Effect of PEFLOW on PFM Function Recovery of Postpartum Women
2022年7月6日 更新者：Sun Xiuli、Peking University People's Hospital
Effect of Pelvic Floor Workout on Pelvic Floor Muscle Function Recovery of Postpartum Women
The purpose of this study is to explore the correlation between women's pelvic floor function with their overall state of bodily functions, including body composition, physical activity levels, trunk muscle endurance, body posture, vaginal and gut microbes.
The main intervention of this study is a set of global training which Includes the strength, endurance, flexibility, stability and flexibility training on the diaphragm, abdominal, lower back, as well as pelvic floor muscles, on the basis Kegel training.
The primary destination of global training is to shorten the cycle of postpartum pelvic floor functional recovery, improve the effect of maternal training, and convenient in clinical promotion.
調査の概要
状態
募集
詳細な説明
Training for 2 times a week, for 12 weeks leading by a specific physiotherapist.The training intensity was evaluated by RPE self-induced fatigue scale.
研究の種類
介入
入学 (予想される)
260
段階
- 適用できない
連絡先と場所
このセクションには、調査を実施する担当者の連絡先の詳細と、この調査が実施されている場所に関する情報が記載されています。
研究連絡先
- 名前：Xiuli Sun, PHD
- 電話番号：010-88324354
- メール：sunxiuli03351@126.com
研究場所
-
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Beijing
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Beijing、Beijing、中国、100044
- 募集
- The Peking University People's Hospital
-
コンタクト：
- Hongmei ZHU, doctor
- 電話番号：010-88324354
- メール：1209304228@qq.com
-
-
参加基準
研究者は、適格基準と呼ばれる特定の説明に適合する人を探します。これらの基準のいくつかの例は、人の一般的な健康状態または以前の治療です。
適格基準
就学可能な年齢
18年～50年 (大人)
健康ボランティアの受け入れ
いいえ
受講資格のある性別
女性
説明
Inclusion Criteria:
- Newly born women within 42 days to 3 months after delivery, after the end of puerperium, initial postpartum review and pelvic floor professional outpatient screening, found that pelvic floor muscle strength decreased (Oxford Oxford muscle strength ≤ grade 3);
- Healthy before pregnancy without pregnancy complications;
- Convenient transportation, familiar with the Internet;
- Be in good condition and be able to complete the exercise program;
- Complete clinical baseline data;
- Agreed to conduct the study and signed the informed consent.
Exclusion Criteria:
- Patients with stage Ⅲ and Ⅳ pelvic organ prolapse;
- Severe urinary incontinence;
- lochia, vaginal bleeding and pregnancy;
- Serious medical diseases, such as cardiac dysfunction who wear pacemakers, neurological diseases, cognitive impairment and other pathological conditions;
- Cannot complete the intervention program;
研究計画
このセクションでは、研究がどのように設計され、研究が何を測定しているかなど、研究計画の詳細を提供します。
研究はどのように設計されていますか？
デザインの詳細
- 主な目的：処理
- 割り当て：ランダム化
- 介入モデル：並列代入
- マスキング：なし（オープンラベル）
武器と介入
参加者グループ / アーム |
介入・治療 |
|---|---|
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アクティブコンパレータ：Routine education group
Routine education, including postpartum lifestyle, Kegel exercise and Knack method.
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Behavior guidance on pelvic floor muscle function training , including Knack method education , and Kegel exercise and other pelvic floor muscle training methods were taught to postpartum women.
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実験的：Global training group
Global training was added on the basis of routine education.
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Behavior guidance on pelvic floor muscle function training , including Knack method education , and Kegel exercise and other pelvic floor muscle training methods were taught to postpartum women.
Global training was added on the basis of control group.
The 30min-training plan is divided into 9 sections, of which, groups 1 to 8, each group takes about 3 minutes, the ninth group is cool down section, including stretching for 5 minutes and foam axis stretching for 1 minute.
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この研究は何を測定していますか？
主要な結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
|
Change from Baseline pelvic floor muscle strength at 6 months or after 12 weeks training
時間枠：Baseline; After 12 week training or 6th month postpartum
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The participants were instructed to contract the pelvic floor muscle correctly and allowed for one practice.
Three times of maximum contraction holding for five seconds with an interval resting of five seconds were performed, and the maximum value among three was recorded as the muscle strength of maximal voluntary contraction.
