Effects of Strength Training on the Gait and Pelvic Floor in Menopausal Women

The overall objective will be to observe whether a strength and balance training intervention produces significant changes in the analysis of double stance phase movement during gait, the analysis of coxofemoral, tibial and calcaneal joint movement during gait, pelvic floor contractile activity in standing and monopodal stability, stress urinary incontinence, fracture risk, sexual function and prolapse in sedentary menopausal women in the short and medium term.

Inclusion Criteria: * Women aged 45 to 76 years. * Menopausal (minimum 12 months of amenorrhea). * Sedentary lifestyle (less than 30 minutes per day of regular exercise and less than 3 days per week according to WHO definition). * Availability to participate in the study and attend all scheduled sessions. * Able to read, write, and command spoken and written Spanish language. * Diagnosis of urinary incontinence, pelvic organ prolapse, and/or sexual dysfunction. Exclusion Criteria: * Systemic disease. * Cardiovascular disease. * Vestibular and/or visual pathology (including vertigo, tinnitus, hypoacusis, or aural tinnitus). * History of psychiatric illness. * Cognitive deficits for any reason. * Neurological injury. * Use of walking aids, orthoses, or prostheses. * Ingestion of vestibular sedatives or central nervous system depressants. * Musculoskeletal diseases with lower limb deformity. * Lower limb surgery within the last 10 years. * Urogenital surgery. * Latex allergy.