- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT06705283
Yoga and Vibration Training for Stress Urinary Incontinence in Women
Effects Of Yoga And Whole Body Vibration Training On Women With Stress Urinary Incontinence
This study aimed to compare the effects of yoga and Whole Body Vibration Training on pelvic floor muscle strength, severity of urinary symptoms and UI-related quality of life in women with UI.
The intervention period for the study was determined as 6 weeks. It has been decided that yoga practice will be done 3 times a week for 45 minutes, and whole body vibration training will be done for 45-55 minutes. The home exercise group will perform the planned exercise protocol every day for 6 weeks.
The results of the study will be evaluated by statistical analysis as a result of the interventions and evaluations.
Study Overview
Status
Conditions
Study Type
Enrollment (Estimated)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: Pinar Yasar, MSc
- Phone Number: +90 535 014 53 40
- Email: pinarergoz@gmail.com
Study Locations
-
-
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Isparta, Turkey, 32100
- Recruiting
- Suleyman Demirel University
-
Contact:
- Pinar Yasar, MsC
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-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Between the ages of 20-60,
- patients with SUI or Mix UI with a predominant SUI component,
- patients who have not received treatment with any physical therapy modality in the last 3 months,
- patients who signed the informed consent form.
Exclusion Criteria:
- Those with neurological diseases that may cause incontinence
- Those with prolapse
- Those using intrauterine devices
- Obesity (BMI >30)
- Patients with serious systemic diseases that prevent them from exercising (Cardiovascular disease, COPD, CVO and/or cancer)
- Patients with pure urge or mixed UI with a predominant urge component
- Patients with a history of thrombosis
- Patients who engage in high-intensity sports activities for at least half an hour at least twice a week (tennis, aerobic exercise, running, exercises with body weight).
- Patients with neurological or vestibular disease that may cause balance disorders
- Patients with grade 3 or 4 knee and/or hip osteoarthritis
- Patients with a history of knee and/or hip joint replacement surgery
- Patients with kidney or gallbladder stones
- Patients with acute disc herniation or spondylolisthesis
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: yoga group
This is a group where yoga and home exercise (pelvic floor muscle training) will be done together.
|
The intervention period for the study was determined as 6 weeks. It has been decided that yoga practice will be done 3 times a week for 45 minutes. Poses to be practiced in the yoga group:
|
|
Experimental: whole body vibration training (WBVT) group
This is a group where whole body vibration training and home exercise (pelvic floor muscle training) will be done together.
|
A total of 40-45 minutes of training was planned for WBVT, including warm-up (10 minutes), active phase (25-30 minutes) and cooling phase (5 minutes).
|
|
Active Comparator: home exercise group
This is a group where pelvic floor muscle training will be done.
|
Pelvic floor muscle training will be done in the home exercise group.
This training will be done in the form of slow and fast contractions of the pelvic floor muscles in supine, chin up, sitting, squat and standing positions.
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
pelvic floor muscle strength test
Time Frame: 6 weeks
|
Pelvic floor muscle strength evaluation will be performed with a perineal EMG biofeedback device with a vaginal probe.
After the pressure probe is inserted into the vagina, the patient will be asked to contract the pelvic floor muscles.
Contractions will be repeated 3 times and averaged.
The obtained value will be recorded in cmH2O.
|
6 weeks
|
|
Numerical Rating Scale
Time Frame: 6 weeks
|
It is used for severity of urinary incontinence.
The participant was asked "How much urine do you think you leak?"
The question will be asked and the student will be asked to make a mark on the chart that scores between 0-10 points.0
means no urine leakage, 10 means a lot of urine leakage.
|
6 weeks
|
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International Consultation of Incontinence Society-Short Form
Time Frame: 6 weeks
|
The scale addresses the frequency of UI and how much UI affects a person's life.
There are a total of 4 questions, 3 of which are included in the scoring.
A total of 0-21 points are given (0: no leakage, 1-5: mild, 6-12: moderate, 13-18: severe, 21: serious urine leakage).
As the score increases, the severity of UI and the impact on quality of life increase.
|
6 weeks
|
|
1 hour pad test
Time Frame: 6 weeks
|
• Pad test is an easy-to-perform test that determines the severity of urine leakage objectively. During the implementation of this test, the protocol established by the International Continence Society will be taken as basis. The steps of the protocol are as follows: 0. min: The weight of the clean pad is weighed. It is given to the patient. After wearing the pad, the patient is asked to drink 500 ml of water in a short time. 30 min: walking and climbing stairs 45th minute: Coughing 10 times, sitting down and standing up 10 times, picking up something from the ground 10 times, jumping 10 times, washing hands under running water for 1 minute, running for 1 minute. 60th minute: Weighing the pad taken from the patient again. After the evaluation steps are completed, the amount of urine leakage is calculated by subtracting the weight of the clean pad from the weight of the used pad. |
6 weeks
|
|
Incontinence Impact Questionnaire-7
Time Frame: 6 weeks
|
There are 7 items in the scale.
Items are scored between 0-3, resulting in a total score between 0-21.
It is understood that as the score obtained from the scale increases, the severity of UI complaints and quality of life decrease.
|
6 weeks
|
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Urogenital Distress Inventory-6
Time Frame: 6 weeks
|
It consists of 6 questions.
