The Impact of Hip Exercises on Pelvic Floor Muscle Strength and Function as a Potential Non-surgical Management for Urinary Incontinence in Older Women
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 32
- 试验地点
- 2
- 主要终点
- Pelvic floor muscle strength
研究概览
简要总结
This is a prospective cohort study of 30 older women ages 65 and older with urinary incontinence (UI) who will under go a standardized 12-week hip muscle exercises (isometric strengthening of hip external rotators with progressive resistance training).
详细描述
This is a prospective cohort study of 30 older women ages 65 and older with urinary incontinence (UI) who will under go a standardized 12-week hip muscle exercises (isometric strengthening of hip external rotators with progressive resistance training). Participants will take part in a 12-week hip muscle exercise program (weekly supervised hip exercises with resistance progression) plus a home program with the same exercises 3 days per week. the exercise program will be administered by the licensed physical therapist with special focus in hip strength. The change in pelvic floor muscle strength (peak pelvic floor muscle squeeze pressures) pre- to post hip muscle exercises. Changes in UI symptom severity, and impact of UI symptoms on quality of life will be assessed. Objective measurement of pelvic floor muscle strength will be obtained using a perineometer. UI symptom severity and quality of life will be measured using validated questionnaires (PFDI and PFIQ, respectively).
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 65 Years 至 —（Older Adult）
- 性别
- Female
- 接受健康志愿者
- 否
入选标准
- •Women ages ≥65
- •UI for at least the last 3 months UI will be defined using the following (a widely-accepted definition in epidemiologic studies) Scores 3 - 12 on the validated 2-item Incontinence Severity Index (ISI)
排除标准
- •Women unable to follow-up, not willing to, or unable to participate in the exercise intervention program
- •Prior or current treatment for UI including previous FDA approved medications for UI, prior surgery for UI within the past 12 months
- •Pelvic organ prolapse beyond the hymen
- •Potential causes or conditions associated with neurogenic bladder (multiple sclerosis, Parkinson's disease, stroke, spinal cord injury)
- •Urinary retention, incomplete bladder emptying (via bladder scan, >150mL post-void residual)
- •Conditions (neurological or musculoskeletal) that compromise mobility, requiring assisted device for ambulation or wheel chair
- •Diagnosis of dementia or cognitive impairment (Montreal Cognitive Assessment [MoCA] <25, mild cognitive impairment)
结局指标
主要结局
Pelvic floor muscle strength
时间窗: 12 weeks
pelvic floor muscle strength (peak pelvic floor muscle squeeze pressures) post hip muscle exercises
次要结局
- Impact of urinary incontinence symptoms on quality of life(12 weeks)
- Urinary incontinence symptom severity(12 weeks)
研究者
Isuzu Meyer
Assistant Professor
University of Alabama at Birmingham