Physiotherapy Management in Women With Urinary Incontinence
ConditionUrinary Incontinence
Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexFemale
Age20-80
SponsorPoznan University of Physical Education
About this trial
Main objective:
The primary aim of the study is to assess whether the author's exercise programme has an effect on reducing urinary incontinence and pelvic floor dysfunction after childbirth, considering vacuum extractor, forceps and caesarean section deliveries.
Secondary objective:
The secondary objective is to determine whether the duration of the author's exercise programme is sufficient to achieve positive changes in women.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
Urinary incontinence
Regular menstrual cycles
Pre and post-menopausal period
Natural childbirth or cesarean section
Disqualifiers
No urinary incontinence
Irregular menstrual cycles
No childbirth
Abdominal surgeries/procedures Active cancer No gynecological check-up in the last 12 months Recurrent urogenital infections Joint hypermobility
Trial design
Design model
Factorial
Treatments tested in this trial
physiotherapy, exercises
Other interventionAn author's questionnaire will be used for participant selection, asking about the number and course of deliveries. Additionally, participants will log daily activities to calculate the physical activity level coefficient. Weight and height will be measured using a Tanita device to calculate BMI. The posture type and pelvic type will be assessed. Participants will be asked to complete the following questionnaires before and after the intervention: Pelvic Floor Disability Index (PFDI-20), Pelvic Floor Impact Questionnaire Short Form (PFIQ-7 SF), Sexual Satisfaction Scale (SSS-W-R15), Neck Disability Pain Index, Revised Oswestry Low Back Pain Disability Scale, Migraine Disability Assessment (MIDAS), Hospital Anxiety and Depression Scale (HADS), Short Form McGill Pain Questionnaire, CRANIA (Integrated Approach to Cranio Mandibular Neuroscience) questionnaire, IPAQ (International Physical Activity Questionnaire). Modified 1-Hour Pad Test. Execution of the Author's Training Program.
Treatment groups
300 Participants
are divided into 3 treatment groupsGroup A: Control groupNo intervention 0 interventions
Group B: Pre-menopausal groupExperimental treatment 1 intervention
Group C: Post-menopausal groupExperimental treatment 1 intervention
Trial outcomes
Primary outcomes
1
Modified 1-Hour Pad Test, measurement in grams
Before starting the author's six-week exercise program and after its completion, a modified 1-hour PAD Test will be conducted, which involves checking the amount of urine lost, during strictly defined activities. The test follows the guidelines in the literature. The test subject puts on a pre-weighed pad and, after emptying the bladder, drinks 500ml of water over 15 minutes. The test subject then waits 30 minutes. After this time, the test begins with 15 minutes of walking and climbing stairs. The test subject then performs a special training program: 10 times she stands up and sits down on a chair, 10 times she coughs vigorously, 10 times she picks up a bottle of water from the ground, runs in place for 1 minute, and for 1 minute he holds his hands under running water. After the test is completed, the pad is weighed again and the amount of urine lost during the test is assessed.
Time frame
before start exercises and after six week finish exercises2
Floor Disability Index
Before the exercise begins and after it is completed, i.e. after 6 weeks, participants will fill out anonymously standardized questionnaires, in which they will have to mark the answer with an assigned score. The results will then be counted and scores will be assigned according to a key. The lower the value of the points received, the better the score.
Time frame
before start exercises and after six week finish exercises3
Pelvic Floor Impact Questionnaire Short Form
Before the exercise begins and after it is completed, i.e. after 6 weeks, participants will fill out anonymously standardized questionnaires, in which they will have to mark the answer with an assigned score. The results will then be counted and scores will be assigned according to a key. The lower the value of the points received, the better the score.
Time frame
before start exercises and after six week finish exercises4
Sexual Satisfaction Scale
Before the exercise begins and after it is completed, i.e. after 6 weeks, participants will fill out anonymously standardized questionnaires, in which they will have to mark the answer with an assigned score. The results will then be counted and scores will be assigned according to a key. The lower the value of the points received, the better the score.
Time frame
before start exercises and after six week finish exercisesSecondary outcomes
1
Postural stability assessment, measurement in the form of a number, the manufacturer does not provide measurement units.
Posturomed stablometric platform will be used to assess postural stability. Posturomed stablometric platform will be used to assess postural stability
Time frame
before start exercises and after six week finish exercisesSponsors and contacts
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Source ClinicalTrials.gov