Effectiveness of Assessment and Educational Intervention on Motor Control of the Pelvic Floor Muscle in Women
- Conditions
- MenopausePerimenopausal Disorder
- Interventions
- Behavioral: Tailored assessment and educational
- Registration Number
- NCT03220672
- Lead Sponsor
- University of Malaga
- Brief Summary
The goal of the present study is to evaluate the short and long term effectiveness of a tailored assessment and educational intervention on motor control of the pelvic floor muscle in menopausal and non-menopausal women.
- Detailed Description
Menopausal transition has been related to stress urinary incontinence. The transition from the reproductive to the non-reproductive period is induced by a decrease in sex hormone production in the ovaries. Climacteric-stage oestrogen deficiency produces genital and urinary tract atrophy, which may be related to symptoms such as urinary frequency, urinary urgency, nocturia incontinence, and recurrent urinary tract infection. Urinary incontinence seems to appear due to a combination of factors such as pelvic floor weakness and tearing, denervation and fascial tears as well as both loss of motor units and altered activation patterns. However, physiotherapy can treat weakness and altered motor control in order to compensate for other factors. In fact, physiotherapy is considered the treatment of first choice.
Besides evidence defending physiotherapy as first line conservative therapy in incontinence due to influence of strength and motor control in this pathology and its prevalence in perimenopause women, little is known about its effects in this population. Hence, the aim of this study is to evaluate the short and long term effectiveness of a tailored assessment and educational intervention on motor control of the pelvic floor muscle in menopausal and peri-menopausal women.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- Female
- Target Recruitment
- 120
- All participants in this study will sign an informed consent form prior their inclusion, and that whose participation will be voluntary
- Participants will be excluded if they have any cognitive disability, physical disability or psychiatric limitations that could limit the participation on the study test
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- SINGLE_GROUP
- Arm && Interventions
Group Intervention Description Expertimental Tailored assessment and educational The sample will receive a tailored assessment and educational intervention on Motor Control of the Pelvic Floor Muscle
- Primary Outcome Measures
Name Time Method Motor Control of Pelvic Floor Muscle by single questionnare inmediate effect post education Women will report an outcome regarding tightening capacity after intervention. It consisted of a one item questionnaire about pelvic floor contraction capacity. It is chosen by the expert panel developed by researcher from this project. The item is a question regarding tightening capacity and it had a polychotomous answer:
"How is the tightening capacity of your pelvic floor muscles?
a) very high, b) high, c) good, d) optimal, e) bad, f) low, g) very low"
- Secondary Outcome Measures
Name Time Method Anthropometric baseline, inmediate effect post education and 2,4 and 12 weeks. Long time effect 6 months Age, height and weight, and their Body Mass Index (BMI) was calculated.
Interview about urinary incontinence baseline, inmediate effect post education and 2,4 and 12 weeks. Long time effect 6 months Women will also underwent an interview about urinary incontinence with a physiotherapist from the Consulting Unit of Physiotherapy of the Pelvic Floor. The questionnaire consisted of 38 items regarding delivery conditions, faecal and urinary incontinence as well as medical conditions and lifestyle. This interview includes information from descriptive outcomes reported by the clinician, so pelvic floor muscles will be evaluated by both manual muscle testing and a perineometer. Hence, this interview has both qualitative and quantitative reponses.
The International Consultation on Incontinence Questionnaire (ICIQ-UI SHORT FORM) baseline, inmediate effect post education and 2,4 and 12 weeks. Long time effect 6 months The ICIQ is a simple and short questionnaire to assess the symptoms and impact of UI across the population. It consists of 3 items which indicate frequency, quantity and impact, and 8 questions more related to the symptoms indicative of the type of UI, but not being contemplated when obtaining a global index. The ICIQ-UI short form has a good reliability with a Cronbach's alpha of 0.95. It was validated in Spanish by Espuña et al, with a Cronbach's alpha of 0.89