Journal of Pioneering Medical Science · Jun 5, 2026
Impact of Gamified Pelvic Floor Muscle Training and Core Stabilization Exercises on Pelvic Floor Dysfunction in Hyperlordotic Osteoporotic Post-Menopausal Women
By Lakshmanan N, Jeslin GN, Arjunan T et al.
Objective: Hyperlordotic osteoporotic postmenopausal women (HOP) women are at risk of developing pelvic floor muscle dysfunction (PFD) due to weak pelvic floor muscles, altered spinal alignment and reduced core stability. While pelvic floor muscle training (PFMT) and core stabilization are standard interventions, gamified PFMT (GPFMT) may enhance engagement and outcomes. This study aimed to evaluate the effect of GPFMT combined with core stabilization (CSE) on PFD in this population. Materials and Methods: A randomized controlled trial was conducted with 74 postmenopausal women from a medical college and hospital in Tamil Nadu,India. Participants were allocated to a GPFMT group (n = 37) or traditional PFMT (TPFMT) group (n = 37). Both groups received their respective PFMT along with CSE for 1 hour/day,4 days/week over 12 weeks. Outcomes assessed were postural alignment using a digital inclinometer, core endurance using plank endurance test, pelvic floor muscle strength using the Modified Oxford Scale and QoL using the IIQ-7 SF. Data was analysed using Wilcoxon Signed Rank and Mann Whitney U tests (p<0.05). Results: The GPFMT group demonstrated greater improvements across all the outcomes compared to TPFMT, including postural alignment, core endurance, pelvic floor muscle strength and IIQ-7 SF scores (p<0.05). Conclusion: In HOP women, GPFMT combined with CSE was more effective than traditional PFMT in improving posture, core endurance, pelvic floor strength and quality of life, supporting the value of engaging, interactive rehabilitation approaches for PFD.