Exercise-Based Sensorimotor Physiotherapy for Postpartum Pelvic Health and Functional Recovery
Effects of a 12-Week Exercise-Based Sensorimotor Physiotherapy Program on Postpartum Pelvic Health and Functional Recovery: A Stratified Randomized Controlled Trial
This study evaluated whether a 12-week exercise-based sensorimotor physiotherapy program could improve pelvic health and functional recovery in postpartum women. Participants were women aged 18-40 years who were between 6 weeks and 6 months after a singleton delivery. They were randomly assigned to either a sensorimotor physiotherapy group or a control group. The physiotherapy group received supervised exercises targeting pelvic floor activation, lumbopelvic motor control, sensory re-education, proprioceptive training, functional stabilization, and biofeedback-assisted training. The control group received standard postpartum education and home advice.
The main outcomes were pelvic motor control and perineal sensory function. Other outcomes included pelvic floor muscle strength, urinary symptoms, pelvic distress, core endurance, postural stability, pain intensity, and health-related quality of life. Outcomes were assessed at baseline, week 6, week 12, and week 24. The study aimed to determine whether structured sensorimotor physiotherapy provides greater benefits than standard postpartum advice and whether recovery patterns differ according to vaginal or cesarean delivery.
調査の概要
状態
条件
詳細な説明
This was a prospective, single-center, assessor-blinded, stratified, parallel-group randomized controlled trial conducted in postpartum women. The study was designed to evaluate the effects of a structured 12-week exercise-based sensorimotor physiotherapy program on postpartum pelvic health, lumbopelvic motor control, sensory function, and functional recovery.
Eligible postpartum women were stratified according to delivery mode, vaginal delivery or cesarean delivery, and then randomly allocated to either the Sensorimotor Physiotherapy Group or the Control Group. The intervention group received supervised individual physiotherapy sessions twice weekly for 12 weeks, together with a structured home exercise program. The intervention included pelvic floor activation, lumbopelvic motor control training, proprioceptive exercises, sensory re-education, functional stabilization, and surface electromyography-assisted biofeedback. The control group received standard postpartum education and general home advice.
Outcome assessments were performed at baseline, week 6, week 12, and week 24 by blinded assessors. The primary focus was to determine whether the sensorimotor physiotherapy program improved pelvic motor control and perineal sensory function compared with standard postpartum advice. Secondary outcomes were used to evaluate broader functional and patient-reported recovery, including pelvic floor strength, urinary symptoms, pelvic distress, core endurance, postural stability, pain intensity, and health-related quality of life. Delivery mode was examined as an exploratory factor that could influence recovery patterns.
研究の種類
入学 (実際)
段階
- 適用できない
連絡先と場所
研究場所
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Kayseri
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Kayseri、Kayseri、トルコ（Türkiye）、38130
- Kayseri University
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参加基準
適格基準
就学可能な年齢
- 大人
健康ボランティアの受け入れ
説明
Inclusion Criteria:
- Women aged 18-40 years.
- Postpartum women between 6 weeks and 6 months after delivery.
- Singleton delivery.
- Vaginal delivery or cesarean delivery.
- Ability to understand and perform the required assessment procedures.
- Ability to participate in the exercise-based intervention procedures.
- Provision of written informed consent before enrollment.
Exclusion Criteria:
- Third- or fourth-degree perineal tears.
- Pelvic organ prolapse stage II or higher according to the POP-Q classification.
- Active urinary tract infection or genital infection.
- Previous pelvic or abdominal surgery unrelated to cesarean delivery.
- Neurological conditions affecting lumbopelvic motor control.
- Musculoskeletal conditions affecting lumbopelvic motor control.
- Chronic pelvic pain syndromes.
- Psychiatric disorders limiting participation.
- Participation in structured physiotherapy or pelvic rehabilitation within the preceding 6 months.
研究計画
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：独身
武器と介入
参加者グループ / アーム |
介入・治療 |
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実験的：Exercise-Based Sensorimotor Physiotherapy Program
A 12-week physiotherapist-led exercise-based sensorimotor physiotherapy program delivered individually twice weekly for approximately 45 minutes per session.
The program included pelvic floor activation, diaphragmatic breathing, lumbopelvic motor control training, abdominal-pelvic floor synergy exercises, proprioceptive stimulation, tactile discrimination tasks, sensory re-education, functional stabilization, task-specific training, and surface electromyography-assisted biofeedback.
Participants also completed a structured home exercise program for 15-20 minutes per day, five days per week.
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A 12-week physiotherapist-led exercise-based sensorimotor physiotherapy program delivered individually twice weekly for approximately 45 minutes per session.
