Friday, 23 February 2018

Alternative Therapy: Yoga as an Integrated form of Exercise in Reduced Symptoms and Treatment of Urinary Incontinence

Kyle J. Norton

Yoga as an integrated form of treatment may be used to improve symptoms and treatment of urinary incontinence, some scientists suggested.

Urinary Incontinence, a medical, psychological, social, economic, and hygienic problem, characterized by loss of the bladder control causing mild or severe form of involuntary leakage of urine.

Yoga, the ancient practical technique practice for harmonized external and internal body well beings, through breath control, meditation, bodily movement and gesture..... has been best known for people in Western world and some parts in Asia due to health benefits reported by various respectable institutes' research and supported by health advocates.

According to the pilot randomized trial of ambulatory women aged 40 years and older with stress, urgency, or mixed-type incontinence, randomized assigned o a 6-week yoga therapy program (n = 10) consisting of twice weekly group classes and once weekly home practice or a wait-list control group (n = 9), after 6 weeks of program
* Women participated in yoga class demonstrated an  incontinence frequency decreased by 70%  in compared to 13% in the control group
* Furthermore, yoga group also expressed a significant decrease in stress incontinence frequency
of 71% in compared to 25% increase in controls
* There was no significant differences in reduction in urgency incontinence

Dr. Huang AJ, the led author after adjusting to other co founders said, "Findings provide preliminary evidence to support the feasibility, efficacy, and safety of a group-based yoga therapy intervention to improve urinary incontinence in women"

Truly, yoga although can not reverse the biological change of hormone due to aging, as aging progress, production of estrogen levels decrease slowly in the peri (before) and post (after) menopausal stage of life may have a profound effect in exhibited stress urinary incontinence stress caused by loss of tissue strength, its mindfulness and slow breathing induced calming effect in the central nervous may result in stimulated production of serum relaxin which has been correlated inversely to urgency incontinence.

Furthermore, yoga meditation and slow breathing also reconnected and re-balanced the mind and body, by bringing back the presence and dealing them the natural and positive ways such as practicing yoga postures intervention, thus, stimulating the CNS in signalling the circulatory system in moving more bloods to the abdomen in strengthen and relax the pelvic floor muscles, sphincter muscles and function of the bladder muscle in relaxation and squeeze, thus attenuating all types of urinary incontinence.

These actions of supplying more bloods to the abdomen and strengthening and calming the pelvic   muscles and promoting function of the bladder can also be substantially enhanced by yoga postures.

Moreover, yoga intervention also calmed the central nervous system in reduced response to stress, thus normalizing the production of anti inflammatory hormone such as cortisol in reduced widespread inflammation in initiated urinary incontinence.

Amazingly, according the evaluation of 4 months of yoga practice on the quality of life (QOL) and estradiol levels of two postmenopausal women, researchers found that menopausal yoga participant not only improved the neuroendocrine system through increasing estrogen, but also enhanced QOL,

These "abnormal estrogen-level increase" suggested that by practicing yoga, menopausal women may have a significant benefit in ameliorated risk of stress incontinence frequency.

The differentiation of above were supported by the study of a single group pre-/post-test design of patients of 55 women participated in the pelvic muscle exercise and yoga program, 34 of recruited from a community health center in Seoul, Korea completed the 8 week, twice weekly intervention program. 

According to the result from questionnaire survey returned researcher indicated that
* The intervention showed a strong improvement in attitude toward pelvic muscle exercise, pelvic muscle strength, and incontinence factor.
* Daily yoga and pelvic muscle exercise was positively correlated with improved incontinence factor
* The intervention also improved health related quality of life to urinary tract symptoms.

 Even with the promising results but due to small sample size of the study, Dr, Kim GS, the led researchers said, "(Although, the)combined pelvic muscle exercise and yoga program was effective for improving overall urinary incontinence in community health center attendees in Korea. Further study is needed with a control group, different populations, and a longer intervention period".

More precisely, in the investigated yoga as a biobehavioral approach to reduce symptom distress in women with urge urinary incontinence, researchers Loyola University Chicago insisted that
yoga as a mind-body therapy, may help to reduce inflammation and improve symptoms of urge urinary incontinence.

Taking altogether, strong evidences finding suggested that yoga may be considered as intervention exercise combined with standard therapy in ameliorated symptoms and treatment of urine incontinence.

For More information of yoga lessons tailor to a complete well being for women, please visit: YOGA BURN

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Kyle J. Norton (Scholar, Master of Nutrition, All right reserved)
Health article writer and researcher; Over 10.000 articles and research papers have been written and published on line, including world wide health, ezine articles, article base, healthblogs, selfgrowth, best before it's news, the karate GB daily, etc.,.
Named TOP 50 MEDICAL ESSAYS FOR ARTISTS & AUTHORS TO READ by Named 50 of the best health Tweeters Canada - Huffington Post
Nominated for shorty award over last 4 years
Some articles have been used as references in medical research, such as international journal Pharma and Bio science, ISSN 0975-6299.

(1) A group-based yoga therapy intervention for urinary incontinence in women: a pilot randomized trial by Huang AJ1, Jenny HE, Chesney MA, Schembri M, Subak LL.(PubMed)
(2) Combined pelvic muscle exercise and yoga program for urinary incontinence in middle-aged women by Kim GS1, Kim EG2, Shin KY3, Choo HJ4, Kim MJ5.(PubMed)
(3) Yoga: a biobehavioral approach to reduce symptom distress in women with urge urinary incontinence by Tenfelde S1, Janusek LW.(PubMed)
(4) Yoga increased serum estrogen levels in postmenopausal women-a case report by Afonso RF1, Kozasa EH, Rodrigues D, Leite JR, Tufik S, Hachul H.(PubMed)

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