Effects of Stabilization Exercises and Pelvic Floor Muscle Training on Urinary Parameters in Individuals with Chronic Low Back Pain and Urinary Incontinence

Background/Objectives: This study aimed to investigate the effects of stabilization exercises and pelvic floor muscle training (PFMT) on urinary parameters in individuals with chronic low back pain and urinary incontinence. Methods: A total of 44 participants aged 18–65 years were included. Participants were randomized into three groups: a stabilization exercises combined with PFMT group, a standard PFMT group, and a control group. One group received PFMT combined with stabilization exercises, whereas the other group received standard PFMT alone. In both intervention groups, an 8-week program was implemented, consisting of one supervised session per week with a physiotherapist and two home-based sessions per week. No intervention was applied to the control group. Urinary parameters were evaluated using the Urogenital Distress Inventory (UDI) and the Incontinence Severity Index. Psychological symptoms were assessed using the Trait Anxiety Inventory. Quality of life was evaluated using the Incontinence Quality of Life Scale (I-QOL). Results: PFMT combined with stabilization exercises was significantly more effective than standard PFMT on the UDI parameter (p < 0.05). In the group receiving PFMT combined with stabilization exercises, all parameters showed significantly greater improvement compared with the control group (p < 0.05). Additionally, in this group, all parameters showed statistically significant improvement after treatment compared with before treatment (p < 0.05). Conclusions: PFMT combined with stabilization exercises may be an effective approach for improving urinary parameters. Further studies are warranted to better elucidate the efficacy of PFMT combined with stabilization exercises.