Comparative Effects of Hypopressive and Transverses Abdominis Focused Core Training in Postpartum

June 8, 2026 updated by: Riphah International University

Comparative Effects of Hypopressive and Transverses Abdominis Focused Core Training on Urinary Incontinence, Pelvic Floor Function and Quality of Life in Postpartum

The study aims to compare the effectiveness of these two core training approaches in improving urinary incontinence, pelvic floor function, and quality of life in postpartum women.

Study Overview

Status

Recruiting

Conditions

Intervention / Treatment

Detailed Description

The primary outcomes of this study are urinary incontinence, pelvic floor function, and quality of life in postpartum women. These outcomes will be assessed using validated instruments: the International Consultation on Incontinence Questionnaire-Urinary Incontinence (ICIQ-UI) for evaluating the severity of urinary incontinence, the King's Health Questionnaire (KHQ) for assessing the impact on pelvic floor function and health-related quality of life, and the Incontinence Impact Questionnaire (IIQ-7) for measuring the broader impact of incontinence on daily activities and emotional well-being. Outcome measures will be measured at baseline and after 4 weeks. Data analysis will be done by SPSS version 25.

Study Type

Interventional

Enrollment (Estimated)

60

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

Study Locations

  • Pakistan
    • Punjab Province
      • Lahore, Punjab Province, Pakistan, 6400
        • Recruiting
        • Al-madawah rehabilitation clinic
        • Contact:
        • Contact:
        • Principal Investigator:
          • faiqa Qayyum, MSPT(WH)

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

Yes

Description

Inclusion Criteria:

  • Multiparous women with urinary incontinence
  • Who had undergone normal vaginal delivery
  • Free from any medical and gynecological risk factors and /or conditions
  • Stress urinary incontinence test is positive: Pad test

Exclusion Criteria:

  • Had neurological impairments or connective tissue disorders
  • Active urinary or vaginal infection in the past 3 months
  • Had known detrusor instability
  • Had undergone previous surgery to alleviate SUI
  • Had pelvic organ prolapse

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: Single

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: hypopressive training
Exercises were conducted in various postures to challenge the body differently and enhance muscular endurance
Other: hypopressive training
Frequency: 3 sessions/week under supervision Duration: 30-40 minutes/session For 6 weeks
Active Comparator: transverses abdominis focused core training
Teach correct pelvic floor and TrA activation; build foundational strength
Other: transverses abdominis focused core training
3 sessions/week under supervision Duration: 30-40 minutes/session For 6 weeks

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
International Consultation on Incontinence Questionnaire - Urinary Incontinence
Time Frame: 6th week
The tool is used for assessing urinary incontinence symptoms by measuring the frequency, severity, and impact of urinary leakage on quality of life. It includes specific questions related to how often leakage occurs, the amount of urine lost, and how these symptoms affect various aspects of daily life, providing a comprehensive evaluation of the individual's condition
6th week
King's Health Questionnaire
Time Frame: 6th week
The tool is used for evaluating the impact of urinary incontinence on the quality of life in women, offering a comprehensive understanding of how stress urinary incontinence (SUI) affects their physical, emotional, and social well-being. It is particularly relevant for postpartum women, as it captures the functional limitations and lifestyle disruptions caused by incontinence, making it a valuable instrument for assessing the broader effects of SUI on daily life.
6th week
Incontinence Impact Questionnaire
Time Frame: 6th week

The Incontinence Impact Questionnaire (IIQ) is a validated self-report tool designed to measure the impact of urinary incontinence on a woman's quality of life across physical, social, and emotional domains.30 items divided into four domains:

Physical activity (6 items), Travel (6 items), Social relationships (10 items), Emotional health (8 items)
6th week

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Riphah International University

Investigators

  • Principal Investigator: hina gul, PhD*, Riphah International University

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

General Publications

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)

October 1, 2025

Primary Completion (Estimated)

July 1, 2026

Study Completion (Estimated)

August 1, 2026

Study Registration Dates

First Submitted

May 4, 2026

First Submitted That Met QC Criteria

May 4, 2026

First Posted (Actual)

May 8, 2026

Study Record Updates

Last Update Posted (Actual)

June 9, 2026

Last Update Submitted That Met QC Criteria

June 8, 2026

Last Verified

June 1, 2026

More Information

Terms related to this study

Keywords

Additional Relevant MeSH Terms

Other Study ID Numbers

  • REC/RCR & AHS/25/0508

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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