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Effectiveness of Biofeedback-Assisted Pelvic Floor Muscle Training on Sexual Function and Quality of Life in Patient After Hysterectomy
Studie Overzicht
Toestand
Conditie
Gedetailleerde beschrijving
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.
Studietype
Inschrijving (Geschat)
Fase
- Niet toepasbaar
Contacten en locaties
Studiecontact
- Naam: Rana H Ghazy, B.Sc
- Telefoonnummer: 00201024554438
- E-mail: ranahosny1196@gmail.com
Studie Locaties
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Kafrelsheikh
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Kafr ash Shaykh, Kafrelsheikh, Egypte, 33516
- Werving
- Kafrelsheikh University (Faculty of Physical Therapy)
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Contact:
- Rana H Ghazy, B.Sc
- Telefoonnummer: 00201024554438
- E-mail: ranahosny1196@gmail.com
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Deelname Criteria
Geschiktheidscriteria
Leeftijden die in aanmerking komen voor studie
- Volwassen
Accepteert gezonde vrijwilligers
Beschrijving
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.
Studie plan
Hoe is de studie opgezet?
Ontwerpdetails
- Primair doel: Behandeling
- Toewijzing: Gerandomiseerd
- Interventioneel model: Parallelle opdracht
- Masker: Geen (open label)
Wapens en interventies
Deelnemersgroep / Arm |
Interventie / Behandeling |
|---|---|
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Experimenteel: 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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Actieve vergelijker: 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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Wat meet het onderzoek?
Primaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
|---|---|---|
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Female Sexual Function Index (FSFI)
Tijdsspanne: 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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Secundaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
|---|---|---|
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Pelvic Floor Muscle Strength
Tijdsspanne: 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
Tijdsspanne: 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
Tijdsspanne: 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
Tijdsspanne: 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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Medewerkers en onderzoekers
Sponsor
Studie record data
Bestudeer belangrijke data
Studie start (Werkelijk)
Primaire voltooiing (Geschat)
Studie voltooiing (Geschat)
Studieregistratiedata
Eerst ingediend
Eerst ingediend dat voldeed aan de QC-criteria
Eerst geplaatst (Werkelijk)
Updates van studierecords
Laatste update geplaatst (Werkelijk)
Laatste update ingediend die voldeed aan QC-criteria
Laatst geverifieerd
Meer informatie
Termen gerelateerd aan deze studie
Aanvullende relevante MeSH-voorwaarden
Andere studie-ID-nummers
- KFSIRB200-871
Plan Individuele Deelnemersgegevens (IPD)
Bent u van plan om gegevens van individuele deelnemers (IPD) te delen?
Beschrijving IPD-plan
IPD-tijdsbestek voor delen
IPD-toegangscriteria voor delen
IPD delen Ondersteunend informatietype
- LEERPROTOCOOL
Informatie over medicijnen en apparaten, studiedocumenten
Bestudeert een door de Amerikaanse FDA gereguleerd geneesmiddel
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