360 Degree Expanded Diaphragm Exercises in Women With Stress Urinary Incontinence
- Conditions
- Pelvic Floor Muscle ExerciseDiaphragmatic BreathingIntra-abdominal PressureStress Urinary Incontinence
- Interventions
- Other: Pelvic floor muscle training with standard diaphragm exercisesOther: Pelvic floor muscle training with 360 degree expanded diaphragm exercises
- Registration Number
- NCT06120699
- Lead Sponsor
- Izmir University of Economics
- Brief Summary
This study was planned to examine and compare the effects of standard diaphragm exercises with Pelvic floor muscle exercises (PFME) and 360-degree expanded diaphragm exercises with PFME on urinary symptoms, PFM functions and quality of life in women with stress urinary incontinence.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- Female
- Target Recruitment
- 74
- Being a woman,
- Participating in the research voluntarily,
- Being between the ages of 18-62,
- Ability to read and write Turkish,
- Not having any mental problems that would prevent cooperation and understanding,
- Having a complaint of stress urinary incontinence or stress-predominant mixed urinary incontinence.
- Having received pelvic floor training before,
- Having a neurological disease,
- Pelvic organ prolapse stage is stage 2 or higher,
- Having fecal incontinence,
- Being pregnant,
- Lower extremity problems that may affect the pelvic structure (conditions such as lower extremity inequality, total hip arthroplasty)
- Having an active lower urinary tract infection,
- Having respiratory system diseases such as chronic obstructive pulmonary disease and asthma,
- Having undergone hysterectomy surgery.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Standard Diaphragm Exercises Pelvic floor muscle training with standard diaphragm exercises Volunteers who complain of urinary incontinence in situations such as coughing, sneezing and laughing, who have been diagnosed with stress or stress-predominant mixed urinary incontinence by a Gynecology and Obstetrics physician, and who meet the inclusion criteria will be included in the study. 360 Degree Expanded Diaphragm Exercises Pelvic floor muscle training with 360 degree expanded diaphragm exercises Volunteers who complain of urinary incontinence in situations such as coughing, sneezing and laughing, who have been diagnosed with stress or stress-predominant mixed urinary incontinence by a Gynecology and Obstetrics physician, and who meet the inclusion criteria will be included in the study.
- Primary Outcome Measures
Name Time Method Change of Pelvic floor muscle contraction during Valsalva at baseline, at 8th week Pelvic floor muscle contraction during Valsalva will be evaluated with the NeuroTract Myoplus 4 PRO EMG device. A disposable, cylindrical endovaginal probe will be used to record pelvic floor muscle electromyographic activity. The evaluation will be carried out as stated in previous studies, and the women are told: "Take as deep a breath as possible, pinch your nose with your thumb and index finger and close your mouth, try to breathe out against the now closed respiratory system." instructions will be given. For a clearer understanding, the expression "pretend to strain" will also be used. The probe will be manually supported by the investigator throughout the testing procedure to prevent the pressure probe from moving and losing contact with the PTK during evaluation. 2 seconds of reflex PFM activity will be recorded in μV.
- Secondary Outcome Measures
Name Time Method Change of quality of life score at baseline, at 8th week Urinary incontinence symptoms and their impact on quality of life will be evaluated with the International Urinary Incontinence Questionnaire Form.
Change of urinary symptoms at baseline, at 8th week The severity of women's incontinence will be questioned with the Incontinence Severity Index.
Change of Pelvic floor muscle maximum voluntary contraction at baseline, at 8th week Maximum voluntary contraction of women will be evaluated with the NeuroTract Myoplus 4 PRO EMG device. A disposable, cylindrical endovaginal probe will be used to record pelvic floor muscle electromyographic activity. MVC, average peak activation results during three PFM contractions will be expressed in μV and percentage (%).
Change of maximum inspiratory pressure at baseline, at 8th week A non-invasive, RP Check brand electronic pressure measuring device (MD Diagnostics Ltd., Maidstone, UK) will be used to measure maximum inspiratory pressure.
Change of maximum expiratory pressure at baseline, at 8th week A non-invasive, RP Check brand electronic pressure measuring device (MD Diagnostics Ltd., Maidstone, UK) will be used to measure maximum expiratory pressure.
Subjective perception of improvement at 8th week Women's subjective perception of improvement was assessed using the Global Perception of Improvement scale
Change of Social Activity Participation at baseline, at 8th week The Social Activity Index will be used, in which nine social situations are selected to represent situations in which women have problems in social participation due to urinary incontinence.
Change of Pelvic floor muscle strength at baseline, at 8th week Vaginal palpation method will be used to measure pelvic floor muscle strength. (Modified Oxford Scale)
Change of average number of urinary incontinence at baseline, at 8th week Women will be asked to complete a bladder diary reflecting the daily activity patterns of the bladder for 3 consecutive days.
Trial Locations
- Locations (1)
Izmir University of Economics
🇹🇷İzmir, Turkey