Effect of hip muscles exercises combining with pelvic floor exercise in treating urinary incontinence after menopause in women

Completed

• Conditions: Bladder disorders in diseases classified elsewhere,

• Registration Number: CTRI/2023/03/050779
• Lead Sponsor: MGM INSTITUTE OF PHYSIOTHERAPY

Brief Summary

**Objectives**

1.     To determine the effectiveness of kegel’s exercises on frequency, strength and QOL in stress urinary incontinence among postmenopausal women

2.     To determine the effectiveness of kegel’s exercises combined with hip muscles strengthening on frequency, strength and QOL in treatment of stress urinary incontinence among postmenopausal women

3. To compare the effectiveness of hip muscles strengthening on frequency, strength and QOL in treatment of stress urinary incontinence among postmenopausal women

Study design: Randomized Control Trial

Study setting: Tertiary Hospitals, Outreach Programs, PHC

Procedure:  Female patients with stress urinary incontinence in the age of 45-70 years of age will be taken. Eligible participants will be included for the study. Before collection of the data, Informed written and verbal consent will be taken from all the participants. The subjects will be interviewed and the information gathered about their demographic data of patients including name, age, gender, occupation, any history of systemic diseases and medications will be documented. Demographic data will be collected and 2 evaluations carried out, 1 at the beginning of the treatment and the other after 16 sessions of physical therapy intervention. Also after 1month till 20th session, follow up will be taken.

**Conventional Treatment Group:**

Participants will be given Kegel’s only in Group A.

**Intervention Group**

Participants will be given Hip muscles strengthening along with Kegel’s in Group B. The same exercises as those described for the conventional treatment group (Kegels exercises) will be performed during the first 20 minutes. After that, the KHG group will perform exercises for strengthening hip adductor, gluteus medius and maximus muscles for approximately 20 minutes, completing 40 minutes of session. The exercises for the hip muscles will be completely isolated from the Kegels exercises and will follow a protocol based on recommendations by the American College of Sports Medicine, with adjustments made to suit the profile of the women in this study.

Detailed Description

Not available

Study Timeline

• Study Start: 2023-01-04
• Last Update Posted: 2023-08-26

Recruitment & Eligibility

• Status: Completed
• Sex: Female
• Target Recruitment: 70

Inclusion Criteria

1.Female patients with medical diagnosis of stress urinary incontinence among postmenopausal women 2.LMP atleast 12months ago.

Exclusion Criteria

• 1.Anti-incontinence or pelvic organ prolapse surgery history 2.Active urinary tract or vaginal infection, 3.Post-partum incontinence issues till 1 year 4.Pregnancy, post-void residual volume>100 ml 5.Pelvic organ prolapse>Grade 2, 6.Presence of comorbidities that affect the lower urinary tract, such as neurological disease, diabetes mellitus, psychiatric disease or renal failure.
• 7.Current hormone replacement therapy.

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Symptom and QoL Evaluation	10 mins

Secondary Outcome Measures

Name	Time	Method
Evaluation of Pelvic Floor Function and Muscle Strength:	10mins

Trial Locations

Locations (1)

MGM INSTITUTE OF PHYSIOTHERAPY; 🇮🇳 Aurangabad, MAHARASHTRA, India

MGM INSTITUTE OF PHYSIOTHERAPY

🇮🇳Aurangabad, MAHARASHTRA, India

Dr Diksha Ghadse

Principal investigator

07038507924

dikshapghadse96@gmail.com