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Pelvic floor exercises versus Pilates on urinary incontinence in chronic obstructive pulmonary disease Cover

Pelvic floor exercises versus Pilates on urinary incontinence in chronic obstructive pulmonary disease

Open Access
|Mar 2026

Figures & Tables

Figure 1.

Study flowchart

Table 1.

Baseline characteristics between the studied groups

VariablesTotal (n = 60)Group A (n = 30)Group B (n = 30)t2p-value
Age (years)54.08 ± 2.52 (50–60)54.27 ± 2.70 (50–60)53.90 ± 2.35 (50–58)−0.5600.577
FEV1 (% predicted)55.12 ± 12.11 (35–75)53.37 ± 12.5156.87 ± 11.661.1210.267
UI (1 hour)30.90 ± 15.5631.20 ± 17.4130.60 ± 13.75−0.1480.883
UI (24 hours)56.02 ± 19.8757.60 ± 23.6454.43 ± 15.46−0.6140.542
ISI8.20 ± 2.697.97 ± 2.958.43 ± 2.420.6700.506
CSS3.88 ± 0.673.80 ± 0.713.97 ± 0.610.9680.337
CSQ11.55 ± 2.2712.03 ± 2.2411.07 ± 2.24−1.6720.100
I-QOL44.18 ± 10.7743.73 ± 10.8844.63 ± 10.830.3210.749

[i] CSQ - cough symptoms questionnaire, CSS - cough symptoms score, FEV1 - forced expiratory volume in 1 second, I-QOL - incontinence quality of life questionnaire, ISI - incontinence severity index, UI - urinary incontinence.

Table 2.

Comparison of UI at 1-hour and 24-hour pad test and ISI pre- and post-intervention between the two groups

VariablesPre-interventionPost-interventionMD (95%CI)% of changep-valueaTime × Group interaction
Fp-valuecη2
UI 1 hour
Group A (n = 30)31.20 ± 17.4115.90 ± 8.37−15.30 (−22.78, −7.82)49.04<0.001**4.5080.038*0.072
Group B (n = 30)30.60 ± 13.756.07 ± 2.42−24.53 (−29.35, −19.71)80.16<0.001**
p-valueb0.883<0.001**
UI 24 hour
Group A (n = 30)57.60 ± 23.6440.97 ± 18.14−16.63 (−25.63, −7.64)28.87<0.001**12.2400.001**0.174
Group B (n = 30)54.43 ± 15.4618.23 ± 7.70−36.20 (−40.75, −31.65)66.51<0.001**
p-valueb0.542<0.001**
ISI
Group A (n = 30)7.97 ± 2.954.90 ± 2.06−3.07 (−3.83, −2.30)38.52<0.001**18.897<0.001**0.246
Group B (n = 30)8.43 ± 2.423.10 ± 1.47−5.33 (−6.08, −4.59)63.23<0.001**
p-valueb0.506<0.001**

CI - confidence interval, CSQ - cough symptoms questionnaire, CSS - cough symptom score, I-QOL - incontinence quality of life questionnaire, ISI - incontinence severity index, MD - mean difference (Post-Pre), UI - urinary incontinence.

Data are presented as Mean ± SD for pre-intervention and post-intervention scores of the CSS, CSQ, and I-QOL, stratified by Group A and Group B. η2- partial eta squared.

a Paired t-test,

b independent t-test,

c mixed repeated measures ANOVA.

* Statistically significant at p < 0.05,

** statistically significant at p < 0.01.

Table 3.

Comparison of CSS, CSQ and I-QOL pre- and post-intervention between the two groups

VariablesPre-interventionPost-interventionMD (95%CI)% of changep-valueaTime × group interaction
Fp-valuecη2
CSS
Group A (n = 30)3.80 ± 0.712.10 ± 0.80−1.70 (−1.98, −1.42)44.74<0.001**27.475<0.001**0.321
Group B (n = 30)3.97 ± 0.611.03 ± 0.72−2.93 (−3.32, −2.54)74.06<0.001**
p-valueb0.337< 0.001**
CSQ
Group A (n = 30)12.03 ± 2.2414.60 ± 1.712.57 (2.02, 3.11)21.36<0.001**268.748<0.001**0.822
Group B (n = 30)11.07 ± 2.2443.90 ± 9.3932.83 (29.10, 36.57)296.57<0.001**
p-valueb0.100<0.001**
I-QOL
Group A (n = 30)43.73 ± 10.8864.10 ± 7.9620.37 (16.68, 24.06)46.58<0.001**12.736<0.001**0.180
Group B (n = 30)44.63 ± 10.8373.93 ± 6.9829.30 (25.75–32.85)65.65<0.001**
p-valueb0.749<0.001**

CI - confidence interval, CSQ - cough symptoms questionnaire, CSS - cough symptom score, MD - mean difference (Post-Pre), I-QOL - incontinence quality of life questionnaire.

Data are presented as Mean ± SD for pre-intervention and post-intervention scores of the CSS, CSQ, and I-QOL, stratified by Group A and Group B. η2- partial eta squared.

a Paired t-test,

b independent t-test,

c mixed repeated measures ANOVA.

* Statistically significant at p < 0.05,

** statistically significant at p < 0.01.

Language: English
Page range: 1 - 15
Submitted on: Aug 1, 2025
Accepted on: Nov 7, 2025
Published on: Mar 31, 2026
Published by: University of Physical Education in Warsaw
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year

© 2026 Rana Ayman Abd El-Fatah Ali et al., published by Józef Piłsudski University of Physical Education in Warsaw
This work is licensed under the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.