Effect of Ankle Position and Pelvic Floor Muscle Force With Relaxation of Pelvic Floor Muscles Syndrome

Strengthening exercises of Pelvic Floor Muscles (PFM) is the first line treatment for female pelvic floor dysfunction. Actually the best position to facilitate PFM force is controversial in different studies. The aim of this study is to assess the effect of ankle positions on pelvic floor muscle force during PFM exercises.

This clinical trial study was carried out on 58 women aged 25-55 years with relaxation of pelvic floor muscles who referred to women's clinic of educational hospitals of Mashhad University of Medical Sciences in 1389. After clinical examination and confirmation of pelvic floor muscle relaxation, women were randomize divided into 3 groups, doing strengthening exercises of PFM in standing position with passive ankle dorsi flexion (on wooden surface with 15 degree angle)(n=20), active ankle plantar flexion with arm up (standing on toe)(n=20) and horizontal standing position (n=19) for 8 weeks. PFM exercises were instructed to women by using a pamphlet and face to face education. They were followed up every two week by telephone call and were asked to refer to women's clinic after 4 & 8 weeks. Pelvic floor muscles strength was assessed with brink score before and after intervention. Data analyzed by using analytic-descriptive statistics.

Study Overview

• Status: Withdrawn
• Conditions: Pelvic Floor Muscle Syndrome
• Intervention / Treatment: Other: doing strengthening exercises of pelvic floor muscles

• Study Type: Interventional
• Phase: Phase 2; Phase 3

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 25 years to 55 years (ADULT)
• Accepts Healthy Volunteers: N/A
• Genders Eligible for Study: Female

Description

Inclusion Criteria:

• age 25-55
• bma 20-30
• women with relaxation of pelvic floor muscles syndrome in ph.ex and inspection

Exclusion Criteria:

• severe deformity in knee joint and ankle
• regular exercise or yoga
• severe or moderate vaginal atrophy

Study Plan

How is the study designed?

Design Details

• Primary Purpose: PREVENTION
• Interventional Model: PARALLEL
• Masking: SINGLE

Number of Arms

3

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
EXPERIMENTAL: passive ankle dorsi flexion; doing strengthening exercises of PFM in standing position with passive ankle dorsi flexion (on wooden surface with 15 degree angle)	Other: doing strengthening exercises of pelvic floor muscles
EXPERIMENTAL: active ankle plantar flexion with arm up; doing strengthening exercises of PFM in standing position with active ankle plantar flexion with arm up (standing on toe)(n=20) and horizontal standing position	Other: doing strengthening exercises of pelvic floor muscles
NO_INTERVENTION: horizontal standing position; doing strengthening exercises of PFM in standing position with horizontal standing position	Other: doing strengthening exercises of pelvic floor muscles

What is the study measuring?

Primary Outcome Measures

Outcome Measure
pelvic floor muscles force

Collaborators and Investigators

• Sponsor: Mashhad University of Medical Sciences

Study record dates

Study Registration Dates

• First Submitted: April 23, 2012
• First Submitted That Met QC Criteria: April 24, 2012
• First Posted (ESTIMATE): April 25, 2012

Study Record Updates

• Last Update Posted (ESTIMATE): April 25, 2012
• Last Update Submitted That Met QC Criteria: April 24, 2012
• Last Verified: April 1, 2012

More Information

Terms related to this study

• Keywords: pelvic floor muscles strength; Ankle positions; relaxation of pelvic floor muscles syndrome; doing strengthening exercises of pelvic floor muscles
• Additional Relevant MeSH Terms: Pathologic Processes; Disease; Syndrome
• Other Study ID Numbers: 89094