- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT06120699
360 Degree Expanded Diaphragm Exercises in Women With Stress Urinary Incontinence
February 3, 2024 updated by: Seda Yakit Yesilyurt, Izmir University of Economics
Effectiveness of Pelvic Floor Muscle Training Including 360 Degree Expanded Diaphragm Exercises in Women With Stress Urinary Incontinence: Double-Blind Randomized Controlled Study
This study was planned to examine and compare the effects of standard diaphragm exercises with Pelvic floor muscle exercises (PFME) and 360-degree expanded diaphragm exercises with PFME on urinary symptoms, PFM functions and quality of life in women with stress urinary incontinence.
Study Overview
Status
Recruiting
Conditions
Study Type
Interventional
Enrollment (Estimated)
74
Phase
- Not Applicable
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Contact
- Name: Seda Yakıt Yeşilyurt, PhD
- Phone Number: 05302662522
- Email: sedayakit01@gmail.com
Study Contact Backup
- Name: Gonca Şahiner Pıcak
- Phone Number: 05058081268
- Email: gonca.sahiner@ieü.edu.tr
Study Locations
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-
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İzmir, Turkey
- Recruiting
- Izmir University of Economics
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Contact:
- Gonca Şahiner Pıcak
- Phone Number: 05058081268
- Email: gonca.sahiner@ieü.edu.tr
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Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
- Adult
Accepts Healthy Volunteers
No
Description
Inclusion Criteria:
- Being a woman,
- Participating in the research voluntarily,
- Being between the ages of 18-62,
- Ability to read and write Turkish,
- Not having any mental problems that would prevent cooperation and understanding,
- Having a complaint of stress urinary incontinence or stress-predominant mixed urinary incontinence.
Exclusion Criteria:
- Having received pelvic floor training before,
- Having a neurological disease,
- Pelvic organ prolapse stage is stage 2 or higher,
- Having fecal incontinence,
- Being pregnant,
- Lower extremity problems that may affect the pelvic structure (conditions such as lower extremity inequality, total hip arthroplasty)
- Having an active lower urinary tract infection,
- Having respiratory system diseases such as chronic obstructive pulmonary disease and asthma,
- Having undergone hysterectomy surgery.
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
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 |
---|---|
Experimental: 360 Degree Expanded Diaphragm Exercises
Volunteers who complain of urinary incontinence in situations such as coughing, sneezing and laughing, who have been diagnosed with stress or stress-predominant mixed urinary incontinence by a Gynecology and Obstetrics physician, and who meet the inclusion criteria will be included in the study.
|
Women in this group will be taught 360-degree expanded diaphragm exercises with the Ohmbelt device.
Two Ohmbelt devices will be used in this study.
The anterior sensor will be placed in the inguinal cavity to visualize the expansion of the anterior abdominal wall, and the posterior sensor will be placed contralaterally in the upper lumbar triangle to visualize the expansion of the posterior wall.
The protocol of breathing exercises is inspiration and expiration time of 6 seconds, 10 repetitions and 3 sets.
Pelvic floor muscle training will be given with the NeuroTract Myoplus 4 PRO EMG biofeedback device.
The training protocol: Each patient will be asked to contract close to the maximum pelvic floor muscle contraction for slow muscle contraction, maintain the contraction for 6-8 seconds, and then perform fast muscle contractions 3-4 times.
This cycle is 1 set, 8-12 repetitions.
A total of 3 sets will be applied.
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Active Comparator: Standard Diaphragm Exercises
Volunteers who complain of urinary incontinence in situations such as coughing, sneezing and laughing, who have been diagnosed with stress or stress-predominant mixed urinary incontinence by a Gynecology and Obstetrics physician, and who meet the inclusion criteria will be included in the study.
|
Women in this group will be taught standard diaphragm exercises.
In the supine position, with the head and knees supported by a pillow, the patient will first be asked to close his or her eyes to focus.
With one hand on the chest and the other hand on the abdomen, "Take a deep breath through your nose and direct all the air as much as possible under your lower hand.
inflate your belly.
Now exhale all the air slowly through your mouth."
The protocol of breathing exercises is inspiration and expiration time of 6 seconds, 10 repetitions and 3 sets.
Pelvic floor muscle training will be given with the NeuroTract Myoplus 4 PRO EMG biofeedback device.
