A STUDY ON EVALUATION OF EFFECTS OF YOGASANA (TITALIASANA AND UTTKATASANA) VERSUS KEGEL EXERCISE IN CASES Of OVER ACTIVE BLADDER AND URINARY INCONTINENCE IN FEMALES

Overactive bladder OAB and urinary incontinence UI are common conditions in both men and women, especially increasing with age. OAB involves frequent urgency, nocturia, and sometimes urge incontinence. UI refers to involuntary urine leakage and can be classified into types such as stress, urge, mixed, overflow, and functional incontinence. Women are more affected than men, with factors like childbirth, obesity, and aging increasing risk. These conditions negatively impact physical health, emotional well-being, and quality of life by causing infections, falls, embarrassment, and mental stress.

Yoga is being explored as a noninvasive method to manage OAB and UI. It strengthens pelvic muscles, reduces stress, and improves neuromuscular coordination. Studies have shown that yoga practices like Tadasana, Utkatasana, and Trikonasana improved muscle strength, reduced symptoms, and enhanced quality of life in women. Kegel exercises are also widely recommended to strengthen pelvic floor muscles and reduce UI symptoms. Research comparing both methods shows promising results but lacks standardization and head-to-head trials.

The study aims and objectives is to evaluate the effectiveness of Yogasana Titaliasana and Utkatasana versus Kegel exercises in the management of overactive bladder OAB and urinary incontinence UI in females, focusing on symptom reduction, quality of life, and healthcare resource utilization, To evaluate changes in quality of life. And To provide evidence-based recommendations for integrating Yogasana as a non-invasive, cost-effective treatment alternative for OAB and UI in clinical and community settings. Null Hypothesis of the study is-There is no significant effect in the efficacy of yogasanas vs Kegel exercises in the management of Overactive Bladder and Urinary Incontinence in females. and alternative Hypothesis is-There is a significant effect in the efficacy of yogasanas vs Kegel exercises in the management of Overactive Bladder and Urinary Incontinence in females. And Research variable is Dependent – OAB symptoms, UI severity, Quality of life. Independent – Yogasanas Titaliasana and uttkatasana, and Kegel exercises.

This study will involve 100 women divided into two groups Group A will perform Kegel exercises and Group B will perform the selected yoga poses for eight weeks. Outcomes will be measured using standard tools like OAB symptom score, ICIQ-UI SF, and Kings Health Questionnaire. Participants must meet certain criteria and avoid certain health conditions that could affect results.

Group A will be taught traditional Kegel exercises aimed at strengthening pelvic floor muscles through repeated contractions. Group B will perform yogasanas including Titaliasana a seated pose for inner thigh relaxation and Utkatasana a squatting pose for strength and balance. Both groups will follow a supervised 8-week protocol with daily practice. Follow-up assessments will evaluate changes in symptoms and overall well-being.

This study addresses a gap in evidence and aims to help healthcare providers choose effective and patient-friendly treatments. Yoga may offer a low-cost and sustainable option for managing OAB and UI, reducing reliance on medication and invasive procedures.