Effect of Global Postural Correction Exercises on Stress Urinary Incontinence During Pregnancy: A Randomized Controlled Trial

NCT04253925 | Completed DMC

• 1 other identifier: P.T.REC/012/00976
• Study Type: interventional
• Target: 40
• Locations: 0 countries
• Sites: N/A

Brief Summary

Background: One of the many consequences of pregnancy that may negatively affect a woman's quality of life is stress urinary incontinence caused by activities of daily living especially those associated with increased intraabdominal pressure. Objective: This study aimed to investigate the effect of global postural correction exercises on stress urinary incontinence among pregnant women. Participants and Methods: Forty primigravida women (aged between 30-39 years), with a single fetus, diagnosed with stress urinary incontinence participated in the study. Participants were assigned randomly into two groups: Study group (group A; n=20) and control group (group B; n=20). The participants were tested twice, before and after a 12-week period, during which group A received global postural correction exercises in addition to Kegel exercises, while group B performed only Kegel exercises. A perineometer was used to evaluate the change in vaginal squeeze pressure both before and after conducting the study. Urogenital Distress Inventory Questionnaire (UDI-6) was used to assess changes in incontinence severity symptoms.

Conditions

Stress Urinary Incontinence

Keywords

Kegel exercise; Postural Correction; Stress Urinary Incontinence

Outcome Measures

Primary Outcomes (1)

• strength of pelvic floor muscle

  change from Baseline strength of pelvic floor muscle at 12-weeks

Secondary Outcomes (1)

• Urogenital Distress Inventory Questionnaire

  change from Baseline Urogenital Distress Inventory Questionnaire (UDI-6) at 12-weeks

Study Arms (2)

global postural correction exercises

EXPERIMENTAL

global postural correction exercises in addition to Kegel exercises

Other: Kegel exercises

Kegel exercises

ACTIVE COMPARATOR

only Kegel exercises

Other: Kegel exercises

Interventions

Kegel exercises OTHER

global postural correction exercises

Kegel exercises; global postural correction exercises

Eligibility Criteria

• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• Forty primigravida women with singleton fetus in their third trimester and diagnosed with pregnancy related SUI participated in this study.
• All participants suffered from a mild to moderate grade of SUI identified by clinical grading (Ingelman-Sundberg) (Wlazlak et al., 2015) as follows: Grade I (mild), the leakage of urine occurs on straining; and grade II (moderate), the leakage occurs following abrupt movement

You may not qualify if:

• Females were excluded from the study if they had severe grade SUI; infections in their lower urinary tract; neurological conditions; gestational diabetes; and chronic chest diseases. Females who smoked, used any medications or medical/surgical interventions for SUI, or who suffered any other type of urinary incontinence were also excluded from the study

Sponsors & Collaborators

• Cairo University: lead

MeSH Terms

Conditions

Urinary Incontinence, Stress

Condition Hierarchy (Ancestors)

Urinary Incontinence; Urination Disorders; Urologic Diseases; Female Urogenital Diseases; Female Urogenital Diseases and Pregnancy Complications; Urogenital Diseases; Male Urogenital Diseases; Lower Urinary Tract Symptoms; Urological Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: lecture of biomechanics

Study Record Dates

• First Submitted: January 31, 2020
• First Posted: February 5, 2020
• Study Start: January 1, 2017
• Primary Completion: January 2, 2018
• Study Completion: December 1, 2018
• Last Updated: February 5, 2020

Record last verified: 2020-01