Pelvic Floor Exercises Versus Pilates on Urinary Incontinance in Chronic Obstructive Pulmonary Disease
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 60
- 试验地点
- 1
- 主要终点
- Urinary incontinence (1 Hour and 24- Hour pad test)
研究概览
简要总结
The aim of the study is To compare between the effect of both pelvic floor and Pilates exercises on urinary incontinences in COPD patients.
详细描述
Urinary incontinence (UI) is defined as loss of bladder control and is characterized by the complaint of any involuntary leakage of urine UI is an important individual and social problem, in that it is associated with worse health-related quality of life (HRQoL) in subjects with chronic obstructive pulmonary disease. Although UI is not a life-threatening condition, it is common and can have numerous negative psychological, social, and economical effects. Women with UI in the general population have higher levels of depression, anxiety and stress, poor sleep quality and significantly lower HRQL Additionally, long term UI may result in absence from work, increased healthcare costs, social isolation and physical inactivity which is common from the early stages of the COPD due to dyspnea. Furthermore, inactivity is associated with risk of hospital admissions and is a strong predictor for mortality. The combination of UI and COPD may therefore result in a double risk factor in terms of exercise avoidance and the subsequent negative consequences of inactivity.
As it could be concluded that urinary incontinence is a trouble problem that can change the life of COPD patients and therapy attempts to prevent it or control it will be appreciated, taking in consideration that all people nowadays prefer to choose the most safe method of their conditions.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 年龄范围
- 50 Years 至 —(Adult, Older Adult)
- 性别
- Female
- 接受健康志愿者
- 是
入选标准
- •Patients diagnosed with COPD & Urinary incontinence
- •Stable with moderate to severe COPD
- •Their ages will range from fifty years old.
- •All patients will be clinically stable.
排除标准
- •Gynecologic surgery ( 6 months prior to study)
- •Current urinary tract infection
- •Uncontrolled Diabetes Mellitus
- •Diagnosed with psychiatric or depressive disorder
- •Existing arterial aneurysm.
- •Clinical signs of unstable cardiac event (eg, congestive heart failure),
- •Severe arterial hypertension,
- •Neurological disorders that will affect pelvic floor muscles.
- •Acute COPD exacerbation within the last 4 weeks.
- •Any need for supplemental oxygen.
结局指标
主要结局
Urinary incontinence (1 Hour and 24- Hour pad test)
时间窗: 3 months
Pad testing is a non-invasive method of detecting and quantifying severity of urine leakage in men or women.
Incontinence severity index:
时间窗: 3 months
Incontinence Severity Index (ISI), consisting of two questions regarding frequency (four levels) and amount (three levels) of leakage. The validity of the ISI has been demonstrated for different types of UI and has received the highest recommendation from the 2nd and 3rd International Consultation on Incontinence
次要结局
- Cough symptoms questionnaire(3 months)
- The COPD Assessment Tool (CAT)(3 months)
- Urinary incontinence quality of life questionnaire (I-QOL)(3 months)
- Cough symptoms score(3 months)
研究者
Rana Ayman
physiotherapist
Cairo University