In the scoring of the scale, there are options for each item: 0: not at all, 1: slightly, 2: moderately, 3: very much.
Minimum 0 - maximum 18 points can be obtained from UDI-6.
The score is determined by converting the points received into a percentage.
An increase in the score obtained from the scale indicates that the level of quality of life is deteriorating.
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6 weeks
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Collaborators and Investigators
Sponsor
Investigators
- Study Director: Zeliha Baskurt, Prof, Suleyman Demirel University
Publications and helpful links
General Publications
- Abrams P, Cardozo L, Fall M, Griffiths D, Rosier P, Ulmsten U, Van Kerrebroeck P, Victor A, Wein A; Standardisation Sub-Committee of the International Continence Society. The standardisation of terminology in lower urinary tract function: report from the standardisation sub-committee of the International Continence Society. Urology. 2003 Jan;61(1):37-49. doi: 10.1016/s0090-4295(02)02243-4. No abstract available.
- Shin DC, Shin SH, Lee MM, Lee KJ, Song CH. Pelvic floor muscle training for urinary incontinence in female stroke patients: a randomized, controlled and blinded trial. Clin Rehabil. 2016 Mar;30(3):259-67. doi: 10.1177/0269215515578695. Epub 2015 Apr 10.
- Dumoulin C, Cacciari LP, Hay-Smith EJC. Pelvic floor muscle training versus no treatment, or inactive control treatments, for urinary incontinence in women. Cochrane Database Syst Rev. 2018 Oct 4;10(10):CD005654. doi: 10.1002/14651858.CD005654.pub4.
- Rocha F, Carvalho J, Jorge Natal R, Viana R. Evaluation of the pelvic floor muscles training in older women with urinary incontinence: a systematic review. Porto Biomed J. 2018 Jul 18;3(2):e9. doi: 10.1016/j.pbj.0000000000000009. eCollection 2018 Oct.
- Bo K, Nygaard IE. Is Physical Activity Good or Bad for the Female Pelvic Floor? A Narrative Review. Sports Med. 2020 Mar;50(3):471-484. doi: 10.1007/s40279-019-01243-1.
- Ghaderi F, Kharaji G, Hajebrahimi S, Pashazadeh F, Berghmans B, Pourmehr HS. Physiotherapy in Patients with Stress Urinary Incontinence: A Systematic Review and Meta-analysis. Urol Res Pract. 2023 Sep;49(5):293-306. doi: 10.5152/tud.2023.23018.
- Krhut J, Zachoval R, Smith PP, Rosier PF, Valansky L, Martan A, Zvara P. Pad weight testing in the evaluation of urinary incontinence. Neurourol Urodyn. 2014 Jun;33(5):507-10. doi: 10.1002/nau.22436. Epub 2013 Jun 24.
- Cam C, Sakalli M, Ay P, Cam M, Karateke A. Validation of the short forms of the incontinence impact questionnaire (IIQ-7) and the urogenital distress inventory (UDI-6) in a Turkish population. Neurourol Urodyn. 2007;26(1):129-33. doi: 10.1002/nau.20292.
- Yesil H, Akkoc Y, Karapolat H, Guler A, Sungur U, Evyapan D, Gokcay F. Reliability and validity of the Turkish version of the Danish Prostatic Symptom Score to assess lower urinary tract symptoms in stroke patients. NeuroRehabilitation. 2017;41(2):429-435. doi: 10.3233/NRE-162136.
- Farzinmehr A, Moezy A, Koohpayehzadeh J, Kashanian M. A Comparative Study of Whole Body Vibration Training and Pelvic Floor Muscle Training on Women's Stress Urinary Incontinence: Three- Month Follow- Up. J Family Reprod Health. 2015 Nov;9(4):147-54.
- Kannan P, Hsu WH, Suen WT, Chan LM, Assor A, Ho CM. Yoga and Pilates compared to pelvic floor muscle training for urinary incontinence in elderly women: A randomised controlled pilot trial. Complement Ther Clin Pract. 2022 Feb;46:101502. doi: 10.1016/j.ctcp.2021.101502. Epub 2021 Oct 26.
- Lopes-Souza P, Dionello CF, Bernardes-Oliveira CL, Moreira-Marconi E, Marchon RM, Teixeira-Silva Y, Paineiras-Domingos LL, da Cunha Sa-Caputo D, Xavier VL, Bergmann A, Klumb EM, Bernardo-Filho M. Effects of 12-week whole-body vibration exercise on fatigue, functional ability and quality of life in women with systemic lupus erythematosus: A randomized controlled trial. J Bodyw Mov Ther. 2021 Jul;27:191-199. doi: 10.1016/j.jbmt.2021.01.015. Epub 2021 Jan 27.
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Estimated)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimated)
Study Record Updates
Last Update Posted (Estimated)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
- Urogenital Diseases
- Mental Disorders
- Male Urogenital Diseases
- Urologic Diseases
- Female Urogenital Diseases
- Female Urogenital Diseases and Pregnancy Complications
- Urination Disorders
- Lower Urinary Tract Symptoms
- Urological Manifestations
- Behavioral Symptoms
- Elimination Disorders
- Urinary Incontinence
- Enuresis
- Urinary Incontinence, Stress
Other Study ID Numbers
- 78/30
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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