- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05079581
Pelvic Floor Exercises in Patients With Sjögren's
Investigation of the Effects of Pelvic Floor Exercises on Pain, Sexual Dysfunction and Quality of Life in Female Patients With Sjögren
When the literature is examined, the positive effects of pelvic floor exercises on sexual functions have been supported by studies. However, the effectiveness of pelvic floor exercises on pelvic floor problems in women with sjögren has not been examined in the literature. The aim of this study is in order to examine the effect of pelvic floor exercises on sexual function in women with primer Sjögren Syndrome (pSS), since these negativities affect both the quality of life and sexual functions in women with pSS.
This is a randomized controlled trial examining the effect of 8 weeks of home-based pelvic floor exercises on pain, sexual dysfunction and quality of life on women with sjogren's.
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
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-
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Antalya, Turkey
- Antalya Training And Research Hospital
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-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Be woman
- Having a diagnosis of primary sjogren's
- No comorbidities other than Sjögren's syndrome
- Not having had pelvic floor surgery
- Being sexually active
- Voluntary and consent to participate in the study
Exclusion Criteria:
- Other rheumatological diseases
- Urogynecological diseases
- Sarcoidosis
- lymphoma
- Having had a non-cesarean gynecological operation
- Infection
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Double
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Other: Intervention group
Pelvic floor exercises
|
The participants in the intervention group will be taught exercises involving strengthening the muscles around the pelvic floor in sitting, standing and lying positions by a physiotherapist who has been trained in women's health for 4 years and will be asked to perform them as home exercises every day for 8 weeks. The exercises are as follows: They will be asked to tighten the muscles around the urethra, vagina and rectum as hard as possible, upwards and inwards (from the bottom up) and hold it in this way for 8-10 seconds. It will be applied in different positions as in the table. |
No Intervention: Control group
Education session
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Pelvic Pain Impact Questionnaire
Time Frame: 8 weeks
|
The clinical assessment of the impact of pelvic pain on women questionnaire consists of 10 questions.
The first 8 questions of the questionnaire are in the form of Likert type and are scored between 0-4.
The total score is reached by adding the scores given for each item, and the last two questions are not included in the calculation.
|
8 weeks
|
Visual Analog Scale (VAS)
Time Frame: 8 weeks
|
It is used to convert some values that cannot be measured numerically.
Two end definitions of the parameter to be evaluated are written at the two ends of a 100 mm line, and the patient is asked to indicate where on this line their situation is appropriate by drawing a line or by placing a dot or pointing.
For example, for pain, I have no pain at one end and very severe pain at the other end and the patient marks his/her current state on this line.
The length of the distance from the point where there is no pain to the point marked by the patient indicates the patient's pain.
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8 weeks
|
Pelvic Floor Distress Scale-20
Time Frame: 8 weeks
|
Scale is a 20-item symptom questionnaire used to measure the degree of discomfort caused by pelvic symptoms in women.
Each item consists of 4 options (Never, Rarely, Moderately, Quite often) and is scored between 1 and 4. PFDI consists of 3 sub-dimensions: Urinary distress inventory, Colo-rectal-anal distress inventory, Pelvic organ prolapse distress inventory.
The mean scores of the items in each sub-dimension are calculated and these scores are multiplied by 25 and PFDI subscale scores ranging from 0-100 are calculated.
Then, the 3 subscale scores are summed to find the PFDI total score, which ranges from 0-300.
A higher score indicates worse health.
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8 weeks
|
Female Sexual Function Inventory
Time Frame: 8 weeks
|
This scale consists of 19 items and is a Likert type scale that evaluates sexual dysfunction in women.
The validity and reliability study of FSFI was conducted by Rosen et al. (2000).
The Turkish validity and reliability analysis of the scale was performed by Öksüz and Malhan (2005).
The scale consists of six separate headings: desire, arousal, lubrication, orgasm, sexual success and pain.
Each title is scored 0 or between 1 and 6.
The lowest score is two (2) and the highest score is thirty-six (36).
A higher score means better function.
If the FSFI score is >30, it is classified as good, between 23-29 as moderate, and <23 as bad.
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8 weeks
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Pelvic floor impact questionnaire-7
Time Frame: 8 weeks
|
This scale evaluates the effects of bladder, bowel and pelvic organ symptoms on an individual's activities of daily living, social relationships and emotions.
Pelvic organ prolapse impact questionnaire (POPIQ-7); urinary effects questionnaire (IIQ-7); and the colorectal-anal effect questionnaire (CRAIQ-7).
Each section consists of 7 questions.
The questions are scored between 0 and 3 (not at all, slightly affected, moderately affected, highly affected).
When calculating the total score, the average of each scale is calculated separately, multiplied by 100 and divided by 3. The scores found are summed up.
The total score ranges from 0 to 300, with a low score indicating less impact of symptoms on quality of life.
|
8 weeks
|
Health Assessment Questionnaire
Time Frame: 8 weeks
|
This scale is consisting of 20 questions used to question functional disability and physical disability.
A high score from the scale indicates low functionality.
Each item is scored between 0-3 (0: I do it with no difficulty; 1: I do it with some difficulty; 2: I do it with great difficulty; 3: I can't do it at all).
In addition, the use of assistive devices and the help requested from another person are also taken into account in the scoring.
The sections that make up the scale are dressing, straightening, eating, walking, hygiene, reaching, grasping and daily tasks, and each section contains two or three items.
Each section is scored separately, and a single HAQ score, which can vary between 0-3, is determined by taking the average of the scores of the 8 sections.
In scoring the sections, the highest score among the items forming that section is accepted as the section score.
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8 weeks
|
Collaborators and Investigators
Sponsor
Publications and helpful links
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
- Immune System Diseases
- Autoimmune Diseases
- Eye Diseases
- Joint Diseases
- Musculoskeletal Diseases
- Rheumatic Diseases
- Connective Tissue Diseases
- Arthritis
- Stomatognathic Diseases
- Mouth Diseases
- Lacrimal Apparatus Diseases
- Arthritis, Rheumatoid
- Xerostomia
- Salivary Gland Diseases
- Dry Eye Syndromes
- Sjogren's Syndrome
Other Study ID Numbers
- 2021-086
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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