Effect of Postural Reeducation Versus Pelvic Floor Muscle Training on Stress Urinary Incontinence
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 50
- 试验地点
- 1
- 主要终点
- Urinary incontinence (UI) symptoms
研究概览
简要总结
The purpose of the study is to evaluate the effects of postural reeducation compared to pelvic floor muscle training on urinary incontinence (UI) symptoms, the impact of UI, and quality of life (QoL) in women experiencing stress urinary incontinence (SUI)
详细描述
The study is designed as a randomized- controlled trial. It will be carried out on women suffering from stress urinary incontinence referred after urology consultations to the Physiotherapy Clinic in Soad Kafafy hospital.
UI, particularly SUI, affects up to 28% of the population and occurs during activities like coughing or sneezing due to inadequate urethral closure pressure. The pelvic floor muscles play a critical role in supporting pelvic organs and maintaining continence. Pelvic floor dysfunction is a significant contributor to SUI. Postural dysfunction can increase mechanical stress and lead to pelvic floor dysfunction. Postural re-education techniques aim to correct imbalances and improve pelvic floor muscle activity, potentially alleviating SUI symptoms by restoring muscle efficiency and enhancing continence.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 30 Years 至 40 Years（Adult）
- 性别
- Female
- 接受健康志愿者
- 否
入选标准
- •Fifty females with stress urinary incontinence.
- •Age of 30-40 years.
- •Body mass index (BMI) > 30 kg/m2
排除标准
- •Genital prolapse grade 3 or 4 based on Pelvic Organ Prolapse Quantification Classification (POP-Q).
- •Overactive bladder (OAB)
- •Functional impairment (Barthel scale <85 points).
- •Neurological or cognitive impairment (mini mental examination <24 points).
- •Any other type of urinary incontinence.
- •Pregnancy.
- •History of spinal, hip, knee or foot surgery, pelvic and abdominal surgery (including cesarean section)
- •Smoking, chronic cough, history of respiratory diseases, osteoporosis (self-reported).
结局指标
主要结局
Urinary incontinence (UI) symptoms
时间窗: 12 weeks
UI symptoms will be measured using a 48-hour Pad Test \[14\]. This is a standardized test for assessing urine leakage that can be performed at home\[15\]. Women replace pads as needed over the course of 48 hours. The results are calculated by subtracting the net weight of used pads from the total weight of non-used pads. The Pad Test results can be classified as mild (4-20 g), moderate (21-74 g), or severe UI (\> 75 g).
Urinary incontinence (UI) impact
时间窗: 12 weeks
It will be assessed using the International Consultation Incontinence Short-Form (ICIQ-UI-SF). UI impact will be derived from the values of the third question assessing overall impact ("How much does leaking urine interfere with everyday life?", ranging from 0 to 10), with a higher score indicating a greater UI impact.
次要结局
- Urinary incontinence-Quality of life (UI-QoL)(12 weeks)
研究者
Sally Mohamed Saeed
Principal Investigator
Misr University for Science and Technology