Effects of Pilates Exercises Versus Pelvic Floor Muscle Exercises Among Elderly Women With Urinary Incontinence

Not Applicable

Completed

• Conditions: Urinary Incontinence
• Interventions: Other: Shoulder bridge; Other: Clam shell; Other: Adductor squeeze; Other: Scissors; Other: urine hold and tummy tuck in; Other: Bridging; Other: Pelvic clock supine; Other: Split table top; Device: Electrical muscle stimulation

• Registration Number: NCT05341778
• Lead Sponsor: Dow University of Health Sciences

Brief Summary

To compare the effects of Pilates exercises versus pelvic floor muscle exercises among elderly women with urinary incontinence. The study is a single-blinded randomized clinical trial. 70 patients(calculated through PASS version 15 software) will be selected. Subjects will be screened whether they met inclusion and exclusion criteria. The participants for this study will be elderly women with urinary incontinence. The participants will be recruited from SIPMR and Civil hospital Karachi. The initial assessment will be done by Medical Consultant. Patients must fulfill inclusion criteria. Consent must be taken from each patient and samples will be collected in the given time frame and patients will be randomly assigned(through a randomization sheet) to the treatment groups. Treatment group 1 will be doing Pilates exercises and treatment group 2 will be doing Pelvic floor muscle exercises. EMS will be given to both treatment groups. A voiding diary, Stamey's urinary incontinence system, and IQOL questionnaire will be used at baseline assessment and at the end of treatment sessions. 12 treatment sessions will be given, 3 visits each week for 4 weeks. The data will be analyzed on SPSS version 21. : Non-probability purposive sampling technique will be used for selecting individuals. Percentages and frequencies will be calculated for categorical variables and parametric and nonparametric tests will be applied.

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2022-04-18
• Study First Submitted QC: 2022-04-18
• Study First Posted: 2022-04-22
• Study Start: 2022-04-26
• Primary Completion: 2025-03-15
• Study Completion: 2025-03-15
• Status Verified: 2025-04
• Last Update Submitted: 2025-04-10
• Last Update Posted: 2025-04-13

Recruitment & Eligibility

• Status: COMPLETED
• Sex: Female
• Target Recruitment: 70

Inclusion Criteria

• Elderly females from an outpatient setting of Sindh Institute of physical medicine and rehabilitation and civil hospital Karachi.
• Patients aged ≥60 years.
• Experienced stress or mixed urinary incontinence symptoms at least 3 times/ week for 3 months or more.

Exclusion Criteria

• Have limited mobility (unable to move without crutches, walker, or a cane).
• Have untreated chronic constipation or have experienced any stool or mucus leakage.
• Organ prolapse surgery within the last year.
• In the last 3 months, any active urinary or vaginal infection.
• Malignancy

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Pilates exercises	Clam shell	The Pilates method's exercises emphasize breathing and the activation of the deep stabilizing muscles of the trunk in coordination with the PFM. The pilates method consists of exercises that emphasize pelvic stability, mobility, and body alignment. PMFE are performed in tandem with breathing, with concurrent trunk muscle recruitment in various positions.
Pelvic floor exercise	Clam shell	These exercises are intended to strengthen weak perineal and pelvic floor muscles.
Pelvic floor exercise	Adductor squeeze	These exercises are intended to strengthen weak perineal and pelvic floor muscles.
Pilates exercises	Shoulder bridge	The Pilates method's exercises emphasize breathing and the activation of the deep stabilizing muscles of the trunk in coordination with the PFM. The pilates method consists of exercises that emphasize pelvic stability, mobility, and body alignment. PMFE are performed in tandem with breathing, with concurrent trunk muscle recruitment in various positions.
Pilates exercises	Scissors	The Pilates method's exercises emphasize breathing and the activation of the deep stabilizing muscles of the trunk in coordination with the PFM. The pilates method consists of exercises that emphasize pelvic stability, mobility, and body alignment. PMFE are performed in tandem with breathing, with concurrent trunk muscle recruitment in various positions.
Pilates exercises	Adductor squeeze	The Pilates method's exercises emphasize breathing and the activation of the deep stabilizing muscles of the trunk in coordination with the PFM. The pilates method consists of exercises that emphasize pelvic stability, mobility, and body alignment. PMFE are performed in tandem with breathing, with concurrent trunk muscle recruitment in various positions.
Pilates exercises	Electrical muscle stimulation	The Pilates method's exercises emphasize breathing and the activation of the deep stabilizing muscles of the trunk in coordination with the PFM. The pilates method consists of exercises that emphasize pelvic stability, mobility, and body alignment. PMFE are performed in tandem with breathing, with concurrent trunk muscle recruitment in various positions.
Pelvic floor exercise	urine hold and tummy tuck in	These exercises are intended to strengthen weak perineal and pelvic floor muscles.
Pilates exercises	Pelvic clock supine	The Pilates method's exercises emphasize breathing and the activation of the deep stabilizing muscles of the trunk in coordination with the PFM. The pilates method consists of exercises that emphasize pelvic stability, mobility, and body alignment. PMFE are performed in tandem with breathing, with concurrent trunk muscle recruitment in various positions.
Pelvic floor exercise	Electrical muscle stimulation	These exercises are intended to strengthen weak perineal and pelvic floor muscles.
Pelvic floor exercise	Bridging	These exercises are intended to strengthen weak perineal and pelvic floor muscles.
Pelvic floor exercise	Split table top	These exercises are intended to strengthen weak perineal and pelvic floor muscles.

Primary Outcome Measures

Name	Time	Method
Change in volume of urine in millilitre on Voiding Diary after 4 weeks	baseline and after 4 weeks	It will be recorded by patient in millilitre in a marked beaker. Increase in millilitre suggests increase in volume of urine.
Change in intensity and frequency of urine leakage on Voiding Diary after 4 weeks	baseline and after 4 weeks	It will be recorded by patient with yes or no option. Increase in ticks on yes options suggests increase in intensity and frequency of urine leakage.
Change in the number of pads on Voiding Diary after 4 weeks.	baseline and after 4 weeks	It will be recorded by patient with the symbol P if yes and blank if No. Increase in written symbol P suggests increased number of pads.
Change in frequency and grading of urgency on Voiding Diary after 4 weeks	baseline and after 4 weeks	It will be recorded by patient with grades 0=little, +=mild, ++=extreme urgency. The more the score the worst the urinary incontinence is.
Change in urine incontinence on Stamey's incontinence scoring system after 4 weeks	baseline and after 4 weeks	It is based on the patient's incontinence history alone. It will be graded from 0=no incontinence to 3=total incontinece at all times.The higher the score the more severity of urinary incontinence is

Secondary Outcome Measures

Name	Time	Method
Change in Quality of life on Quality of life measures questionnaire scores after 4 weeks	baseline and after 4 week	All the participants will complete an incontinence-related quality of life questionnaire to assess the quality of life of patients suffering from urinary incontinence.Higher the scores, the higher will be quality of life.

Trial Locations

Locations (1)

Humera Ahmed; 🇵🇰 Karachi, Sindh, Pakistan