The Effect of Vasten Puki Yoga on  Reduction of Incontinence in the Elderly

Dwi Sulistyowati; Rita Benya Adriani

doi:10.37287/ijghr.v7i2.5453

Dwi Sulistyowati Poltekkes Kemenkes Surakarta
Rita Benya Adriani Poltekkes Kemenkes Surakarta

DOI: https://doi.org/10.37287/ijghr.v7i2.5453

Keywords: elderly, incontinence, puki vasten yoga exercises

Abstract

Urinary incontinence is defined by the international continence society as a condition where uncontrollable urine output is a social or hygienic problem in the elderly and can be objectively proven. This study is looking for a model of gymnastic movements that are suitable for overcoming incontinence in the elderly, in the first year looking for gymnastic movements and getting a Vasten Puki Yoga gymnastics model that can be used as one of the effective interventions to control incontinence, which has been tested on elderly people in 5 elderly homes and get significant results without finding difficulties, which means that the Vasten Puki Yoga gymnastics movement can be used in the elderly. and in the second year the Vasten Puki Yoga gymnastics movement was used for research at Dr. Moewardi Surakarta Hospital. This study used a pre-experimental research design, namely one group pretest-postest. The population of this study were elderly people who experienced incontinence in nursing homes and poly Geriatric Hospital Dr. Moewardi Surakarta A total of 80 respondents with total sampling technique. The results of the Paired Sample T-test showed an average difference between pre-test and post-test of 8.30 with a significance value (2-tailed) of 0.000 <0.05. Yoga Vasten Puki exercise is an exercise designed with light movements for the elderly to reduce the frequency of micturition, because it can enable or activate the pelvic muscles. Yoga Vasten Puki exercise can be effective if done regularly at least twice a day and the movement is repeated 3 times for 4 weeks to reduce the frequency of micturition.

References

Abu Raddaha, A. H., & Nasr, E. H. (2022). Kegel Exercise Training Program among Women with Urinary Incontinence. Healthcare, 10(12), 2359. https://doi.org/10.3390/healthcare10122359

Brown, R. P., & Gerbarg, P. L. (2009). Yoga Breathing, Meditation, and Longevity. Annals of the New York Academy of Sciences, 1172(1), 54–62. https://doi.org/10.1111/j.1749-6632.2009.04394.x

Cho, S. T., & Kim, K. H. (2021). Pelvic floor muscle exercise and training for coping with urinary incontinence. Journal of Exercise Rehabilitation, 17(6), 379–387. https://doi.org/10.12965/jer.2142666.333

Denic, A., Glassock, R. J., & Rule, A. D. (2016). Structural and Functional Changes With the Aging Kidney. Advances in Chronic Kidney Disease, 23(1), 19–28. https://doi.org/10.1053/j.ackd.2015.08.004

Huang, A. J., Jenny, H. E., Chesney, M. A., Schembri, M., & Subak, L. L. (2014). A Group-Based Yoga Therapy Intervention for Urinary Incontinence in Women. Female Pelvic Medicine & Reconstructive Surgery, 20(3), 147–154. https://doi.org/10.1097/SPV.0000000000000072

Jauhar, M., Lestari, R. P., & Surachmi, F. (2021). Studi Literatur : Senam Kegel Menurunkan Frekuensi Berkemih Pada Lansia. BIMIKI (Berkala Ilmiah Mahasiswa Ilmu Keperawatan Indonesia), 9(1), 29–38. https://doi.org/10.53345/bimiki.v9i1.175

Lacombe, A. de C., Riccobene, V. M., & Nogueira, L. A. C. (2015). Effectiveness of a program of therapeutic exercises on the quality of life and lumbar disability in women with Stress Urinary Incontinence. Journal of Bodywork and Movement Therapies, 19(1), 82–88. https://doi.org/10.1016/j.jbmt.2014.04.002

Leslie, S., Tran, L., & Puckett, Y. (2024). Urinary Incontinence. StatPearls Publishing.

National Institutes of Health. (2024). Urinary Incontinence in Older Adults. Https://Www.Nia.Nih.Gov/Health/Bladder-Health-and-Incontinence/Urinary-Incontinence-Older-Adults.

