Qualitative Research: Women’s Experiences After a Standard Exercise Program: Adherence to Pelvic Floor Muscles Exercise

Abstract

Therapeutic exercise for pelvic floor muscle (PFM) training and other supplementary exercise modalities, like involuntary fiber exercises, are part of the conservative treatment for pelvic floor dysfunction (PFD). Adherence to the exercises and incorporation of expert health advice into daily life is crucial for the conservative treatment's long-term success. This study aimed to determine the level of adherence to home-based exercises among women with a diagnosis of PFD following an intense in-person exercise program. The research was based on an interpretive paradigm and was a qualitative design. Participants were interviewed in both individual and group settings using a semi-structured approach one month following the end of their exercise sessions. The interviews were meticulously recorded, transcribed word-for-word, and then evaluated using thematic categories. Fifteen females were questioned. Several factors, both internal (such as the women's self-awareness and beliefs) and external (such as professional or instrumental feedback), influence the degree to which the women stick to their home PFM exercise programs. As a result, women may be more inclined to stick to their physiotherapy treatment plans if they incorporate home exercises and easy movements that everyone can do together. A better understanding of the pelvic region, the significance of pelvic floor muscle (PFM) treatment, and the possibility of PFD deteriorating can help women stick to the exercises.