- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05239949
Effects of Hypopressive Exercises in Comparison With Routine Pelvic Floor Exercises in Women With Urinary Incontinence
Effects of Hypopressive Exercises in Comparison With Routine Pelvic Floor Exercises in Women With Urinary Incontinence: A Randomized Controlled Trial
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
A randomized control trial study will be conducted in which patients with urinary incontinence will be assigned to group 1 that will receive hypopressive exercises with electrical muscle stimulation (EMS) and patients in group 2 will receive pelvic floor exercises with EMS.
The intervention will be applied (3 days/week) for 8 weeks. Four sets of 10 repetitions with a 3-minute interval between each set will be performed for group 1 in an upright position while four sets of 10 repetitions with a 2-minute interval between each set will be performed for group 2 in the sitting position.
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
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Punjab
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Faisalābad, Punjab, Pakistan, 3800
- Riphah International University
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Women aged between 20 to 65 years
- Gynecologist and urologist diagnosed patients
- Participants not engaged systematically in sports or physical activities(≤ sessions per week, ≤ weeks per week)
Exclusion Criteria:
- If participants had hypertension or any serious mental disease
- Pregnancy or up to 2 months postpartum
- Urge fecal incontinence or vaginal pain
- Underwent any physiotherapy for urinary incontinence before
- Any kidney disease
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Hypopressive exercises and electrical muscle stimulation (EMS)
Women included in this group underwent 24 sessions during 8 weeks (3 days/ week). Treatment will be given for 50 minutes in each session. Electrical muscle stimulation (EMS) will be applied in prone lying before every session of hypopressive exercises (HE). A device will use for muscle stimulation at 7Hz for 15 minutes. The intensity of current will gradually increase from zero to a minimum that can be tolerated by the patient. Two electrodes will place medially to the ischial tuberosity and the remaining two will place on the sacral area. After a 2-minute interval, the patient will be asked to perform HE in an upright position. For this maneuver, the patient will be instructed to inhale, then breathe to expand the ribcage, and then exhale completely. Hold the breath out before relaxing core and ribcage. Four sets of 10 repetitions with a 3-minute interval between each set will be performed. |
For hypopressive exercises, the patient will be instructed to inhale, then breathe to expand the ribcage, and then exhale completely.
Hold the breath out before relaxing core and ribcage.
|
Experimental: Pelvic floor muscle exercises and electrical muscle stimulation (EMS)
Women included in this group underwent 24 sessions during 8 weeks (3 days/ week). Treatment will be given for 50 minutes in each session. Electrical muscle stimulation (EMS) will be applied in prone lying before every session of pelvic floor muscle exercises. A device will use for muscle stimulation at 7Hz for 15 minutes. The intensity of current will gradually increase from zero to a minimum that can be tolerated by the patient. Two electrodes will place medially to the ischial tuberosity and the remaining two will place on the sacral area. After a 2-minute interval, the patient will be asked to perform pelvic floor muscle exercises in a sitting position. The patient is instructed to hold each contraction for 6 seconds, with three to four contractions added on the top. Four sets of 10 repetitions with a 2-minute interval between each set will be performed. |
For pelvic floor exercises, the patient is instructed to hold each contraction for 6 seconds.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
International Consultation Incontinence Questionnaire Short Form (ICIQ-SF)
Time Frame: 8th week
|
ICIQ-SF is a screening tool for incontinence.
4 main items (a total of 6) ask for a rating of symptoms in past four weeks.
Item 1 and 2 are demographics so items 3,4,5 are summed for a total score.
Using a score value, UI is classified as mild (1-5), moderate (6-12), severe (13-18), very severe (19-21) from a total score ranges from 0-21.
|
8th week
|
International Impact Questionnaire, Short Form (IIQ-7)
Time Frame: 8th week
|
IIQ-7 is a reliable tool for measuring the impact on quality of life for UI patients.
Calculate the mean of all items and then subtract the mean by 1, then multiply by 100/3 (0-100 range).
|
8th week
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Medical, Epidemiologic and Social aspects of Aging Questionnaire (MESA Questionnaire)
Time Frame: 8th week
|
It is a reliable and validated tool to evaluate the severity and predominance of stress and urge urinary incontinence.
The MESA Questionnaire consists of 15 items total divided into stress (1-9) and urge (10-15) subscales.
The total score of urgency (18) and stress (27) is divided into three degrees.
For urgency, a score of 1-6 is categorized as mild, 7-12 moderate, and 13-18 as severe.
For stress, a score of 1-9 is categorized as mild, 10-18 moderate, and 19-27 as severe.
A higher MESA score indicates more frequent symptoms overall ranges from 0-45.
|
8th week
|
Collaborators and Investigators
Sponsor
Investigators
- Study Chair: Muhmmad Kashif, Riphah International University
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
Additional Relevant MeSH Terms
Other Study ID Numbers
- REC-FSD-00282
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
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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