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Exercise-Based Sensorimotor Physiotherapy for Postpartum Pelvic Health and Functional Recovery

2026年7月9日 更新者：Özge BAYKAN ÇOPUROĞLU

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.

研究概览

地位

完全的

条件

干预/治疗

详细说明

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.

研究类型

介入性

注册 (实际的)

160

阶段

  • 不适用

联系人和位置

本节提供了进行研究的人员的详细联系信息，以及有关进行该研究的地点的信息。

学习地点

参与标准

研究人员寻找符合特定描述的人，称为资格标准。这些标准的一些例子是一个人的一般健康状况或先前的治疗。

资格标准

适合学习的年龄

  • 成人

接受健康志愿者

不

描述

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.

学习计划

本节提供研究计划的详细信息，包括研究的设计方式和研究的衡量标准。

研究是如何设计的？

设计细节

  • 主要用途：治疗
  • 分配：随机化
  • 介入模型：并行分配
  • 屏蔽：单身的

武器和干预

参与者组/臂
干预/治疗
实验性的：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.
行为的：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 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.
其他名称：
  • Sensorimotor Physiotherapy
其他：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.
其他：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.
其他名称：
  • Standard Postpartum Advice

研究衡量的是什么？

主要结果指标

结果测量
措施说明
大体时间
Change in Pelvic Motor Control Composite Score
大体时间：Baseline, week 6, week 12, and week 24
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.
Baseline, week 6, week 12, and week 24
Change in Perineal Sensory Function
大体时间：Baseline, week 6, week 12, and week 24
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.
Baseline, week 6, week 12, and week 24

次要结果测量

结果测量
措施说明
大体时间
Change in Pelvic Floor Muscle Strength
大体时间：Baseline, week 6, week 12, and week 24
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.
Baseline, week 6, week 12, and week 24
Change in Urinary Incontinence Severity
大体时间：Baseline, week 6, week 12, and week 24
Urinary incontinence severity was assessed using the International Consultation on Incontinence Questionnaire-Urinary Incontinence Short Form. Higher scores indicate greater urinary incontinence severity.
Baseline, week 6, week 12, and week 24
Change in Pelvic Floor Distress
大体时间：Baseline, week 6, week 12, and week 24
Pelvic floor-related distress was assessed using the Pelvic Floor Distress Inventory-20. Higher scores indicate greater pelvic floor symptom-related distress.
Baseline, week 6, week 12, and week 24
Change in Pelvic Floor Impact on Daily Function
大体时间：Baseline, week 6, week 12, and week 24
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.
Baseline, week 6, week 12, and week 24
Change in Core Endurance
大体时间：Baseline, week 6, week 12, and week 24
Core endurance was assessed using prone plank and side plank duration. Longer duration indicates better core endurance.
Baseline, week 6, week 12, and week 24
Change in Postural Stability
大体时间：Baseline, week 6, week 12, and week 24
Postural stability was assessed using center-of-pressure displacement during stabilometry. Lower center-of-pressure displacement or sway area indicates better postural stability.
Baseline, week 6, week 12, and week 24
Change in Pain Intensity
大体时间：Baseline, week 6, week 12, and week 24
Pain intensity was assessed using a 0-10 visual analogue scale. Higher scores indicate greater pain intensity.
Baseline, week 6, week 12, and week 24
Change in Health-Related Quality of Life
大体时间：Baseline, week 6, week 12, and week 24
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.
Baseline, week 6, week 12, and week 24

合作者和调查者

在这里您可以找到参与这项研究的人员和组织。

赞助

Özge BAYKAN ÇOPUROĞLU

调查人员

  • 学习椅：Özge Çopuroğlu、Kayseri University

研究记录日期

这些日期跟踪向 ClinicalTrials.gov 提交研究记录和摘要结果的进度。研究记录和报告的结果由国家医学图书馆 (NLM) 审查，以确保它们在发布到公共网站之前符合特定的质量控制标准。

研究主要日期

学习开始 (实际的)

2024年3月1日

初级完成 (实际的)

2025年12月1日

研究完成 (实际的)

2026年3月1日

研究注册日期

首次提交

2026年7月9日

首先提交符合 QC 标准的

2026年7月9日

首次发布 (实际的)

2026年7月14日

研究记录更新

最后更新发布 (实际的)

2026年7月14日

上次提交的符合 QC 标准的更新

2026年7月9日

最后验证

2026年7月1日

更多信息

与本研究相关的术语

关键字

其他研究编号

  • KayseriUniversity111

计划个人参与者数据 (IPD)

计划共享个人参与者数据 (IPD)？

不

药物和器械信息、研究文件

研究美国 FDA 监管的药品

不

研究美国 FDA 监管的设备产品

不

此信息直接从 clinicaltrials.gov 网站检索，没有任何更改。如果您有任何更改、删除或更新研究详细信息的请求，请联系 register@clinicaltrials.gov. clinicaltrials.gov 上实施更改，我们的网站上也会自动更新.

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