Effectiveness of Pelvic Floor Muscle Training Including 360 Degree Expanded Diaphragm Exercises in Women With Stress Urinary Incontinence: Double-Blind Randomized Controlled Study
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Stress Urinary Incontinence
- Sponsor
- Izmir University of Economics
- Enrollment
- 74
- Locations
- 1
- Primary Endpoint
- Change of Pelvic floor muscle contraction during Valsalva
- Status
- Completed
- Last Updated
- last year
Overview
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.
Investigators
Seda Yakit Yesilyurt
Assistant Prof.
Izmir University of Economics
Eligibility Criteria
Inclusion Criteria
- •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.
Exclusion Criteria
- •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.
Outcomes
Primary Outcomes
Change of Pelvic floor muscle contraction during Valsalva
Time Frame: 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 Outcomes
- Change of quality of life score(at baseline, at 8th week)
- Change of urinary symptoms(at baseline, at 8th week)
- Change of Pelvic floor muscle maximum voluntary contraction(at baseline, at 8th week)
- Change of maximum inspiratory pressure(at baseline, at 8th week)
- Change of maximum expiratory pressure(at baseline, at 8th week)
- Subjective perception of improvement(at 8th week)
- Change of Social Activity Participation(at baseline, at 8th week)
- Change of Pelvic floor muscle strength(at baseline, at 8th week)
- Change of average number of urinary incontinence(at baseline, at 8th week)