Comparison of Stabilization Exercises and Pelvic Floor Muscle Training in Women With Stress Urinary Incontinence

Not Applicable

• Conditions: Stress Urinary Incontinence
• Interventions: Other: Stabilization exercises; Other: Pelvic floor exercises

• Registration Number: NCT05193435
• Lead Sponsor: Ankara Yildirim Beyazıt University

Brief Summary

The aim of the study was to compare the effects of stabilization exercises and pelvic floor muscle training in women with stress urinary incontinence.

Detailed Description

Stress urinary incontinence is involuntary urinary incontinence with increased intraabdominal pressure. Different exercise approaches such as pelvic floor exercises and stabilization exercises are used in these patients. There is a need for studies comparing the effects of these exercises.

Study Timeline

• Status Verified: 2022-01
• Study First Submitted: 2022-01-02
• Study First Submitted QC: 2022-01-02
• Last Update Submitted: 2022-01-02
• Study First Posted: 2022-01-14
• Last Update Posted: 2022-01-14
• Study Start: 2022-01-15
• Primary Completion: 2022-12-15
• Study Completion: 2023-06-15

Recruitment & Eligibility

• Status: UNKNOWN
• Sex: Female
• Target Recruitment: 40

Inclusion Criteria

• Women between the ages of 18-65 who have symptoms of stress or stress-dominant mixed urinary incontinence, who volunteered to participate in the study

Exclusion Criteria

• Those who are pregnant, have communication and cooperation problems, have a concomitant neurological or rheumatological disease, have a history of surgery involving the abdominal and pelvic regions in the last year, have undergone spine surgery, those diagnosed with pure urge urinary incontinence or mixed type incontinence, those with advanced pelvic organ prolapse, those with a spinal deformity (such as scoliosis), the presence of orthopedic problems in the lower extremities (such as lower extremity shortness, presence of deformity etc.) and vestibular system disorder

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Stabilization exercise group	Stabilization exercises	Lumbar spinal stabilization exercises will performed 3 days a week for 8 weeks
Pelvic floor exercise group	Pelvic floor exercises	Pelvic floor exercises for muscle fiber types I and II will performed 3 days a week for 8 weeks

Primary Outcome Measures

Name	Time	Method
Urinary incontinence severity	change from baseline at 8 weeks	Urinary incontinence severity will be measured with A 1-hour pad test

Secondary Outcome Measures

Name	Time	Method
Urinary symptoms	change from baseline at 8 weeks	Urinary symptoms will be evaluated with International Consultation on Incontinence Questionnaire-Urinary Incontinence Short Form
Life quality	change from baseline at 8 weeks	Life quality will be assessed with King's Health Questionnaire.
Subjective perception of improvement	After treatment (at 8 week)	Subjective perception of improvement will be measured with a four-point Likert scale.
Pelvic floor muscle strength	change from baseline at 8 weeks	Pelvic floor muscle strength will be evaluated with Modified Oxford Scale
Spinal function	change from baseline at 8 weeks	Spinal function will be evaluated with the Spinal Mouse device in standing position.
Pelvic floor muscle activation response	change from baseline at 8 weeks	Pelvic floor muscle activation response will be measured with a portable EMG-Biofeedback device.
Core stability	change from baseline at 8 weeks	Core stability will be evaluated with Sahrmann Test using the pressure stabilizer.
Balance	change from baseline at 8 weeks	Balance will be evaluated with Biodex Balance System as static and dynamic