Effect of Hip Strengthening Exercises and Pelvic Floor Exercises on Stress Urinary Incontinence in Postnatal Women

this study will investigate effect of hip strengthening exercises and pelvic floor exercises on stress urinary incontinence in postnatal women. Clinical practice guidelines recommend PFMT as the first-line treatment for female SUI . Also, it has been speculated that the hip muscles are involved in the continence mechanism and that their deficiency could destabilize the normal function of the system. The addition of hip muscle exercises, regardless of PFM contractions, aimed to improve muscular condition for the motor or synergic strategies in PFM contraction. Secondary effects of these techniques, such as the influence of passive lumbar rotational mobilization in improving hip flexor strength, have been of high interest in physiotherapy in general

Study Overview

• Status: Active, not recruiting
• Conditions: Stress Urinary Incontinence
• Intervention / Treatment: Other: expremental pre and post test

• Study Type: Interventional
• Enrollment (Actual): 120
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Egypt
  • Cairo, Egypt
    • Mai Mohamed Sherif Mohamed Hassan

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Adult
• Accepts Healthy Volunteers: Yes

Description

Inclusion Criteria:

1. Their ages will be ranged from 30 to 35 years old.
2. Their BMI will not exceed 35 Kg/m2.
3. All patients will be multipara women.
4. Their deliveries were normal vaginal delivery.
5. All patients will be diagnosed by gynecologist as mild or moderate degree of SUI.
6. All patients will have the same medical treatment and free from any pathological conditions that might affect the result.

Exclusion Criteria:

1. Recurrent urinary tract infections.
2. Hypertension.
3. Diabetes mellitus.
4. Intra uterine device.
5. Hysterectomy.

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Treatment
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: Single

Number of Arms

4

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: control group no intervention; no intervention for 3 months with assessment for maximum vaginal squeeze pre and post experiment using bio feedback device and urinary distress inventory UDI-6 short form.	Other: expremental pre and post test; effect of strengthening exercise of combined hip strengthening exercises and pelvic floor exercises
Experimental: study group hip muscles strengthening exercise.; hip muscles exercises (hip abductors, adductors and gluteus maximus) for 3 months with assessment for maximum vaginal squeeze pre and post experiment using bio feedback device and urinary distress inventory UDI-6 short form.	Other: expremental pre and post test; effect of strengthening exercise of combined hip strengthening exercises and pelvic floor exercises
Experimental: study group hip muscles strengthening exercise combined with pelvic floor muscles exercise.; hip muscles exercises (hip abductors, adductors and gluteus maximus) combined with pelvic floor muscles exercises for 3 months with assessment for maximum vaginal squeeze pre and post experiment using bio feedback device and urinary distress inventory UDI-6 short form.	Other: expremental pre and post test; effect of strengthening exercise of combined hip strengthening exercises and pelvic floor exercises
Experimental: study group pelvic floor muscles exercise.; pelvic floor muscles exercises for 3 months with assessment for maximum vaginal squeeze pre and post experiment using bio feedback device and urinary distress inventory UDI-6 short form.	Other: expremental pre and post test; effect of strengthening exercise of combined hip strengthening exercises and pelvic floor exercises

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
hip muscles strengthening exercise.	measure the muscle power and endurance for pelvic floor muscles by using bio feedback device to measure maximum vaginal squeeze	3 months

Collaborators and Investigators

• Sponsor: Cairo University

Study record dates

Study Major Dates

• Study Start (Actual): February 20, 2023
• Primary Completion (Actual): August 25, 2023
• Study Completion (Estimated): April 20, 2024

Study Registration Dates

• First Submitted: January 27, 2024
• First Submitted That Met QC Criteria: February 17, 2024
• First Posted (Estimated): February 21, 2024

Study Record Updates

• Last Update Posted (Estimated): February 21, 2024
• Last Update Submitted That Met QC Criteria: February 17, 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: P.T.REC/012/003888

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No
• product manufactured in and exported from the U.S.: No