The Relationship Between Pelvic Floor Muscle Function and Hip Pain Among Women
Overview
- Phase
- Not Applicable
- Intervention
- pelvic floor muscle assessment
- Conditions
- Incontinence Stress
- Sponsor
- University of Haifa
- Enrollment
- 51
- Locations
- 1
- Primary Endpoint
- International Consultation on Incontinence Questionnaire
- Status
- Completed
- Last Updated
- 3 months ago
Overview
Brief Summary
This study examines the relationship between pelvic floor muscle (PFM) function and self-perception of PFM contraction with hip pain, their severity, and hip muscle strength.
In addition, it will examines the association between PFM function, and anxiety.
Detailed Description
This cross-sectional study will include women with symptoms of hip-related pain persisting \> three months(research group), and women without hip pain (control group). A single session will include various assessments as follows: abdominal ultrasound examination to evaluate PFM function and endurance, in addition, each participant will evaluate her ability to perform correct contraction of PFM, hand-held dynamometer testing for hip rotator muscle strength, the International Consultation on Incontinence Questionnaire (ICIQ) for evaluating symptoms and impact of urinary incontinence, the International Hip Outcome Tool 12 for assessing hip function and pain, the Hospital Anxiety \& Depression Scale (HADS), and a functional performance task involving the hip muscles - a single-leg squat.
Investigators
Gali Dar
PHD, Prof.
University of Haifa
Eligibility Criteria
Inclusion Criteria
- •for Research Group:
- •complaints of hip related pain,
- •Visual Analog Scale (VAS) \>3 for three months,
- •with one or more of the symptoms relevant to the syndrome - (1) hip or groin pain produced by a certain movement or position, stiffness and limitation of movement or clicks from the hip joint, (2) examination A positive FADIR performed by the researcher before conducting the study
Exclusion Criteria
- •the presence of additional diagnoses of the slipped capital femoral epiphysis,
- •Perthes disease,
- •avascular necrosis, and osteoarthritis-Calve-Legg,
- •neurological or Metabolism,
- •surgery/fracture in the hip joint of which the woman complains,
- •pregnancy or childbirth in the last year,
- •Treatment of the pelvic floor in the last year.
- •control group - health women without any pain or symptoms in the spine and lower extremities
Arms & Interventions
research group
women with hip-related pain
Intervention: pelvic floor muscle assessment
control group
healthy women without hip pain
Intervention: pelvic floor muscle assessment
Outcomes
Primary Outcomes
International Consultation on Incontinence Questionnaire
Time Frame: baseline
evaluating the frequency, severity and impact on quality of life of urinary incontinence. The score ranges from 0-21, with a higher score indicating greater severity
urinary bladder displacement in millimeters
Time Frame: baseline
bladder displacement will be measured via diagnostic ultrasound using the on screen caliper tool
pelvic floor muscle function assessed as correct movement of the urinary bladder
Time Frame: baseline
upward or downward displacement of urinary bladder will be measured via diagnostic ultrasound. Upward movement is considered the correct direction describing good function of pelvic floor muscles
pelvic floor muscles endurance of contraction in seconds
Time Frame: baseline
The participant is instructed to contract pelvic floor muscle and hold the contraction as long as possible. bladder status on ultrasound is assessed. When the bladder starts to move downward from its position the examination ends. (measured in sec).
Secondary Outcomes
- muscle strength(baseline)
- hip function assessment(baseline)
- hip range of motion(baseline)
- self-reporting of fear and anxiety of hip pain regarding quality of life(baseline)
- function assesment(baseline)