Effect of KNACK Maneuver on strength and coordination of Pelvic Floor Muscles and Quality of Life in women with Stress Urinary Incontinence : A Randomized Controlled Trial.

This Randomized Controlled Trial aims to evaluate the effect of the KNACK Maneuver on Pelvic Floor Muscle Strength and Coordination and Quality of Life in women aged 18 to 40 years with Stress Urinary Incontinence Thirty participants will be randomly allocated into a control group receiving Conventional Kegel’s exercises pelvic Floor Muscle training and an Intervention Group receing Kegels combined with KNACK Maneuver for 20 to 30 mins/session for 6sessions/week for 4 weeks Outcomes will be assessed using Objective and Subjective measures including Perineometer readings Modified Oxford Scale by Laycock Pelvic floor muscle coordination scale PFMCS Quality of life questionnaire and Incontinence Severity Index The study seeks to determine whether incorporating the KNACK Maneuver which emphasizes timely pelvic floor muscle activation during activities that increase the Intra abdominal pressure provides additional benefits over conventional training in improving continence control and overall quality of life