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Comparison of Pelvic Floor Health Knowledge Levels of Physiotherapy Rehabilitation and Midwifery Undergraduate Students

Year 2025, Volume: 1 Issue: 2, 43 - 50, 30.12.2025

Abstract

The aim of this study was to compare the knowledge levels of undergraduate students in the physiotherapy and rehabilitation and midwifery departments about pelvic floor health. A total of 393 (47 males, 346 females) undergraduate students from the physiotherapy and rehabilitation and midwifery departments were included in the study. The mean age was 22.6 ± 1.38 years for physiotherapy and rehabilitation students and 22.08 ± 1.93 years for midwifery students. The Demographic Data and Evaluation Form and Pelvic Floor Health Knowledge Test and sub-parameter questionnaires were applied to all students. The sub-parameter scores (function/dysfunction and diagnosis/treatment) and total mean scores for the Pelvic Floor Health Knowledge Test were found to be higher for physiotherapy and rehabilitation department students than midwifery department students (p<0.05). In the comparisons of the scores according to year levels within the departments, 4th year students in the physiotherapy and rehabilitation department had higher scores than the other years (p<0.05). Among midwifery students, knowledge levels were found to be higher at the 3rd and 4th year levels (p<0.05). The level of knowledge about pelvic floor health was higher among physiotherapy and rehabilitation department students compared to midwifery department students (p<0.05). In the study, the knowledge level of physiotherapy and rehabilitation department students regarding pelvic floor health was generally higher than that of midwifery department students. This situation reveals the need to increase and structure education about pelvic floor health at undergraduate level for midwifery students.

Ethical Statement

The study was conducted with the research permit obtained from the Dean's Office of the Faculty of Health Sciences, Ege University (dated 18.04.2024 and numbered E-92072199-302.08.01-1820892), and with the approval of the Clinical Research Ethics Committee of the Rectorate of Ege University, granted at the meeting held on 04.04.2024 (decision number 24-4T/14).

