Effect of Postural Correction Exercises on Pelvic Floor Dysfunction in Postmenopausal Osteoporotic Women
調査の概要
状態
詳細な説明
Osteoporosis is a progressive musculoskeletal disease that significantly affects postmenopausal women, leading not only to reduced bone density but also to altered spinal and pelvic alignment, which negatively impacts functional capacity and quality of life. These postural deviations are associated with changes in pelvic biomechanics and increased prevalence of pelvic floor muscle (PFM) dysfunction.
Pelvic floor dysfunction in postmenopausal women is a major health concern, manifesting as urinary incontinence, pelvic discomfort, and reduced core stability. Recent evidence suggests a strong relationship between pelvic tilt, lumbar lordosis, and pelvic floor muscle function, indicating that abnormal posture may compromise pelvic floor support and contribute to dysfunction and symptomatic severity. This highlights the biomechanical interdependence between posture and pelvic floor activity.
Emerging evidence suggests a potential association between osteoporosis and pelvic floor dysfunction (PFD). Studies have demonstrated that reduced bone strength and low bone mineral density are associated with a higher prevalence of pelvic floor symptoms among postmenopausal women.
Pelvic floor muscle training (PFMT) is widely recognized as a first-line conservative treatment for pelvic floor dysfunction (PFD) However, emerging evidence suggests that PFMT alone may not be sufficient to fully address symptoms in all individuals, especially when underlying biomechanical and postural factors are present. Recent studies have highlighted the importance of lumbopelvic alignment and postural control in optimizing pelvic floor muscle function, as alterations in spinal curvature and pelvic tilt can influence muscle activation and intra-abdominal pressure distribution.
Interventions that target postural correction may therefore play a crucial role in optimizing pelvic floor function. A clinical study demonstrated that posture correction therapy, including postural alignment and behavioral modifications, significantly influenced pelvic floor muscle activity as measured by electromyography in women suggesting that addressing postural deviations may enhance pelvic floor rehabilitation outcomes.
Furthermore, postural and stabilization exercises focusing on spinal alignment have been shown to improve pelvic floor muscle strength, core stability, urinary symptoms, and quality of life in women with functional pelvic disorders such as overactive bladder.
研究の種類
入学 (推定)
段階
- 適用できない
連絡先と場所
研究連絡先
- 名前：Mahitab M Yosri, PHD
- 電話番号：01222606996
- メール：mahitab.yosri@pt.cu.edu.eg
研究連絡先のバックアップ
- 名前：Alaa M Ebrahim, Master
- 電話番号：01090988989
- メール：Alaanegm95@icloud.com
研究場所
-
-
-
Giza、エジプト
- Cairo University
-
コンタクト：
- Alaa M Ebrahim, Master
- 電話番号：01090988989
- メール：Alaanegm95@icloud.com
-
-
参加基準
適格基準
就学可能な年齢
- 大人
- 高齢者
健康ボランティアの受け入れ
説明
Inclusion Criteria:
- Postmenopausal women with ages between 55 and 65 years.
- Their body mass index will not exceed 35 Kg/m2.
- All women have mild to moderate pelvic floor muscle dysfunction.
- All women were diagnosed with osteoporosis confirmed by Dual-energy X-ray Absorptiometry (DEXA) (T-score ≤ -2.5).
Exclusion Criteria:
- Women will be excluded if they have one or more of the following:
- Previous pelvic or abdominal surgery affecting pelvic floor function.
- Severe pelvic organ prolapse (Grade III or IV).
- Neurological disorders affecting pelvic floor or lower limb function.
- Severe musculoskeletal disorders limiting exercise participation.
- Current participation in pelvic floor rehabilitation programs during the last 6 months.
- Severe cardiovascular or respiratory conditions contraindicating exercise.
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 |
|---|---|
|
アクティブコンパレータ：Estrogen replacement therapy and general advice group
The participants will receive estrogen replacement therapy and general advice for 3 months
|
The participants will receive estrogen replacement therapy for 3 months to enhance postmenopausal symptoms and their quality of life
Postmenopausal women will be instructed to maintain a neutral spinal alignment during sitting, standing, and daily activities, avoid prolonged slouched sitting, and use supportive seating to encourage correct posture.
