A prevalence of urinary incontinence ranging from 5.7% to 80% has been observed in young nulliparous athletes during their activity.
The usual recommendations for managing adult women do not seem to be transferable.
Young nulliparous athletes need specific educational and behavioral interventions and an alternative to pelvic floor muscle strengthening.
A multimodal and multidimensional intervention for athletes and coaches combining specific pelvic health education and strengthening of lumbopelvic-abdominal stability appears to be an innovative and optimal solution for reducing the symptoms of urinary incontinence in young nulliparous women who participate in athletics.
Female subject, nulliparous
Member of an athletics club affiliated with the French Athletics Federation (FFA)
At least 15 years old at the start of the study and belonging to the U16/U18/U20/U23 categories (born between January 1, 2005, and September 1, 2011)
Having internet access
Any individual deprived of their liberty or subject to legal protection (guardianship, curatorship, or protective supervision).
A pregnant woman, a woman who has been pregnant, or a woman planning a pregnancy within the last nine months.
Any individual unable to understand the purpose and conditions of the study.
Any individual unable to give their consent.
Sequential
Combined pelvic health education and lumbar-pelvic-abdominal stability strengthening programme.
Other interventionThe intervention will consist of participants: i) reviewing educational content (8 educational videos online) ii) participating in two in-person sessions at the athletics club and performing lumbar-pelvic-abdominal stability exercises iii) learning and implementing recommendations for empowering themselves in pelvic health management. iv) complete reports in 6 questionnaires during follow-up.
Usual activities
Other interventionCollection of data on routine activities
Urinary incontinence symptoms
Severity of urinary incontinence symptoms as measured by the ICIQ-UI-SF score (International Consultation on Incontinence Questionnaire - Short Form for Urinary Incontinence). Scores typically range from 0 to 21. The higher the score, the more severe the urinary incontinence.
The program's effects on the prevalence of urinary incontinence
The program's effects on the prevalence of urinary incontinence will be measured using the ICIQ-UI-SF questionnaire, with a dichotomous interpretation of the score: 0 = continent, ≥1 = incontinent.
Effects of the intervention on athletes' knowledge of the pelvic-perineal region
A questionnaire we have developed will measure the effects of the intervention on athletes' knowledge of the pelvic and perineal region. It will consist of 10 questions. This outcome will be assessed by comparing the mean number of correct answers (on a scale of 0 to 10) within and between groups.
The program's effects on associated pelvic and perineal symptoms
The ODS-S questionnaires measure associated pelvic and perineal symptoms. This criterion will be assessed by comparing the mean total scores (on a scale of 0 to 20) within and between groups.
The program's effects on urinary dysfunction.
Section C of the LURN-SI29 questionnaire, which assesses urinary dysfunction. This criterion will be evaluated by comparing the mean total scores (on a scale of 0 to 20) within and between groups.
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