Nurul, P., Nurul, H., & Revi, M. A. (2022). Latihan Kegel Menurunkan Frekuensi Berkemih Lansia Dengan Inkontinensia Urine. Hospital Majapahit (Jurnal Ilmiah Kesehatan Politeknik Kesehatan Majapahit Mojokerto), 14(1), 62–71. https://doi.org/10.55316/hm.v14i1.764

Purba, J. (2021). Effectiveness of Pelvic Floor Muscle Training and Yoga on the Quality of Life in Perimenopausal Women with Urinary Incontinence. Nurse Media Journal of Nursing, 11(1), 85–93. https://doi.org/10.14710/nmjn.v11i1.32156

Ramadilla, D. G., Herawati, H., Diniyati, D., & Utama, S. Y. (2022). Pengaruh Senam Kegel terhadap Inkontinensia Urin pada Ibu Post Partum di PMB Nuri Kota Jambi. Jurnal Akademika Baiturrahim Jambi, 11(2), 315. https://doi.org/10.36565/jab.v11i2.576

Relida, N., & Ilona, Y. T. (2020). Pengaruh Pemberian Senam Kegel Untuk Menurunkan Derajat Inkontinensia Urin Pada Lansia. Jurnal Ilmiah Fisioterapi, 3(1), 18–24. https://doi.org/10.36341/jif.v3i1.1228

Rijal, R., Hardianti, H., & Adliah, F. (2019). Pengaruh Pemberian Kombinasi Kegel Exercise Dan Bridging Exercise Terhadap Perubahan Frekuensi Inkontinensia Urin Pada Lanjut Usia Di Yayasan Batara Hati Mulia Gowa. Jurnal Ilmiah Kesehatan Sandi Husada, 7(1), 26–29. https://doi.org/10.35816/jiskh.v7i1.67

Santaella, D. F., Devesa, C. R. S., Rojo, M. R., Amato, M. B. P., Drager, L. F., Casali, K. R., Montano, N., & Lorenzi-Filho, G. (2011). Yoga respiratory training improves respiratory function and cardiac sympathovagal balance in elderly subjects: a randomised controlled trial. BMJ Open, 1(1), e000085. https://doi.org/10.1136/bmjopen-2011-000085

Sha, K., Palmer, M. H., & Yeo, S. (2019). Yoga’s Biophysiological Effects on Lower Urinary Tract Symptoms: A Scoping Review. The Journal of Alternative and Complementary Medicine, 25(3), 279–287. https://doi.org/10.1089/acm.2018.0382

Siregar, N. P. (2022). Karakteristik Penderita Inkontinensia Urin Pada Lansia Di Graha Resident Senior Karya Kasih Medan Tahun 2017. Jurnal Kedokteran STM (Sains Dan Teknologi Medik), 5(1), 55–59. https://doi.org/10.30743/stm.v5i1.275

Soares, A. P. (2013). Konsep Lansia dan Proses Menua. Journal of Chemical Information and Modeling, 53(9), 1689–1699.

Sobhgol, S. S., Priddis, H., Smith, C. A., & Dahlen, H. G. (2019). The Effect of Pelvic Floor Muscle Exercise on Female Sexual Function During Pregnancy and Postpartum: A Systematic Review. Sexual Medicine Reviews, 7(1), 13–28. https://doi.org/10.1016/j.sxmr.2018.08.002

Suhartiningsih, S., Cahyono, W., & Egho, M. (2021). Pengaruh Senam Kegel Terhadap Inkontinensia Urin Pada Lansia Di Balai Sosial Lanjut Usia Mandalika Mataram. JISIP (Jurnal Ilmu Sosial Dan Pendidikan), 5(3). https://doi.org/10.58258/jisip.v5i3.2170

Tenfelde, S., Tell, D., Garfield, L., Mathews, H., & Janusek, L. (2021). Yoga for Women With Urgency Urinary Incontinence: A Pilot Study. Female Pelvic Medicine & Reconstructive Surgery, 27(1), 57–62. https://doi.org/10.1097/SPV.0000000000000723

Vinchurkar, S. A., & Arankalle, D. V. (2015). Integrating Yoga Therapy in the Management of Urinary Incontinence. Journal of Evidence-Based Complementary & Alternative Medicine, 20(2), 154–156. https://doi.org/10.1177/2156587214563311

WHO. (2024). Ageing. Https://Www.Who.Int/Health-Topics/Ageing#tab=tab_1.

Wieland, L. S., Shrestha, N., Lassi, Z. S., Panda, S., Chiaramonte, D., & Skoetz, N. (2017). Yoga for treatment of urinary incontinence in women. Cochrane Database of Systematic Reviews. https://doi.org/10.1002/14651858.CD012668

Yang, J., Ye, H., Long, Y., Zhu, Q., Huang, H., Xie, H., Luo, Y., Zhong, Y., Chen, J., & Wang, M. (2023). Effect of pelvic floor muscle training on urinary incontinence after radical prostatectomy: An umbrella review of meta-analysis and systematic review. Clinical Rehabilitation, 37(4), 494–515. https://doi.org/10.1177/02692155221136046.