The training protocol: Each patient will be asked to contract close to the maximum pelvic floor muscle contraction for slow muscle contraction, maintain the contraction for 6-8 seconds, and then perform fast muscle contractions 3-4 times.
This cycle is 1 set, 8-12 repetitions.
A total of 3 sets will be applied.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change of Pelvic floor muscle contraction during Valsalva
Time Frame: at baseline, at 8th week
|
Pelvic floor muscle contraction during Valsalva will be evaluated with the NeuroTract Myoplus 4 PRO EMG device.
A disposable, cylindrical endovaginal probe will be used to record pelvic floor muscle electromyographic activity.
The evaluation will be carried out as stated in previous studies, and the women are told: "Take as deep a breath as possible, pinch your nose with your thumb and index finger and close your mouth, try to breathe out against the now closed respiratory system."
instructions will be given.
For a clearer understanding, the expression "pretend to strain" will also be used.
The probe will be manually supported by the investigator throughout the testing procedure to prevent the pressure probe from moving and losing contact with the PTK during evaluation. 2 seconds of reflex PFM activity will be recorded in μV.
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at baseline, at 8th week
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change of urinary symptoms
Time Frame: at baseline, at 8th week
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The severity of women's incontinence will be questioned with the Incontinence Severity Index.
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at baseline, at 8th week
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Change of quality of life score
Time Frame: at baseline, at 8th week
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Urinary incontinence symptoms and their impact on quality of life will be evaluated with the International Urinary Incontinence Questionnaire Form.
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at baseline, at 8th week
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Change of Pelvic floor muscle maximum voluntary contraction
Time Frame: at baseline, at 8th week
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Maximum voluntary contraction of women will be evaluated with the NeuroTract Myoplus 4 PRO EMG device.
A disposable, cylindrical endovaginal probe will be used to record pelvic floor muscle electromyographic activity.
MVC, average peak activation results during three PFM contractions will be expressed in μV and percentage (%).
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at baseline, at 8th week
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Change of maximum inspiratory pressure
Time Frame: at baseline, at 8th week
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A non-invasive, RP Check brand electronic pressure measuring device (MD Diagnostics Ltd., Maidstone, UK) will be used to measure maximum inspiratory pressure.
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at baseline, at 8th week
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Change of maximum expiratory pressure
Time Frame: at baseline, at 8th week
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A non-invasive, RP Check brand electronic pressure measuring device (MD Diagnostics Ltd., Maidstone, UK) will be used to measure maximum expiratory pressure.
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at baseline, at 8th week
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Subjective perception of improvement
Time Frame: at 8th week
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Women's subjective perception of improvement was assessed using the Global Perception of Improvement scale
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at 8th week
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Change of Social Activity Participation
Time Frame: at baseline, at 8th week
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The Social Activity Index will be used, in which nine social situations are selected to represent situations in which women have problems in social participation due to urinary incontinence.
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at baseline, at 8th week
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Change of average number of urinary incontinence
Time Frame: at baseline, at 8th week
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Women will be asked to complete a bladder diary reflecting the daily activity patterns of the bladder for 3 consecutive days.
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at baseline, at 8th week
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Change of Pelvic floor muscle strength
Time Frame: at baseline, at 8th week
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Vaginal palpation method will be used to measure pelvic floor muscle strength.
(Modified Oxford Scale)
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at baseline, at 8th week
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Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Investigators
- Principal Investigator: Seda Yakıt Yeşilyurt, PhD, Izmir University of Economics
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Actual)
December 1, 2023
Primary Completion (Estimated)
June 1, 2024
Study Completion (Estimated)
December 1, 2024
Study Registration Dates
First Submitted
November 1, 2023
First Submitted That Met QC Criteria
November 1, 2023
First Posted (Actual)
November 7, 2023
Study Record Updates
Last Update Posted (Estimated)
February 6, 2024
Last Update Submitted That Met QC Criteria
February 3, 2024
Last Verified
February 1, 2024
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Behavioral Symptoms
- Mental Disorders
- Urologic Diseases
- Lower Urinary Tract Symptoms
- Urological Manifestations
- Urination Disorders
- Elimination Disorders
- Female Urogenital Diseases
- Female Urogenital Diseases and Pregnancy Complications
- Urogenital Diseases
- Male Urogenital Diseases
- Urinary Incontinence
- Enuresis
- Urinary Incontinence, Stress
Other Study ID Numbers
- SYY_İEÜ_2
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
NO
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
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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