Effect of Postural Reeducation Versus Pelvic Floor Muscle Training on Stress Urinary Incontinence

Not Applicable

Completed

• Conditions: Stress Urinary Incontinence

• Registration Number: NCT06653582
• Lead Sponsor: Misr University for Science and Technology

Brief Summary

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)

Detailed Description

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.

Study Timeline

• Study First Submitted: 2024-10-19
• Study First Submitted QC: 2024-10-19
• Study First Posted: 2024-10-22
• Study Start: 2024-10-25
• Primary Completion: 2025-01-25
• Status Verified: 2025-02
• Study Completion: 2025-02-01
• Last Update Submitted: 2025-02-20
• Last Update Posted: 2025-02-21

Recruitment & Eligibility

• Status: COMPLETED
• Sex: Female
• Target Recruitment: 50

Inclusion Criteria

• Fifty females with stress urinary incontinence.
• Age of 30-40 years.
• Body mass index (BMI) > 30 kg/m2

Exclusion Criteria

• 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).

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Primary Outcome Measures

Name	Time	Method
Urinary incontinence (UI) symptoms	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	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.

Secondary Outcome Measures

Name	Time	Method
Urinary incontinence-Quality of life (UI-QoL)	12 weeks	It will be assessed using the International Consultation Incontinence Short-Form (ICIQ-UI-SF). The UI-QoL will be calculated using the questionnaire's final score (range from 0 to 21), which is the total of the three items, with a higher score indicating more severe UI and a bigger influence on QoL.

Trial Locations

Locations (1)

Faculty of physical therapy, MUST University; 🇪🇬 Giza, Egypt