The efficiency of pelvic floor and core strengthening activities and their relationship to lower limb mobility in patients with polycystic ovarian syndrome

Objective: Polycystic ovarian syndrome (PCOS) is a common endocrine disorder in women of reproductive age, characterized by irregular periods, infertility, and metabolic issues. Women with PCOS often face lower limb movement challenges, affecting quality of life and increasing the risk of musculoskeletal disorders. While pelvic floor and core strengthening exercises have improved mobility in various populations, their effectiveness for women with PCOS remains underexplored. This study aims to assess the impact of these exercises on lower limb mobility in women with PCOS.

Method: A 12-week randomized controlled study involved women with PCOS aged 18 to 40, recruited from a gynecological outpatient clinic. Participants were assigned to either the experimental group, which performed pelvic floor and core strengthening exercises twice weekly, or the control group, which received no intervention. Lower limb mobility was assessed using the Lower Extremity Functional Scale (LEFS), and abdominal muscle strength and endurance were measured with the Curl Up Test.

Result: After 12 weeks, the experimental group showed significant improvement in both LEFS and Curl Up Test scores, indicating better functional status and increased abdominal strength and endurance. The control group had a decrease in LEFS scores but no notable change in the Curl Up Test.

Conclusion: The study highlights the benefits of pelvic floor and core strengthening exercises in improving lower limb mobility in women with PCOS. A 12-week intervention significantly enhanced functional status, abdominal strength, and endurance, leading to better mobility.