The result was recorded using the modified Oxford Grading scale, ranging from 0 to 5, which 0 represents no discernible pelvic floor muscle contraction and 5 represents a strong pelvic floor muscle contracion.
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Baseline; After 12 week training or 6th month postpartum
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Change from Baseline pelvic floor electrophysiology at 6 months or after 12 weeks training
時間枠：Baseline; After 12 week training or 6th month postpartum
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We use Urostym to measure pelvic floor muscle strength which can identity the strength between Type I muscle fibers and Type II muscle fibers.
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Baseline; After 12 week training or 6th month postpartum
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Change from Baseline pelvic floor muscle strength at 1 year postpartum
時間枠：Baseline; 1 year postpartum
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The participants were instructed to contract the pelvic floor muscle correctly and allowed for one practice.
Three times of maximum contraction holding for five seconds with an interval resting of five seconds were performed, and the maximum value among three was recorded as the muscle strength of maximal voluntary contraction.
The result was recorded using the modified Oxford Grading scale, ranging from 0 to 5, which 0 represents no discernible pelvic floor muscle contraction and 5 represents a strong pelvic floor muscle contracion.
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Baseline; 1 year postpartum
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Change from Baseline pelvic floor electrophysiology at 1 year postpartum
時間枠：Baseline; 1 year postpartum
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We use Urostym to measure pelvic floor muscle strength which can identity the strength between Type I muscle fibers and Type II muscle fibers.
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Baseline; 1 year postpartum
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二次結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
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The occurrence of SUI
時間枠：Baseline; After 12 week training or 6th month postpartum；1 year follow-up
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SUI is defined by SUI symptoms or a positive result of the stress test.
Before the stress test, participants are suggested to keep fully bladder.
Positive result of the stress test is defined as involuntarily urinary leakage when asked to cough in the lithotomy position.
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Baseline; After 12 week training or 6th month postpartum；1 year follow-up
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Change from Pelvic floor ultrasound indicators
時間枠：Baseline; After 12 week training or 6th month postpartum；1 year follow-up
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LAM thickness, diameter of the levator hiatus and levator hiatus area
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Baseline; After 12 week training or 6th month postpartum；1 year follow-up
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Change from Pelvic Organ Prolapse Quantitation
時間枠：Baseline; After 12 week training or 6th month postpartum；1 year follow-up
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Pelvic Organ Prolapse Quantitation is measured by callipers
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Baseline; After 12 week training or 6th month postpartum；1 year follow-up
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Change from Physical activity levels
時間枠：Baseline; After 12 week training or 6th month postpartum；1 year follow-up
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We use International Physical Activity Questionnaire score to measure the overall physical activity level during postpartum period.
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Baseline; After 12 week training or 6th month postpartum；1 year follow-up
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Change from pelvic sagittal rotation degree
時間枠：Baseline; After 12 week training or 6th month postpartum；1 year follow-up
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The quantitative measurement of pelvic sagittal rotation degree on X-ray was analyzed which includes the pelvic tilt angle , the sacral slope angle, the difference of sacral slope and pelvic tilt, the ratio of the pelvic tilt angle to the sacral slope angle, the ratio of the pelvic tilt angle to the pelvic incidence angle and sacral-femoral distance.
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Baseline; After 12 week training or 6th month postpartum；1 year follow-up
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Change from body composition
時間枠：Baseline; After 12 week training or 6th month postpartum；1 year follow-up
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Body composition analysis is measured which mainly includes Body Mass Index（BMI）based on height and weight in kg/m^2.
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Baseline; After 12 week training or 6th month postpartum；1 year follow-up
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Change from body strength
時間枠：Baseline; After 12 week training or 6th month postpartum；1 year follow-up
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Hand grip strength and trunk endurance are measured to describe body strength.
Hand grip strength was measured by JAMAR Plus+ grip gauge.
The measurement accuracy is 0.1kg.
The participants should not have visible hand defects.
The grip gauge should be adjusted before measurement.
When the paticipants holds the grip gauge, the second knuckle of the index finger should be at 90 degrees.
At the same time, mark the best position of each hand on the grip meter.
Before measurement, the participants should remove wrist jewelry to avoid injury.
And the left and right hand are measured alternately for 3 times.
