CONFERENCE PROCEEDING
Exercising with the Function Re-Adaptive Exercise Device (FRED) to improve stress incontinence in women following childbirth: A feasibility study
 
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1
Northumbria University, Department of Sport Exercise and Rehabilitation, Newcastle, United Kingdom
 
2
Curtin University and King Edward Memorial Hospital, Midwifery- School of Nursing and Department of Nursing and Midwifery Education and Research DNAMER, Perth, Australia
 
 
Eur J Midwifery 2026;10(Supplement 1):A1042
 
ABSTRACT
BACKGROUND:
KEY MESSAGE

OBJECTIVES:
Aim: To reduce symptoms of USI, as a sequelae of childbirth, by using the Functional Re-Adaptive Exercise Device (FRED).

OBJECTIVES:
To promote automatic, non-invasive activation of pelvic floor muscles and determine the effectiveness of FRED on exercise-induced stress incontinence.

METHODS:
Ethical approval was obtained and a small grant from (PPEF). Proof of Concept Study Design: 12 (one hour) exercise intervention sessions, using (FRED), either x3 times a week for 4 weeks or x2 a week for 6 weeks. Outcomes measures: Stress test pad weight, FRED movement variability and patient reported outcome measures. Data Collection: Semi- structured questionnaires completed pre-and post exercising that included (1) Female Urinary Incontinence Diagnosis (QUID), 2) International Consultation on Incontinence Questionnaire - Lower Urinary Tract Symptoms, Quality of Life Module (ICIQ-LUTSqol),(3) Treatment Self-Regulation Questionnaire (TSRQ), (4) Perceived Competence (Exercising Regularly) PCS ER Questionnaire, Health care, (5) Communication Questionnaire and FRED specific questions. A follow-up email questionnaire was sent at 12 weeks post-exercise.

RESULTS:
N=20 women who had given birth in the last 12 years attended an exercise clinic. They had a choice of exercising x3 times, 4 weeks, or x2 times, 6 weeks (Latter seemed more acceptable). Twelve sessions of low intensity continuation activation exercise improved USI urinary loss by 44%. Ten (50%) of participants had a pad weight change greater than 2g after 12 sessions of exercise. Average change was 10.65g ±22.03. Pre-test average was 24g ±32.12g, and post-test was 13.54g±17.70g. Maximum loss reduced from 117.35g to 49.2g.

CONCLUSIONS:
Women found this approach to exercise for pelvic floor acceptable and reported less USI symptoms.
FUNDING
Functional Re-Adaptive Exercise Device provides a non-invasive treatment for USI and reduce symptoms. Poster session 4 (Group B)
eISSN:2585-2906
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