The Effects of the Pelvic Floor and Abdominal Muscle Training on Urinary Incontinence

NCT05549193 | Completed

• 1 other identifier: 24074710-604.01.01-44
• Study Type: interventional
• Target: 16
• Locations: 1 country
• Sites: 1

Brief Summary

To investigate the effects of the pelvic floor and abdominal muscle training on the severity of incontinence in women with stress and mixed urinary incontinence.

Conditions

Urinary Incontinence

Keywords

Rectus Abdominus; Pelvic Floor Muscle Training; Stress Urinary Incontinence; Quality of Life; Biofeedback; Home Exercises

Outcome Measures

Primary Outcomes (1)

• Urinary Incontinence Severity

  A 24-hour pad test was used to assess and standardize the severity of UI. The patients were informed before the test. The patients were told to change their pads every 4-6 hours and put the pads in an airtight locked bag to prevent the urine from evaporating. Since the pads should be weighed immediately after the evaluation, they were asked to do the test 1 day before the evaluation. Pads that were used for 24 hours were requested in a mouth-locked bag. 1 unused pad of the same type was requested. Urinary incontinence was determined by measuring the weight of the pad with precision scales (Isolab Laborgerate GMBH, Germany) before and after 24 hours. As a result of the 24-hour pad test, 4-20 grams were defined as mild, 21-74 grams as moderate, and \> 75 grams as severe UI.

  6 weeks

Secondary Outcomes (6)

• Pelvic Floor Muscle Activity

  6 weeks

• Abdominal Muscles Strength

  6 weeks

• Quality of life about Urinary Incontinence

  6 weeks

• Urinary Incontinence Symptom severity

  6 weeks

• Existing pelvic floor dysfunction

  6 weeks

Study Arms (1)

Mild and Moderate-Severe Urinary Incontinence Group

EXPERIMENTAL

10 sets of pelvic floor muscle training and 2 sets of abdominal muscle strengthening training were given every day for 6 weeks. All analyzes were conducted at the beginning and end of the 6-week training. The same training program was applied to both groups ( Group 1 (mild urinary incontinence) and Group 2 (moderate-severe urinary incontinence), and the effects were compared according to the severity of incontinence.

Other: Exercises Training

Interventions

Exercises Training OTHER

Pelvic Floor Muscle Training: For slow contractions, it was asked to contract in 5 seconds gradually, wait at a maximum of 5 seconds and gradually relax in 5 seconds. For fast contractions, it was asked to contract at a maximum of 2 seconds and then to relax. 10 fast + 10 slow contractions were accepted as 1 set exercise. (10 sets x Every Day x 6 weeks) Transversus Abdominus: Patients were in the crook lying position and were asked to contract their abdominal muscles strongly and statically. 15 repetitions were carried out, each consisting of contraction for 10 s and relaxation for 20 s. 2 sets of 15 repetitions were done. Internal Obliquus Abdominus: Patients were in the crook lying position and were asked to contract their abdominal muscles strongly and statically and then try to touch the furthest point of their legs with their fingertips for 15 repetitions consisting of contraction for 10 s followed by relaxation for 20 s. The sequence was then repeated on the other leg.

Mild and Moderate-Severe Urinary Incontinence Group

Eligibility Criteria

• Age: 18 Years - 70 Years
• Gender Eligibility Details: Female patients with incontinence diagnoses were referred by the doctor. Gender identity is based on patients' self-representation and anatomical structures.
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Being female,
• Being 18 years of age or older
• Having been diagnosed of SUI and stress-predominant MUI after urodynamic evaluation by the urologist.

You may not qualify if:

• Currently taking medications for UI,
• Having urinary tract infection,
• Neurological disorders,
• Pelvic organ prolapse stage \>2,
• Pregnancy,
• a mental problem and/or
• been applied prior to physiotherapy for UI.

Sponsors & Collaborators

• Gazi University: lead

Study Sites (1)

Gazi University

Ankara, 06490, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Urinary Incontinence; Urinary Incontinence, Stress

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: NA
• Masking: NONE
• Purpose: SUPPORTIVE CARE
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Study Record Dates

• First Submitted: September 12, 2022
• First Posted: September 22, 2022
• Study Start: November 28, 2018
• Primary Completion: July 1, 2019
• Study Completion: July 1, 2019
• Last Updated: September 23, 2022

Record last verified: 2022-09

Locations

TU (1)