References

  • Aydur E, Şimşir A. Pelvik organ prolapsusunun anatomisi ve patofizyolojisi. Kadın ve İşlevsel Üroloji Bülteni. 2011;1(2):5–8.
  • Haslam J. The pelvic floor: a clinical model for function and rehabilitation. J Assoc Chart Physiother Womens Health. 2004;94(Spring):5–19.
  • Messelink B, Benson T, Berghmans B, Bo K, Corcos J, Fowler C, et al. Standardization of terminology of pelvic floor muscle function and dysfunction: report from the Pelvic Floor Clinical Assessment Group of the International Continence Society. Neurourol Urodyn. 2005;24(4):374–80.
  • Barber MD. Pelvic floor disorders and quality of life. Curr Opin Urol. 2007;17(4):305–9.
  • Berzuk K, Shay B. Effect of increasing awareness of pelvic floor muscle function on pelvic floor dysfunction: a randomized controlled trial. Int Urogynecol J. 2015;26(6):837–44.
  • Ferrari, L., Gala, T., Igualada-Martinez, P., Brown, H. W., Weinstein, M., & Hainsworth, A. (2023). Multidisciplinary team (MDT) approach to pelvic floor disorders. Continence, 7, 100716.
  • Tsai, T.-Y., Huang, S.-H., Liao, C.-K., Tsai, K.-Y., Hsieh, P.-S., Chiang, S.-F., & Hiraike, O. (2025). Multidisciplinary team approach to pelvic floor disorders: A systematic review. Biomedical Journal, 100, 100912.
  • Aslan F, Özünlü Pekyavaş N. Kadınlarda pelvik taban bilgisinin ve pelvik taban disfonksiyonlarında fizyoterapi konusunda farkındalığın araştırılması. Başkent Univ Sağlık Bilim Fak Derg. 2022;7(1):66–78.
  • Bakker, E., de Vries, A. M., van Lierop, A., & McClurg, D. (2018). International Continence Society supported pelvic physiotherapy education guideline. Neurourology and Urodynamics, 37(4), 1362–1369.
  • Scodras, S., Yeung, E., Colquhoun, H., Jaglal, S. B., & Salbach, N. M. (2024). Pelvic health content in Canadian entry-to-practice physiotherapy programs: An online survey. Physiotherapy Canada, 76(1), 25–33.
  • International Confederation of Midwives. (2024). Essential competencies for midwifery practice. Retrieved October 4, 2025, from https://internationalmidwives.org/resources/essential-competencies-for-midwifery-practice/
  • Mamuk R, Miral M, Dişsiz M, Demirgöz Bal M. Determination of nursing students’ pelvic floor health knowledge levels. JAREN. 2022;8(3):149–55.
  • Al’deges W, Toprak Çelenay Ş. Development of pelvic floor health knowledge quiz in Turkish people: validity and reliability. Turk J Physiother Rehabil. 2021;32(2):122–31.
  • Rosenbaum TY. Pelvic floor involvement in male and female sexual dysfunction and the role of pelvic floor rehabilitation in treatment: a literature review. J Sex Med. 2007;4(1):4–13.
  • Davis K, Kumar D. Pelvic floor dysfunction: a conceptual framework for collaborative patient-centred care. J Adv Nurs. 2003;43(6):555–68.
  • Toprak Çelenay Ş, Düşgün ES, Okumuş B, Çolakoğlu MN, et al. Sağlık profesyonellerinin pelvik taban hakkında bilgi ve farkındalık düzeylerinin değerlendirilmesi. Hacettepe Univ Fac Health Sci J. 2021;8(3):591–607.
  • Bailón Queiruga M, Castro-Sánchez AM, Matarán-Peñarrocha GA, Moreno-Lorenzo C. University women's knowledge about pelvic floor: influence of educational level and barriers to professional practice. Int J Environ Res Public Health. 2022;19(3):1603.
  • Dufour S, Vandyken C, Forget MJ, Vandyken B, Albert W. Rehabilitation and pelvic health: the role of the physical therapist. Int Urogynecol J. 2018;29(3):459–68.
  • Bø K, Hilde G. Does it work in the long term?—A systematic review on pelvic floor muscle training for female stress urinary incontinence. Neurourol Urodyn. 2013;32(3):215–23.
  • Dumoulin C, Cacciari LP, Hay‐Smith EJC. Pelvic floor muscle training versus no treatment for urinary incontinence in women. Cochrane Database Syst Rev. 2018;(10):CD005654.
  • Özengin N, Çankaya H, Bakar Y, Ata M. Stres üriner inkontinanslı kadınlarda pelvik taban kas eğitimine ek olarak uygulanan elektromiyografik biofeedback eğitiminin etkisinin incelenmesi. Fizyoter Rehabil. 2016;27(1):1–9.
  • Sargın SY. Stres inkontinansta pelvik taban kas eğitimi ve biyogeribildirim. Turk Klin Üroloji Özel Konular. 2009;2(1):109–14.
  • Şahin ÜK. Stres inkontinansı olan kadınlarda pelvik taban kas eğitimi ve sanal gerçeklik destekli egzersizlerin etkinliğinin karşılaştırılması [doktora tezi]. Ankara: Hacettepe Üniversitesi; 2020. Hacettepe Üniversitesi Açık Erişim.
  • Webb SS, Skene ER, Manresa M, Percy EK, Freeman RM, Tincello DG. Evaluation of midwifery pelvic floor education and training across the UK and Spain. Eur J Obstet Gynecol Reprod Biol. 2021;256:140–4.
  • Bø K, Frawley H. Evidence-based physical therapy for the pelvic floor: bridging science and clinical practice. 2nd ed. Churchill Livingstone; 2019.
  • Stüpp L, Resende AP, Oliveira E, Castro RA, Sartori MGF. Pelvic floor muscle training in female pelvic floor dysfunction: a systematic review. Int Urogynecol J. 2019;30(5):745–52.
  • Kisdarjono JR, Welton JM, Evans R. Integrating pelvic floor education into nursing curricula: addressing a gap in women's health. Nurs Educ Perspect. 2019;40(2):121–3.
  • Gachon M, Tribalat L, Le Luyer B, Perrot M, Dargent A. Knowledge and practices of midwifery students in pelvic floor muscle training: a cross-sectional study. Eur J Midwifery. 2023;7:1–8.
  • Kılıç M, Demirtaş H, Güner A. Kadınların pelvik taban sağlığına yönelik bilgi düzeyleri ve etkileyen faktörlerin belirlenmesi. Ulus Sağlık Yön Strateji Araş Derg. 2023;9(1):33–42.
There are 29 citations in total.

Details

Primary Language English
Subjects Physiotherapy, Rehabilitation
Journal Section Research Article
Authors

Ferve Türkeli 0000-0002-6447-7401

Serkan Bakırhan 0000-0003-0044-8203

Submission Date June 4, 2025
Acceptance Date November 24, 2025
Publication Date December 30, 2025
Published in Issue Year 2025 Volume: 1 Issue: 2

Cite

Vancouver Türkeli F, Bakırhan S. Comparison of Pelvic Floor Health Knowledge Levels of Physiotherapy Rehabilitation and Midwifery Undergraduate Students. PT. 2025;1(2):43-50.