Light to moderate physical activity, such as daily walking, will be encouraged to reduce sedentary behavior and maintain overall physical function.
women will also receive guidance on healthy bowel and bladder habits, including avoiding straining during bowel movements and unnecessary frequent urination, as increased intra-abdominal pressure can worsen pelvic floor dysfunction.
|
|
実験的：Postural correction exercise program group
The participants will receive postural correction exercise program, in addition to estrogen replacement therapy and general advice for 3 months
|
The participants will receive estrogen replacement therapy for 3 months to enhance postmenopausal symptoms and their quality of life
Postmenopausal women will be instructed to maintain a neutral spinal alignment during sitting, standing, and daily activities, avoid prolonged slouched sitting, and use supportive seating to encourage correct posture.
Light to moderate physical activity, such as daily walking, will be encouraged to reduce sedentary behavior and maintain overall physical function.
women will also receive guidance on healthy bowel and bladder habits, including avoiding straining during bowel movements and unnecessary frequent urination, as increased intra-abdominal pressure can worsen pelvic floor dysfunction.
The participants will follow a structured postural correction exercise program, 3 times per week for 12 weeks, each session lasting 45-60 minutes.
|
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 |
|---|---|---|
|
Pelvic Floor Muscle Assessment
時間枠：12 weeks
|
Pelvic floor muscle function will be assessed using surface electromyographic (EMG) to measure muscle activation patterns.
For the measurement, women will be placed in a supine position with knees flexed.
A vaginal surface probe electrode will be gently inserted to record pelvic floor muscle (PFM) activity, and a reference electrode will be placed on a bony landmark such as the anterior superior iliac spine to reduce electrical noise.
Participants will be instructed to contract their pelvic floor muscles as if stopping urine flow, holding each contraction for 5 seconds, followed by 10 seconds of relaxation.
Each contraction will be repeated three times, and the highest root mean square RMS amplitude of the three contractions will be used for analysis.
EMG signals will be processed to calculate RMS amplitude and normalized to maximum voluntary contraction for inter-individual comparisons
|
12 weeks
|
|
Kyphotic angle
時間枠：12 weeks
|
Formetric System will be used to evaluate spinal alignment parameters including thoracic kyphosis before and after treatment The system is a non-invasive, radiation-free optical imaging technology that projects a light grid onto the back surface and captures the reflected pattern using a high-resolution digital camera.
Using surface topography, the software reconstructs a three-dimensional model of the back allowing precise calculation of spinal angles.
Thoracic kyphosis angle is measured as the angle between tangent lines at the upper and lower thoracic vertebrae.
|
12 weeks
|
|
Lumbar lordotic angle
時間枠：12 weeks
|
Formetric System will be used to evaluate spinal alignment parameters including lumbar lordosis before and after treatment The system is a non-invasive, radiation-free optical imaging technology that projects a light grid onto the back surface and captures the reflected pattern using a high-resolution digital camera.
Using surface topography, the software reconstructs a three-dimensional model of the back allowing precise calculation of spinal angles.
Lumbar lordosis angle as the angle between tangent lines at the upper lumbar and sacral vertebrae.
|
12 weeks
|
二次結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
|
Menopause-specific quality of life questionnaire
時間枠：12 Weeks
|
The MENQOL is self-administered and consists of a total of 29 items in a Likert-scale format.
Each item assesses the impact of one of four domains of menopausal symptoms, as experienced over the last month: vasomotor (items 1-3), psychosocial (items 4-10), physical (items 11-26), and sexual (items 27-29).
Items pertaining to a specific symptom are rated as present or not present, and if present, how bothersome on a zero (not bothersome) to six (extremely bothersome) scale
|
12 Weeks
|
協力者と研究者
スポンサー
捜査官
- スタディディレクター：Hatem M Hasan, As.professor、National Research Center
- スタディチェア：Mohamed A Awad, Professor、Cairo University
研究記録日
主要日程の研究
研究開始 (推定)
一次修了 (推定)
研究の完了 (推定)
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
詳しくは
この情報は、Web サイト clinicaltrials.gov から変更なしで直接取得したものです。研究の詳細を変更、削除、または更新するリクエストがある場合は、register@clinicaltrials.gov。 までご連絡ください。 clinicaltrials.gov に変更が加えられるとすぐに、ウェブサイトでも自動的に更新されます。