Effect of Hip Strengthening Exercises and Pelvic Floor Exercises on Stress Urinary Incontinence in Postnatal Women

NCT06269016 | Active Not Recruiting

• 1 other identifier: P.T.REC/012/003888
• Study Type: interventional
• Target: 120
• Locations: 1 country
• Sites: 1

Brief Summary

this study will investigate effect of hip strengthening exercises and pelvic floor exercises on stress urinary incontinence in postnatal women. Clinical practice guidelines recommend PFMT as the first-line treatment for female SUI . Also, it has been speculated that the hip muscles are involved in the continence mechanism and that their deficiency could destabilize the normal function of the system. The addition of hip muscle exercises, regardless of PFM contractions, aimed to improve muscular condition for the motor or synergic strategies in PFM contraction. Secondary effects of these techniques, such as the influence of passive lumbar rotational mobilization in improving hip flexor strength, have been of high interest in physiotherapy in general

Conditions

Stress Urinary Incontinence

Outcome Measures

Primary Outcomes (1)

• hip muscles strengthening exercise.

  measure the muscle power and endurance for pelvic floor muscles by using bio feedback device to measure maximum vaginal squeeze

  3 months

Study Arms (4)

control group no intervention

EXPERIMENTAL

no intervention for 3 months with assessment for maximum vaginal squeeze pre and post experiment using bio feedback device and urinary distress inventory UDI-6 short form.

Other: expremental pre and post test

study group hip muscles strengthening exercise.

EXPERIMENTAL

hip muscles exercises (hip abductors, adductors and gluteus maximus) for 3 months with assessment for maximum vaginal squeeze pre and post experiment using bio feedback device and urinary distress inventory UDI-6 short form.

Other: expremental pre and post test

study group hip muscles strengthening exercise combined with pelvic floor muscles exercise.

EXPERIMENTAL

hip muscles exercises (hip abductors, adductors and gluteus maximus) combined with pelvic floor muscles exercises for 3 months with assessment for maximum vaginal squeeze pre and post experiment using bio feedback device and urinary distress inventory UDI-6 short form.

Other: expremental pre and post test

study group pelvic floor muscles exercise.

EXPERIMENTAL

pelvic floor muscles exercises for 3 months with assessment for maximum vaginal squeeze pre and post experiment using bio feedback device and urinary distress inventory UDI-6 short form.

Other: expremental pre and post test

Interventions

expremental pre and post test OTHER

effect of strengthening exercise of combined hip strengthening exercises and pelvic floor exercises

control group no intervention; study group hip muscles strengthening exercise combined with pelvic floor muscles exercise.; study group hip muscles strengthening exercise.; study group pelvic floor muscles exercise.

Eligibility Criteria

• Age: 30 Years - 35 Years
• Gender Eligibility Details: stress urinary incomitance post-natal common problem in multiparas' females due to the effect of pregnancy hormones and increase intra-abdominal pressure during pregnancy also normal vaginal delivery increase the weakness of pelvic floor muscles.
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• Their ages will be ranged from 30 to 35 years old.
• Their BMI will not exceed 35 Kg/m2.
• All patients will be multipara women.
• Their deliveries were normal vaginal delivery.
• All patients will be diagnosed by gynecologist as mild or moderate degree of SUI.
• All patients will have the same medical treatment and free from any pathological conditions that might affect the result.

You may not qualify if:

• Recurrent urinary tract infections.
• Hypertension.
• Diabetes mellitus.
• Intra uterine device.
• Hysterectomy.

Sponsors & Collaborators

• Cairo University: lead

Study Sites (1)

Mai Mohamed Sherif Mohamed Hassan

Cairo, Egypt

Location

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: PhD researcher

Study Record Dates

• First Submitted: January 27, 2024
• First Posted: February 21, 2024
• Study Start: February 20, 2023
• Primary Completion: August 25, 2023
• Study Completion: April 20, 2024
• Last Updated: February 21, 2024

Record last verified: 2024-02

Locations

EG (1)