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Baseline; After 12 week training or 6th month postpartum；1 year follow-up
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Change from Pelvic Floor Distress Inventory（PFDI-20）Questionnaire Score
時間枠：Baseline; After 12 week training or 6th month postpartum；1 year follow-up
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The Pelvic Floor Distress Inventory Questionnaire-20 (PFDI-20) is the short-form version of the Pelvic Floor Distress Inventory (PFDI).Since it is comprised of the UDI-6, POPDI-6, and the CRADI-8, the PFDI-20 includes 20 questions.The scale scores are found individually by calculating the mean value of their corresponding questions and then multiplying by 25 to obtain a value that ranges from 0 to 100.The sum of the 3 scales are added together to get the PFDI-20 summary score, which ranges from 0 to 300.
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Baseline; After 12 week training or 6th month postpartum；1 year follow-up
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Change from PFIQ-7 Questionnaire Score
時間枠：Baseline; After 12 week training or 6th month postpartum；1 year follow-up
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The Pelvic Floor Impact Questionnaire-7 (PFIQ-7) is a shortened, less comprehensive version of the Pelvic Floor Impact Questionnaire (PFIQ).To get scale scores, the mean of each of the 3 scales is individually calculated, which ranges from 0-3, this number is then multiplied by 100 and then divided by 3.The scale scores are then added together to get the total PFIQ-7 score, which ranges from 0-300.
A lower score means there is a lesser effect on quality of life.
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Baseline; After 12 week training or 6th month postpartum；1 year follow-up
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Change from FSFI-6 Questionnaire Score
時間枠：Baseline; After 12 week training or 6th month postpartum；1 year follow-up
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The 6-item Female Sexual Function Index (FSFI) is a short form of the original 19-item FSFI that measures sexual function in women.It comprises six domains: desire, arousal, lubrication, orgasm, satisfaction, and pain.
Desire and satisfaction items are rated on a 5-point Likert scale, ranging from 1 to 5, and the other items are rated on a 6-point Likert scale, ranging from 0 to 5. Total scores range from 2 to 30, with lower scores indicating worse sexual functioning.
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Baseline; After 12 week training or 6th month postpartum；1 year follow-up
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Change from the Pittsburgh Sleep Quality Index (PSQI) Score
時間枠：Baseline; After 12 week training or 6th month postpartum；1 year follow-up
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The Pittsburgh Sleep Quality Index (PSQI) is a self-rated questionnaire which assesses sleep quality and disturbances over a 1-month time interval.
Nineteen individual items generate seven "component" scores: subjective sleep quality, sleep latency, sleep duration, habitual sleep efficiency, sleep disturbances, use of sleeping medication, and daytime dysfunction.
The sum of scores for these seven components yields one global score.
The 18 items consist of 7 components, and each component is scored according to the grade of 0 ~ 3. The cumulative score of each component is the total score of PSQI, and the total score range is 0~2l.
The higher the score, the worse the sleep quality.
It takes 5 to 10 minutes for the participants to complete the question.
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Baseline; After 12 week training or 6th month postpartum；1 year follow-up
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出版物と役立つリンク
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研究記録日
これらの日付は、ClinicalTrials.gov への研究記録と要約結果の提出の進捗状況を追跡します。研究記録と報告された結果は、国立医学図書館 (NLM) によって審査され、公開 Web サイトに掲載される前に、特定の品質管理基準を満たしていることが確認されます。
主要日程の研究
研究開始 (実際)
2021年11月2日
一次修了 (予想される)
2023年6月30日
研究の完了 (予想される)
2023年6月30日
試験登録日
最初に提出
2021年12月1日
QC基準を満たした最初の提出物
2022年1月29日
最初の投稿 (実際)
2022年2月1日
学習記録の更新
投稿された最後の更新 (実際)
2022年7月11日
QC基準を満たした最後の更新が送信されました
2022年7月6日
最終確認日
2022年7月1日
詳しくは
本研究に関する用語
キーワード
その他の研究ID番号
- PKUPH6
個々の参加者データ (IPD) の計画
個々の参加者データ (IPD) を共有する予定はありますか?
はい
IPD プランの説明
(1)Date of disclosure of raw data: December 2023.
Data content: original recorded data and research proposals; (2) Ways or means of sharing IPDs, contact the researchers.
IPD 共有時間枠
2 years
IPD 共有アクセス基準
contact the researchers
IPD 共有サポート情報タイプ
- 研究プロトコル
- 臨床試験報告書（CSR）
医薬品およびデバイス情報、研究文書
米国FDA規制医薬品の研究
いいえ
米国FDA規制機器製品の研究
いいえ
米国で製造され、米国から輸出された製品。
いいえ
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