CONTEXT: Urinary incontinence (UI) is defined by the International Continence Society as ''Involuntary loss of urine which is unhygienic and social embarrassment causes negative self-perception.'' UI is a problem which grows silently and causes physical as well as social limitations and deteriorates the quality of life (QOL) of women. AIMS: The aim of this study is to find out the effect of Pilates exercises using the ring on the pelvic floor muscle (PFM) on PFM strength, severity of stress UI (SUI), and QOL in females with UI. SETTINGS AND DESIGN: This study was conducted in the Outpatient Department, Dr. D. Y. Patil College of Physiotherapy, Pune, randomized control trial. METHODS AND MATERIALS: Fifty-two females with SUI participated in the study. They were further divided into two groups Group A (experimental group (EG)) and Group B (control group (CG)). For the prepost assessment, vaginal pressure was measured by pressure manometer, core strength, severity of incontinence was assessed by using pad test (1 h) and frequency chart (7 days), QOL was measured using the International Consultation on Incontinence Questionnaire (ICIQ). STATISTICAL ANALYSIS USED: Between the groups, analyses were performed using independent t-tests and the Mann-Whitney test. The core strength and the PFM strength show highly significant change with p < 0.05 in Group A compared to B, whereas the severity of incontinence on the frequency chart and QOL with ICIQ were not statically significant. RESULTS: EG showed a highly significant difference in PFM and core p < 0.05 in comparison to the control group. While moderate significance was seen in PFM strength and severity of the stress UI. CONCLUSIONS: The study concludes that Pilates with a ring along with the PFM exercises is a better alternative to only PFM exercise.

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