A CROSS-SECTIONAL STUDY AMONG FEMALE ADULTS AGED 25 TO 60 FOR THE AWARENESS OF PELVIC FLOOR MUSCLES, BIOFEEDBACK, AND PHYSIOTHERAPY EXERCISES

Abstract

Background: Pelvic floor dysfunction affects up to 45% of women globally, yet awareness levels regarding pelvic floor muscles, available treatments, and the role of biofeedback remain inadequate. Despite evidence supporting biofeedback-assisted pelvic floor muscle training effectiveness, knowledge gaps persist among women of reproductive and menopausal age.

Objective: This cross-sectional study aimed to evaluate awareness levels of pelvic floor muscles, biofeedback therapy, and physiotherapy among female adults aged 25–60 years, and identify factors associated with knowledge levels and healthcare-seeking behaviours.

Methods: A comprehensive survey was administered to 450 women aged 25–60 years between March and August 2024. The questionnaire assessed knowledge of pelvic floor anatomy, function, dysfunction symptoms, awareness of biofeedback techniques, physiotherapy utilization, and demographic factors. Statistical analysis included descriptive statistics, chi-square tests, and multivariable logistic regression.

Results: Overall pelvic floor muscle awareness was moderate (64.2%), with 58.7% demonstrating adequate knowledge of muscle function. Biofeedback awareness was significantly lower (23.1%), while physiotherapy awareness for pelvic floor disorders reached 41.3%. Educational level, urban residence, previous pregnancies, and healthcare exposure were significant predictors of higher awareness. Only 18.9% had received professional pelvic floor assessment, despite 34.6% reporting relevant symptoms.

Conclusion: Substantial knowledge gaps exist regarding pelvic floor health, particularly concerning biofeedback interventions. Educational initiatives targeting younger women and integrating pelvic floor health into routine healthcare could improve awareness and treatment-seeking behaviours.