The program included pelvic floor activation, diaphragmatic breathing, lumbopelvic motor control training, abdominal-pelvic floor synergy exercises, proprioceptive training, tactile discrimination tasks, sensory re-education, functional stabilization, task-specific training, and surface electromyography-assisted biofeedback.
Participants also completed a structured home exercise program for 15-20 minutes per day, five days per week.
他の名前：
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他の：Standard Postpartum Education and Home Advice
A standard postpartum education and home advice program including information on postpartum anatomy, posture correction, bladder care, and general pelvic floor exercises.
Participants received a printed home exercise leaflet and two telephone contacts at weeks 4 and 8 to encourage continuation of general advice.
No supervised physiotherapy, individualized exercise progression, biofeedback, or structured sensorimotor training was provided.
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A standard postpartum education and home advice program including information on postpartum anatomy, posture correction, bladder care, and general pelvic floor exercises.
Participants received a printed home exercise leaflet and two telephone contacts at weeks 4 and 8 to encourage continuation of general advice.
No supervised physiotherapy, individualized exercise progression, biofeedback, or structured sensorimotor training was provided.
他の名前：
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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 |
|---|---|---|
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Change in Pelvic Motor Control Composite Score
時間枠：Baseline, week 6, week 12, and week 24
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Pelvic motor control was assessed using the Pelvic Motor Control Composite Score, an experimental composite index derived from surface electromyography-based parameters including normalized root mean square amplitude, onset latency, relaxation time, and contraction intermittency.
Higher scores indicate better lumbopelvic motor control.
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Baseline, week 6, week 12, and week 24
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Change in Perineal Sensory Function
時間枠：Baseline, week 6, week 12, and week 24
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Perineal sensory function was assessed using pressure detection threshold measured with a calibrated handheld algometer and two-point discrimination measured with a precision caliper.
Lower values indicate better sensory responsiveness and tactile discrimination.
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Baseline, week 6, week 12, and week 24
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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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Change in Pelvic Floor Muscle Strength
時間枠：Baseline, week 6, week 12, and week 24
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Pelvic floor muscle strength was assessed using the Modified Oxford Scale and the PERFECT scheme.
Higher scores indicate greater pelvic floor muscle strength and function.
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Baseline, week 6, week 12, and week 24
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Change in Urinary Incontinence Severity
時間枠：Baseline, week 6, week 12, and week 24
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Urinary incontinence severity was assessed using the International Consultation on Incontinence Questionnaire-Urinary Incontinence Short Form.
Higher scores indicate greater urinary incontinence severity.
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Baseline, week 6, week 12, and week 24
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Change in Pelvic Floor Distress
時間枠：Baseline, week 6, week 12, and week 24
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Pelvic floor-related distress was assessed using the Pelvic Floor Distress Inventory-20.
Higher scores indicate greater pelvic floor symptom-related distress.
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Baseline, week 6, week 12, and week 24
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Change in Pelvic Floor Impact on Daily Function
時間枠：Baseline, week 6, week 12, and week 24
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The functional impact of pelvic floor symptoms was assessed using the Pelvic Floor Impact Questionnaire-7.
Higher scores indicate greater negative impact of pelvic floor symptoms on daily activities and quality of life.
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Baseline, week 6, week 12, and week 24
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Change in Core Endurance
時間枠：Baseline, week 6, week 12, and week 24
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Core endurance was assessed using prone plank and side plank duration.
Longer duration indicates better core endurance.
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Baseline, week 6, week 12, and week 24
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Change in Postural Stability
時間枠：Baseline, week 6, week 12, and week 24
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Postural stability was assessed using center-of-pressure displacement during stabilometry.
Lower center-of-pressure displacement or sway area indicates better postural stability.
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Baseline, week 6, week 12, and week 24
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Change in Pain Intensity
時間枠：Baseline, week 6, week 12, and week 24
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Pain intensity was assessed using a 0-10 visual analogue scale.
Higher scores indicate greater pain intensity.
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Baseline, week 6, week 12, and week 24
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Change in Health-Related Quality of Life
時間枠：Baseline, week 6, week 12, and week 24
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Health-related quality of life was assessed using the 12-item Short Form Health Survey version 2. Higher scores indicate better perceived health-related quality of life.
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Baseline, week 6, week 12, and week 24
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協力者と研究者
スポンサー
捜査官
- スタディチェア：Özge Çopuroğlu、Kayseri University
研究記録日
主要日程の研究
研究開始 (実際)
一次修了 (実際)
研究の完了 (実際)
試験登録日
最初に提出
QC基準を満たした最初の提出物
最初の投稿 (実際)
学習記録の更新
投稿された最後の更新 (実際)
QC基準を満たした最後の更新が送信されました
最終確認日
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キーワード
その他の研究ID番号
- KayseriUniversity111
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