EFFECTIVENESS AND COMPLIANCE OF KEGEL EXERCISES: A REVIEW OF CLINICAL AND COMMUNITY-BASED STUDIES

Author Name: Usha Rani Kandula, Jeya Beulah D, Zeenath Sheikh, Aspin R, Manavalam, Hepsi Natha

Volume: 03/02

Country: India

DOI NO.: 11.2023-61555522 DOI Link: https://doi-ds.org/doilink/11.2025-97235584/GIJNR

Affiliation:

1. Professor, Department of Community Health Nursing, Cihan University-Erbil, Erbil, Kurdistan Region, Iraq.
2. Associate Professor, HOD, Department of Community Health Nursing, SCPM College of Nursing and Paramedical Sciences, Haripur, Gonda, Uttar Pradesh, India.
3. Zeenath Sheikh, Lecturer, Department of Anesthesia and Technology, Cihan University-Erbil, Erbil, Kurdistan Region, Iraq.
4. Professor, Vice-Principal, Fathima College of Nursing, Gorakhpur, Uttar Pradesh, India.
5. Professor, SNS College of Nursing, Coimbatore, Tamil Nadu, India.
6. Vice-Principal, Government College of Nursing, Government Medical College, Azamgarh, Uttar Pradesh, India.

ABSTRACT

A well-known conservative treatment for pelvic floor diseases, such as urine incontinence and pelvic organ prolapse, is Kegel exercises, also known as pelvic floor muscle training (PFMT). This review synthesizes evidence from clinical and community-based studies conducted between 2001 and 2025, highlighting the efficacy of Kegel exercises in improving pelvic muscle strength, reducing urinary symptoms, accelerating postpartum healing, and enhancing quality of life across diverse populations. Despite proven benefits, patient compliance remains a significant challenge, often due to improper technique and motivation issues. Strategies including supervised training, biofeedback, and mobile health applications have demonstrated improved adherence and treatment outcomes. Additionally, combining Kegel exercises with adjunct therapies like abdominal strengthening and electrical stimulation yields superior results. The review underscores the importance of individualized exercise programs, patient education, and ongoing support to optimize therapeutic success. Future research should focus on standardized protocols and long-term adherence to maximize clinical benefits.

Key words: Kegel exercises, urinary incontinence, pelvic floor muscle training, patient compliance, biofeedback