Effects of the Hypopressive Exercises in Women With Pelvic Organ Prolapse
- Conditions
- Prolapse; FemalePelvic Floor Disorders
- Interventions
- Other: Pelvic Floor Muscle TrainingOther: Hypopressive Exercises
- Registration Number
- NCT06352112
- Lead Sponsor
- Hacettepe University
- Brief Summary
The aim of this study was compare home-based pelvic floor muscle training (PFMT) alone and home-based PFMT combined with hypopressive exercise (HE) in terms of pelvic floor muscle (PFM) activation and severity of pelvic floor dysfunction (PFD) in women with pelvic organ prolapse (POP) for eight weeks. For this purpose, the participants were randomly divided into two groups: \[PFMT alone (n:15) and PFMT combined with HE(n:17)\]. DuoBravo EMG device for evaluation of PFM activation and "Pelvic Floor Distress Inventory-20" was used to evaluate the severity of PFD. All evaluations were performed twice in total, at baseline and at week 8.
- Detailed Description
Pelvic floor muscle training (PFMT), which provides increased structural support of the pelvic organs by improving the functional strength, endurance and coordination of the pelvic floor muscles (PFM), has been a grade A recommendation based on Level 1 evidence to improve symptoms and stages of pelvic organ prolapse (POP). On the other hand, hypopressive exercises (HE) are a group of exercises that, when applied, relax the diaphragm, activate the abdominal muscles, activate the transversus abdominis muscle by reducing intra-abdominal pressure, thus providing reflex activation in the PFM, and are known to improve urinary incontinence and POP with these features. Although there are studies investigating the effects of both exercise groups on POP, the results of the studies are contradictory and more research is needed on this subject.For this reason, in this study, the investigators aimed to compare home-based PFMT alone and home-based PFMT combined with HE in terms of PFM activation and severity of pelvic floor dysfunction in women with POP for eight weeks.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- Female
- Target Recruitment
- 32
- having been diagnosed with POP according to Pelvic Organ Prolapse Quantification System by a gynecologist;
- being literate
- being between 20-50 years
- pregnancy;
- having a cooperation problems;
- history of active cancer;
- finding an urinary infection during evaluation;
- being in the menstrual period during the evaluation;
- neurological, orthopedic or serious medical conditions that may affect the patient's pelvic floor functions.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Pelvic Floor Muscle Training combined with Hypopressive Exercises Pelvic Floor Muscle Training Participants received hypopressive exercise in addition to pelvic floor muscle training. Pelvic Floor Muscle Training combined with Hypopressive Exercises Hypopressive Exercises Participants received hypopressive exercise in addition to pelvic floor muscle training. Pelvic Floor Muscle Training Pelvic Floor Muscle Training Participants received pelvic floor muscle training only.
- Primary Outcome Measures
Name Time Method Pelvic Floor Muscle Activation at baseline and at week 8 It was performed with the DuoBravo EMG device. Patients were asked to squeeze the PFM strongly for 5-s and at the end of the contraction, to relax completely by not pushing the perineum downwards for 5-s. This cycle was repeated five times in total, and the muscle activation responses at the end of the measurement were recorded in µV.
- Secondary Outcome Measures
Name Time Method Severity of pelvic floor dysfunction at baseline and at week 8 It was performed with the "Pelvic Floor Distress inventory-20 (PFDI-20). The total score of the scale is between 0-300 and the higher the score obtained as a result of the survey, the greater the severity of pelvic floor dysfunction
Trial Locations
- Locations (1)
Istanbul Research and Training Hospital
🇹🇷Istanbul, Turkey