Effect of Postural Reeducation Versus Pelvic Floor Muscle Training on Stress Urinary Incontinence

NCT06653582 | Completed

• 1 other identifier: P.T.REC/012/005133
• Study Type: interventional
• Target: 50
• Locations: 1 country
• Sites: 1

Brief Summary

The purpose of the study is to evaluate the effects of postural reeducation compared to pelvic floor muscle training on urinary incontinence (UI) symptoms, the impact of UI, and quality of life (QoL) in women experiencing stress urinary incontinence (SUI)

Conditions

Stress Urinary Incontinence

Outcome Measures

Primary Outcomes (2)

• Urinary incontinence (UI) symptoms

  UI symptoms will be measured using a 48-hour Pad Test \[14\]. This is a standardized test for assessing urine leakage that can be performed at home\[15\]. Women replace pads as needed over the course of 48 hours. The results are calculated by subtracting the net weight of used pads from the total weight of non-used pads. The Pad Test results can be classified as mild (4-20 g), moderate (21-74 g), or severe UI (\> 75 g).

  12 weeks

• Urinary incontinence (UI) impact

  It will be assessed using the International Consultation Incontinence Short-Form (ICIQ-UI-SF). UI impact will be derived from the values of the third question assessing overall impact ("How much does leaking urine interfere with everyday life?", ranging from 0 to 10), with a higher score indicating a greater UI impact.

  12 weeks

Secondary Outcomes (1)

• Urinary incontinence-Quality of life (UI-QoL)

  12 weeks

Study Arms (2)

Postural reeducation

EXPERIMENTAL

They will receive a program of postural reeducation with a home program for 12 weeks.

Other: Postural reeducation

Pelvic floor exercises

EXPERIMENTAL

They will receive a program of pelvic floor exercises with a home program for 12 weeks.

Other: Pelvic floor exercises

Interventions

Postural reeducation OTHER

The program will include postural awareness, stretching, McKenzie's method, and manual therapy for 12 weeks.

Postural reeducation

Pelvic floor exercises OTHER

The program will include pelvic floor exercises for 12 weeks. Three sets of 10 long contractions will be performed, each sustained for 6-8 seconds, three times a day. After each contraction, participants will be asked to rest for the same period. Two series of 10 fast contractions will be recommended, consisting of short, quick exercises of 1- to 2-second contractions, followed by long, sustained exercises lasting 5-10 seconds.

Pelvic floor exercises

Eligibility Criteria

• Age: 30 Years - 40 Years
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Fifty females with stress urinary incontinence.
• Age of 30-40 years.
• Body mass index (BMI) \> 30 kg/m2

You may not qualify if:

• Genital prolapse grade 3 or 4 based on Pelvic Organ Prolapse Quantification Classification (POP-Q).
• Overactive bladder (OAB)
• Functional impairment (Barthel scale \<85 points).
• Neurological or cognitive impairment (mini mental examination \<24 points).
• Any other type of urinary incontinence.
• Pregnancy.
• History of spinal, hip, knee or foot surgery, pelvic and abdominal surgery (including cesarean section)
• Smoking, chronic cough, history of respiratory diseases, osteoporosis (self-reported).

Sponsors & Collaborators

• Misr University for Science and Technology: lead

Study Sites (1)

Faculty of physical therapy, MUST University

Giza, 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 Officials

• Sally Mohamed Saeed, PhD

  Lecturer, MUST university

  PRINCIPAL INVESTIGATOR

• Malak Adel Elmahdy, PhD

  Lecturer, Al Hayah university

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Study Record Dates

• First Submitted: October 19, 2024
• First Posted: October 22, 2024
• Study Start: October 25, 2024
• Primary Completion: January 25, 2025
• Study Completion: February 1, 2025
• Last Updated: February 21, 2025

Record last verified: 2025-02

Locations

EG (1)