Effectiveness of Telerehabilitation on Pelvic Floor Dysfunction at Postpartum Woman

Evaluation of the Effectiveness of Telerehabilitation on Pelvic Floor Dysfunction in Postpartum Women: A Single-Blind Randomised Controlled Trial

These events are largely due to pelvic floor dysfunction that develops after pregnancy. Kegel exercises and core stabilisation exercises performed in the postpartum period are important in preventing pelvic floor dysfunction. However, considering the mother's adaptation process to both the baby and her new life in the postpartum period, there may be problems with exercise compliance. Increasing exercise compliance through telerehabilitation can be effective in preventing pelvic floor dysfunction and improving women's quality of life.

Study Overview

• Status: Recruiting
• Conditions: Postpartum Pelvic Floor Function and Symptoms
• Intervention / Treatment: Other: Pelvic floor exercises with telerehabilitation; Other: Pelvic floor exercises without telerehabilitation

• Study Type: Interventional
• Enrollment (Estimated): 60
• Phase: Not Applicable

Contacts and Locations

• Study Contact: Name: Ayse Naz Kalem Ozgen, Specialist; Phone Number: +90 0312 797 00 00; Email: kalemnaz@gmail.com

Study Locations

• Turkey (Türkiye)
  • Yenimahalle
    • Ankara, Yenimahalle, Turkey (Türkiye), 06010
      • Recruiting
      • Ankara Etlik City Hospital
      • Contact: Ayşe Naz Kalem Özgen; Phone Number: +90 0312 797 00 00; Email: kalemnaz@gmail.com

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Adult
• Accepts Healthy Volunteers: No

Description

Inclusion Criteria:

1. Aged between 18 and 45
2. Primiparous women
3. Term vaginal delivery
4. 6 weeks postpartum
5. Willingness to participate in the study

Exclusion Criteria:

1. Presence of faecal or urinary incontinence prior to pregnancy
2. Use of assisted delivery devices (vacuum, forceps)
3. Presence of neurological disease
4. Presence of psychiatric illness or cognitive problems that make it difficult to answer questions
5. Caesarean section delivery
6. History of diabetes mellitus
7. Perineal rupture

Study Plan

How is the study designed?

Design Details

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

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Telerehabilitation group	Other: Pelvic floor exercises with telerehabilitation; Patients in the telerehabilitation group will be assigned the same 8-week exercise programme as those in the conventional group to be carried out at home. Unlike the conventional group, patients in the telerehabilitation group will be contacted by telephone each week throughout the exercise programme to check their adherence to the programme, to ask if they have encountered any problems with the exercise programme, and to answer any questions they may have.
Active Comparator: Conventional group	Other: Pelvic floor exercises without telerehabilitation; An 8-week exercise programme consisting of 45-minute Kegel exercises and core stabilisation exercises per day will be provided for implementation at home in the conventional group.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Pelvic floor muscle strength assessment	Pelvic floor muscle strength assessment using the SineBravo 2-channel EMG Biofeedback device	Before exercises programme and 8th week of exercises programme

Secondary Outcome Measures

Outcome Measure	Time Frame
Measurement of the distance between the inferior edge of the pubic symphysis and the anteromedial edge of the puborectalis muscle using transperineal ultrasound	Before exercises programme and 8th week of exercises programme
Pelvic floor questionnaire for pregnant and postpartum women	Before exercises programme and 8th week of exercises programme
Female Sexual Function Index	Before exercises programme and 8th week of exercises programme

Collaborators and Investigators

• Sponsor: Ankara Etlik City Hospital

Study record dates

Study Major Dates

• Study Start (Actual): November 30, 2025
• Primary Completion (Estimated): May 9, 2026
• Study Completion (Estimated): May 9, 2026

Study Registration Dates

• First Submitted: November 13, 2025
• First Submitted That Met QC Criteria: November 13, 2025
• First Posted (Actual): November 14, 2025

Study Record Updates

• Last Update Posted (Actual): February 24, 2026
• Last Update Submitted That Met QC Criteria: February 22, 2026
• Last Verified: November 1, 2025

More Information

Terms related to this study

• Keywords: Telerehabilitation; Pelvic Floor Dysfunction; Postpartum Woman
• Additional Relevant MeSH Terms: Health Services Administration; Delivery of Health Care; Therapeutics; Patient Care; Health Services; Health Care Facilities Workforce and Services; Rehabilitation; Aftercare; Continuity of Patient Care; Telemedicine; Patient Care Management; Telerehabilitation
• Other Study ID Numbers: AEŞH-EK-2025-062

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No