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PEMF vs Laser for Stress Urinary Incontinence

Not Applicable
Recruiting
Conditions
Stress Urinary Incontinence
Interventions
Device: Pulsed Electromagnetic Field Therapy
Device: Laser Acupuncture
Registration Number
NCT06137326
Lead Sponsor
Ahram Canadian University
Brief Summary

Stress urinary incontinence, or involuntary urine leakage during activities like coughing, laughing, or exercise, is a common condition that impacts quality of life for many women. Pelvic floor muscle training is often used to treat stress incontinence, but additional therapies may enhance outcomes. This randomized controlled trial will compare two physical therapy modalities, pulsed electromagnetic field (PEMF) therapy versus laser acupuncture, along with pelvic floor training for improving stress urinary incontinence in 60 adult women. The study will evaluate their effects on pelvic floor muscle strength, severity of urine leakage, and quality of life. We hypothesize that PEMF and laser acupuncture will both improve stress incontinence, but PEMF will be more effective based on greater pelvic floor stimulation. The study aims to provide evidence on these physical therapy options so that optimized treatment plans can be developed for women with stress urinary incontinence.

Detailed Description

Not available

Recruitment & Eligibility

Status
RECRUITING
Sex
Female
Target Recruitment
60
Inclusion Criteria
  • Adult females aged 18-65 years with stress urinary incontinence
  • Able to comply with study procedures and schedule
Exclusion Criteria
  • Prior pelvic floor surgery
  • Pregnancy
  • Active urinary tract infection
  • Pelvic organ prolapse >Stage 2
  • Neurologic disorder affecting urinary function

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Pulsed Electromagnetic Field TherapyPulsed Electromagnetic Field Therapy-
Laser AcupunctureLaser Acupuncture-
Primary Outcome Measures
NameTimeMethod
Change in pelvic floor muscle strengthBaseline and 8 weeks

elvic floor muscle strength will be assessed using a calibrated perineometer device that measures vaginal squeeze pressure. Strength will be recorded in cm H2O.

Secondary Outcome Measures
NameTimeMethod
Change in ICIQ-UI SF scoreBaseline and 8 weeks

The International Consultation on Incontinence Questionnaire-Urinary Incontinence Short Form (ICIQ-UI SF) is a validated quality of life questionnaire for urinary incontinence. It contains 3 scored items, with total score range of 0-21. Higher scores denote greater impact on QOL.

Change in Severity Index for urinary incontinenceBaseline and 8 weeks

Severity of urine leakage will be scored using the Severity Index (SI), a validated index that rates leakage frequency and volume on a 0-20 point scale. Higher scores indicate greater severity.

Trial Locations

Locations (1)

Outpatient clinic of faculty of physical therapy, Ahram Canadian University

🇪🇬

Al Ḩayy Ath Thāmin, Giza, Egypt

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