The Effect of Blood Flow Restriction Training on Postmenopausal Stress Urinary Incontinence
Overview
- Phase
- Not Applicable
- Status
- Not yet recruiting
- Sponsor
- Kafrelsheikh University
- Enrollment
- 60
- Primary Endpoint
- severity of stress urinary incontinence (SUI) symptoms.
Overview
Brief Summary
the purpose of the study is to investigate the effect of blood flow restriction training on postmenopausal SUI.
Detailed Description
We have two groups: control group (A) and experimental group (B) are two matched post-menopausal stress urinary incontinence. Group A will receive PFMT-associated EMG biofeedback, whereas Group B will receive PFMT-associated EMG biofeedback while applying blood flow restriction to the proximal thigh. Our primary outcome measures will be the severity of SUI symptoms, while the secondary outcome measures will involve QOL, self-esteem, patient's global impression of improvement, maximum voluntary isometric contraction (MVIC) of pelvic floor muscles, pelvic floor muscle resting tone, and the endurance of pelvic floor muscles,
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- Double (Participant, Outcomes Assessor)
Eligibility Criteria
- Ages
- 45 Years to 60 Years (Adult)
- Sex
- Female
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •post-menopausal women, defined by the absence of vaginal bleeding for 12 months,
- •body mass index (BMI) \< 30
- •They should have faced at least two leakage episodes each week and fall into the mild to moderate range of urinary incontinence, measured by (ICIQ-UI SF).
- •Two standard questions about stress and urgency UI were used to determine the patient's eligibility.
Exclusion Criteria
- •pelvic organ prolapse greater than grade II on Baden-Walker classification system
- •previous treatment for UI or hormone therapy, ongoing urinary tract infections, cognitive or neurological disorder, or inability to perform the proposed procedures.
- •anyone with past or current injuries to the pelvis, hip joint, or spine, as well as those with uncontrolled diabetes, or those with prior experience in pelvic floor muscle training .
- •the presence of uncontrolled hypertension.
- •patients with a history of deep venous thrombosis (DVT), varicose Veins, cardiac disease, or lymphedema.
Arms & Interventions
control group
Control group will receive Pelvic floor muscle training-associated EMG biofeedback.
Intervention: pelvic floor muscle training -associated EMG-biofeedback. (Other)
experimental group
experimental group will receive Pelvic floor muscle training-associated EMG biofeedback while applying blood flow restriction to the proximal thigh.
Intervention: pelvic floor muscle training -associated EMG-biofeedback. (Other)
experimental group
experimental group will receive Pelvic floor muscle training-associated EMG biofeedback while applying blood flow restriction to the proximal thigh.
Intervention: blood flow restriction (Other)
Outcomes
Primary Outcomes
severity of stress urinary incontinence (SUI) symptoms.
Time Frame: baseline,10 weeks, 16 weeks
severity of SUI symptoms, measured by the Arabic version of the International consultation on incontinence questionnaire-short form (ICIQ-UI SF)
Secondary Outcomes
- Quality of life (QOL)(baseline,10 weeks, 16 weeks)
- self-esteem(baseline,10 weeks, 16 weeks)
- patient's global impression of improvement(baseline,10 weeks, 16 weeks)
- maximum voluntary isometric contraction (MVIC) of pelvic floor muscles(baseline,10 weeks, 16 weeks)
- pelvic floor muscle endurance(baseline,10 weeks, 16 weeks)
- pelvic floor muscle resting tone(baseline,10 weeks, 16 weeks)
Investigators
Hamdiah Mohmmed Altuwjry
physical therapist
Kafrelsheikh University