scale. Results. Both groups showed significant improvements in PFIQ-7 score post-intervention (p<0.05). However, the Pilates group demonstrated a greater reduction in symptom severity and a higher increase in pelvic floor muscle strength compared to the Conventional Therapy group with mean difference. Women in the Pilates group reported enhanced physical functioning, sexual satisfaction, and overall quality of life. Conclusion. Findings suggest both conventional therapy and Pilates are effective in improving Quality of life in women with Pelvic organ prolapse, and that Pilates provides superior benefits due to its emphasis on core stabilization and functional training. This highlights the potential of integrating Pilates into routine Pelvic organ prolapse management protocols.
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