Assessment of Core Muscle Strength, Endurance, and Balance in Women With Urinary Incontinence
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- Seda Saka
- 入组人数
- 32
- 试验地点
- 1
- 主要终点
- Assessment of Urine Flow Rate and Volume
研究概览
简要总结
Urinary incontinence (UI) is defined as the involuntary loss of urine that occurs outside the individual's control and negatively affects both hygiene and social life. Research indicates that individuals with UI experience decreased core muscle strength and endurance, which may also lead to changes in balance parameters. Therefore, the aim of this study was to investigate core muscle strength, endurance, and balance parameters in women with UI, taking the type of UI into consideration.
This study was conducted between January 2025 and April 2025 at the Urogynecology Clinic of Başakşehir Çam and Sakura City Hospital in Istanbul, with patients diagnosed with UI by a specialist physician. A total of 32 participants were included. All participants were administered a demographic assessment form; the International Physical Activity Questionnaire-Short Form (IPAQ-SF) to assess physical activity level; the Pelvic Floor Distress Inventory (PFDI-20) and all of its subscales to evaluate the severity of symptoms associated with pelvic floor distress; urodynamic measurement; a pad test to assess the severity of UI; a perineometer device to evaluate pelvic floor muscle (PFM) strength; the Sahrmann five-level core stabilization test and the Stabilizer Pressure Biofeedback Unit to assess core muscle strength; McGill's Trunk Endurance Tests for core endurance; and the Y Balance Test to assess balance.
研究设计
- 研究类型
- Observational
- 观察模型
- Case Only
- 时间视角
- Prospective
入排标准
- 年龄范围
- 35 Years 至 55 Years（Adult）
- 性别
- Female
- 接受健康志愿者
- 否
入选标准
- •Diagnosed with urinary incontinence by a specialist physician
- •Native Turkish speaker
- •Willing to participate in the study
排除标准
- •Given birth within the past year
- •Cooperation problems
- •Presence of urinary infection
- •Diagnosed with pelvic organ prolapse (POP) stage higher than 2
- •History of pelvic surgery
- •Presence of dizziness, vertigo, tinnitus, hearing loss, or ear fullness (uncontrolled vestibulopathies)
- •Use of medications that affect balance
- •Resistance to digital vaginal palpation or insertion of a perineometer into the vagina
- •Orthopedic, cognitive, cardiac, or neurological conditions that may prevent participation in the study
结局指标
主要结局
Assessment of Urine Flow Rate and Volume
时间窗: At the day of enrollment
A uroflowmetry device was used to assess urine flow rate and volume. A uroflowmetry device was used to assess urine flow rate and volume
Assessment of Core Muscle Strength
时间窗: At the day of enrollment
The Stabilizer Pressure Biofeedback Unit® (Chattanooga Medical Supply Inc., Chattanooga, TN) was used to determine the level of core stabilization.
Balance Assessment
时间窗: At the day of enrollment
The Y Balance Test was used to assess balance.
Assessment of Core Endurance and Stability
时间窗: At the day of enrollment
The test protocol developed by McGill and colleagues was applied to measure core endurance.
Assessment of Pelvic Floor Muscle Strength
时间窗: At the day of enrollment
a previously validated perineometer with good inter-rater reliability and reproducibility was used to assess pelvic floor muscle strength. a previously validated perineometer with good inter-rater reliability and reproducibility was used to assess pelvic floor muscle strength. A previously validated perineometer with good inter-rater reliability and reproducibility was used to assess pelvic floor muscle strength.
Assessment of Urinary Incontinence Severity
时间窗: At the day of enrollment
A 1-hour pad test was used to determine the severity of urinary incontinence.
次要结局
- International Physical Activity Questionnaire - Short Form (IPAQ-SF)(At the day of enrollment)
- Pelvic Floor Distress Inventory-20 (PFDI-20)(At the day of enrollment)
研究者
Seda Saka
Principal investigator, PhD, PT
Halic University