Effectiveness of Video Conferencing in Urinary Incontinence

NCT05154760 | Completed

• 1 other identifier: urinary incontinence
• Study Type: interventional
• Target: 32
• Locations: 1 country
• Sites: 1

Brief Summary

Telerehabilitation (TR) refers to the provision of rehabilitation services through information and communication technologies. The most widely used of these technologies are applications such as telephone and video conferencing. Urinary incontinence is defined as involuntary urinary incontinence ). This condition, which affects both sexes, is more common in women. Urinary incontinence is caused by dysfunction in the bladder and pelvic floor muscles in women during menopause, childbirth, or pregnancy. Urinary incontinence is a health problem that significantly affects people's social interactions, interests, and psychosocial status. It has been shown that even mild incontinence complaints cause a decrease in the quality of life in women. Pelvic floor muscle training is one of the conservative treatment methods used in the treatment of urinary incontinence.Adding breathing exercises and deep abdominal muscle strengthening exercises to pelvic floor muscle training may be beneficial in patients with urinary incontinence. In patients with urinary incontinence, women who are in regular communication with the supervisor during pelvic floor muscle training are more likely to gain higher from the program. However, it has not been shown that group physiotherapy is less effective than physiotherapy administered individually in reducing incontinence episodes. In the light of this information in the literature, our research hypothesis is that in patients with urinary incontinence, follow-up the pelvic floor muscle training, breathing exercise, and core exercise training with individually video conference method can have positive effects on patients' muscle strength, incontinence degree, quality of life, patient satisfaction, exercise adherence, and sexual function.

Conditions

Urinary Incontinence,Stress; Telerehabilitation; Pelvic Floor Muscle Training; Videoconferencing

Keywords

urinary incontinence; tele rehabilitation; video conferencing; pelvic floor muscle training

Outcome Measures

Primary Outcomes (6)

• Pelvic Floor Muscle Strength

  PERFECT scheme

  Baseline

• Pelvic Floor Muscle Strength Change

  PERFECT scheme

  end of the 4th week

• Pelvic Floor Muscle Strength

  PERFECT scheme

  end of the 8th week

• Pelvic Floor Muscle Strength change

  Surface Electromyography

  Baseline

• Pelvic Floor Muscle Strength change

  Surface Electromyography

  end of the 4th week

• Pelvic Floor Muscle Strength change

  Surface Electromyography

  end of the 8th week

Secondary Outcomes (28)

• Symptom Evaluation

  Baseline

• Symptom Evaluation

  end of the 4th week

• Symptom Evaluation

  end of the 8th week

• Symptom Evaluation

  Baseline

• Symptom Evaluation

  end of the 4th week

Study Arms (2)

one on one video conference

ACTIVE COMPARATOR

Pelvic floor muscle training, diaphragmatic breathing exercise, core strengthening exercise will continue for 8 weeks. Participants will be asked to practice the exercises at least 4 days in a week, and the program will be continued in the form of one on one interviews with video conference method once a week.

Other: Pelvic floor muscle training, diaphragmatic breathing exercise, core exercises

group videoconference

ACTIVE COMPARATOR

Pelvic floor muscle training, diaphragmatic breathing exercise, core strengthening exercise will continue for 8 weeks. Participants will be asked to practice the exercises at least 4 days in a week, and the program will be continued in the form of group interviews with video conference method once a week.

Other: Pelvic floor muscle training, diaphragmatic breathing exercise, core exercises

Interventions

Pelvic floor muscle training, diaphragmatic breathing exercise, core exercises OTHER

An exercise program consisting of pelvic floor muscle training, diaphragmatic breathing exercise and core exercises will be applied to the patients.

group videoconference; one on one video conference

Eligibility Criteria

• Age: 18 Years - 65 Years
• Sex: female
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• aged
• BMI 18-30 kg/m2
• Being diagnosed with stress incontinence or mixed incontinence (dominantly SUI)
• Mild or moderate incontinence (mild SUI; urinary incontinence with coughing, sneezing, laughing, or any strenuous activity. Moderate; urinary incontinence with carrying, pushing, lifting, walking, and any light physical activity)

You may not qualify if:

• Pregnancy
• Ongoing vulvovaginitis or urinary tract infection or malignancy
• Pelvic floor muscle strength is between 0-1 according to the Modified Oxford Scale,
• Previous surgery for SUI
• Problems with vision or inability to understand given commands
• Conservative therapy in the last 6 months

Sponsors & Collaborators

• Marmara University: lead

Study Sites (1)

Berivan Beril Kılıç

Istanbul, Turkey (Türkiye)

Location

Related Publications (27)

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  BACKGROUND

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  BACKGROUND

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  PMID: 39704322 DERIVED

MeSH Terms

Conditions

Urinary Incontinence, Stress; Urinary Incontinence

Condition Hierarchy (Ancestors)

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: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: September 24, 2021
• First Posted: December 13, 2021
• Study Start: November 30, 2021
• Primary Completion: February 1, 2023
• Study Completion: December 1, 2023
• Last Updated: March 25, 2024

Record last verified: 2022-09

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)