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- Klinische Studie NCT07784465
Effectiveness of Biofeedback-Assisted Pelvic Floor Muscle Training on Sexual Function and Quality of Life in Patient After Hysterectomy
Studienübersicht
Status
Bedingungen
Detaillierte Beschreibung
Hysterectomy, the surgical removal of the uterus, remains one of the most frequently performed gynecological procedures worldwide, indicated for both malignant and benign conditions.
Pelvic floor dysfunction (PFD) is a common complication after hysterectomy, manifesting as urinary incontinence, pelvic organ prolapse, and colorectal symptoms.
Conventional pelvic floor rehabilitation focuses on pelvic floor muscle training (PFMT), widely known as Kegel exercises, to strengthen weakened muscles and improve continence.
Studientyp
Einschreibung (Geschätzt)
Phase
- Unzutreffend
Kontakte und Standorte
Studienkontakt
- Name: Rana H Ghazy, B.Sc
- Telefonnummer: 00201024554438
- E-Mail: ranahosny1196@gmail.com
Studienorte
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Kafrelsheikh
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Kafr ash Shaykh, Kafrelsheikh, Ägypten, 33516
- Rekrutierung
- Kafrelsheikh University (Faculty of Physical Therapy)
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Kontakt:
- Rana H Ghazy, B.Sc
- Telefonnummer: 00201024554438
- E-Mail: ranahosny1196@gmail.com
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Teilnahmekriterien
Zulassungskriterien
Studienberechtigtes Alter
- Erwachsene
Akzeptiert gesunde Freiwillige
Beschreibung
Inclusion Criteria:
- Women aged 45-50 years.
- Body Mass Index (BMI) within the range of 18.5 to 29.9 kg/m².
- History of total or subtotal hysterectomy for benign conditions within the past 6 months.
- Abdominal hysterectomy.
- Women have menstrual cycle.
- Presenting with at least one symptom of pelvic floor dysfunction (e.g., stress urinary incontinence and genital prolapse).
- Willing to participate and provide informed consent.
Exclusion Criteria:
- Hysterectomy performed for malignant conditions.
- Prior pelvic floor rehabilitation.
- Neurological disorders affecting muscle control.
- Pelvic infection or current urinary tract infection (UTI).
- Inability to follow instructions or adhere to the program.
Studienplan
Wie ist die Studie aufgebaut?
Designdetails
- Hauptzweck: Behandlung
- Zuteilung: Zufällig
- Interventionsmodell: Parallele Zuordnung
- Maskierung: Keine (Offenes Etikett)
Waffen und Interventionen
Teilnehmergruppe / Arm |
Intervention / Behandlung |
|---|---|
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Experimental: Group A
Participants will undergo standard post hysterectomy care protocol with electromyographic (EMG)-based biofeedback guidance, using a vaginal sensor to provide real-time visual and/or auditory feedback on pelvic floor muscles contractions.
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Participants will undergo standard post hysterectomy care protocol with electromyographic (EMG)-based biofeedback guidance, using a vaginal sensor to provide real-time visual and/or auditory feedback on pelvic floor muscles contractions.
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Aktiver Komparator: Group B
Participants will perform undergo standard post hysterectomy core protocol without biofeedback assistance.
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Participants will perform undergo standard post hysterectomy core protocol without biofeedback assistance.
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Was misst die Studie?
Primäre Ergebnismessungen
Ergebnis Maßnahme |
Maßnahmenbeschreibung |
Zeitfenster |
|---|---|---|
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Female Sexual Function Index (FSFI)
Zeitfenster: 12 weeks of intervention
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Female sexual function will be assessed using the Female Sexual Function Index (FSFI), a validated 19-item questionnaire evaluating six domains: desire, arousal, lubrication, orgasm, satisfaction, and pain.
The total FSFI score ranges from 2 to 36, with higher scores indicating better sexual function.
The change in total FSFI score from baseline to the end of the 12-week intervention will be compared between the two study groups.
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12 weeks of intervention
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Sekundäre Ergebnismessungen
Ergebnis Maßnahme |
Maßnahmenbeschreibung |
Zeitfenster |
|---|---|---|
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Pelvic Floor Muscle Strength
Zeitfenster: 12 weeks of intervention
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Pelvic floor muscle strength will be assessed using an electromyographic (EMG)-based biofeedback device with an intravaginal sensor.
Peak EMG amplitude during maximal voluntary pelvic floor muscle contractions will be recorded as an objective measure of pelvic floor muscle strength.
The change from baseline to the end of the 12-week intervention will be compared between the two study groups.
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12 weeks of intervention
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Urinary Incontinence Severity
Zeitfenster: 12 weeks of intervention
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Urinary incontinence severity will be assessed using the International Consultation on Incontinence Questionnaire-Urinary Incontinence Short Form (ICIQ-UI SF).
The questionnaire evaluates the frequency and severity of urinary leakage and its impact on daily life.
Total scores range from 0 to 21, with higher scores indicating greater severity.
The change in ICIQ-UI SF score from baseline to the end of the 12-week intervention will be compared between the two study groups.
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12 weeks of intervention
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Pelvic Floor-Related Quality of Life
Zeitfenster: 12 weeks of intervention
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Pelvic floor-related quality of life will be assessed using the Pelvic Floor Impact Questionnaire-Short Form 7 (PFIQ-7).
The questionnaire assesses the impact of urinary, colorectal, and pelvic organ prolapse symptoms on daily activities and quality of life.
Scores range from 0 to 300, with higher scores indicating greater negative impact on quality of life.
The change in PFIQ-7 score from baseline to the end of the 12-week intervention will be compared between the two study groups.
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12 weeks of intervention
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Pelvic Organ Prolapse Severity
Zeitfenster: 12 weeks of intervention
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Pelvic organ prolapse severity will be assessed using the Pelvic Organ Prolapse Quantification (POP-Q) system.
POP-Q measurements will be performed at baseline and after the 12-week intervention to objectively assess changes in pelvic organ support and prolapse stage.
Changes in POP-Q measurements and prolapse stage will be compared between the two study groups.
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12 weeks of intervention
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Mitarbeiter und Ermittler
Sponsor
Studienaufzeichnungsdaten
Haupttermine studieren
Studienbeginn (Tatsächlich)
Primärer Abschluss (Geschätzt)
Studienabschluss (Geschätzt)
Studienanmeldedaten
Zuerst eingereicht
Zuerst eingereicht, das die QC-Kriterien erfüllt hat
Zuerst gepostet (Tatsächlich)
Studienaufzeichnungsaktualisierungen
Letztes Update gepostet (Tatsächlich)
Letztes eingereichtes Update, das die QC-Kriterien erfüllt
Zuletzt verifiziert
Mehr Informationen
Begriffe im Zusammenhang mit dieser Studie
Zusätzliche relevante MeSH-Bedingungen
Andere Studien-ID-Nummern
- KFSIRB200-871
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IPD-Sharing-Zeitrahmen
IPD-Sharing-Zugriffskriterien
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