Neuromuscular Re-education, Impairment-based Exercise and Electric Dry Needling vs. Neuromuscular Re-education and Impairment-based Exercise for Stress Urinary Incontinence
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Stress Urinary Incontinence
- Sponsor
- Alabama Physical Therapy & Acupuncture
- Enrollment
- 24
- Locations
- 1
- Primary Endpoint
- Incontinence Impact Questionnaire - Short Form IIQ-7
- Status
- Terminated
- Last Updated
- 6 years ago
Overview
Brief Summary
The purpose of this research is to compare two different approaches for treating patients with stress urinary incontinence: neuromuscular re-education, impairment-based exercise and electric dry needling versus neuromuscular re-education and impairment-based exercise. Physical therapists commonly use all of these techniques to treat stress urinary incontinence. This study is attempting to find out if one treatment strategy is more effective than the other.
Detailed Description
Patients with stress urinary incontinence will be randomized to receive 2 treatment sessions per week for up to 6 weeks (8-12 sessions total) of either: (1) neuromuscular re-education, impairment-based exercise and electric dry needling (2) neuromuscular re-education and impairment-based exercise
Investigators
James Dunning, DPT, MSc, FAAOMPT
Primary Investigator and President of Spinal Manipulation Institute and Dry Needling Institute of the American Academy of Manipulative Therapy
Alabama Physical Therapy & Acupuncture
Eligibility Criteria
Inclusion Criteria
- •Aged 35 - 75 years
- •Meet the diagnosis of stress urinary incontinence - urine leakage with increased abdominal pressure from laughing, sneezing, coughing, or other physical stressors on abdominal cavity and bladder
Exclusion Criteria
- •Urge urinary incontinence or mixed urinary incontinence
- •Greater than second degree prolapse
- •Previous surgical intervention related to female anatomy
- •Urinary tract infection
- •Unable to participate in movement such as walking, stair climbing, or resistance training
- •Taking medication that impacts bladder function
- •Serious cardiovascular, cerebral disease, psychiatric disorder, cognitively impaired, injury of cauda equine, and/or myelopathy
- •Sacral nerve stimulator implanted
- •Cardiac pacemaker, metal allergy, or severe needle phobia
Outcomes
Primary Outcomes
Incontinence Impact Questionnaire - Short Form IIQ-7
Time Frame: baseline, 6 weeks, 3 months
7 questions, each worth 0-3 points. The average score of items responded to is calculated, then multiplied by 33 1/3 to put the scores on a scale of 0 to 100. High scores indicate greater impact of incontinence.
Secondary Outcomes
- Urinary pad per day usage(baseline, 6 weeks, 3 months)
- Urogenital Distress Inventory(baseline, 6 weeks, 3 months)
- Global Rating of Change Scale(6 weeks, 3 months)