Overactive Bladder Syndrome and Hypopressive Exercise

NCT06780657 | Enrolling By Invitation

• 1 other identifier: E-60116787-020-548394
• Study Type: interventional
• Target: 112
• Locations: 1 country
• Sites: 1

Brief Summary

Overactive Bladder Syndrome (OAB) is a condition characterized by a sudden and urgent need to urinate, with or without urge incontinence, accompanied by increased urinary frequency. This syndrome significantly impacts individuals' social and economic lives, psychological well-being, work productivity, daily activities, and overall quality of life. The Abdominal Hypopressive Technique (AHT) was suggested by Caufriez for the treatment of pelvic floor disorders in women. It has been utilized in the treatment of pelvic floor dysfunctions, such as Urinary Incontinence (UI), particularly in postpartum women. A review of the existing literature reveals a lack of studies examining the relationship between overactive bladder syndrome and hypopressive exercises. Current research predominantly focuses on the effects of hypopressive exercises on pelvic organ prolapse, pelvic floor muscle tone, urinary incontinence, and stress urinary incontinence. Although AHT was initially developed for the treatment of pelvic floor disorders, it is now recommended for all women, regardless of the presence of UI. However, studies on AHT remain limited, which poses challenges for its broader scientific application. This highlights the need for robust scientific studies to strengthen the evidence base. The present study aims to evaluate the impact of an online hypopressive exercise training program on overactive bladder syndrome symptoms and quality of life. The main questions it aims to answer are:

• Does online hypopressive exercise training effectively reduce the symptoms of overactive bladder syndrome?
• Does online hypopressive exercise training effective in improving the quality of life among women with overactive bladder syndrome?

Conditions

Overactive Bladder Syndrome

Keywords

Overactive Bladder Syndrome; Overactive Bladder; Hypopressive Exercise; Quality of Life

Outcome Measures

Primary Outcomes (1)

• Overactive Bladder Evaluation Form (OAB-V8)

  It is a scale consisting of 8 questions, each with 6 options on a Likert type scale (Not at all-0, very little-1, a little-2, a lot-3, a lot-4, a lot-5) to question the presence of Overactive Bladder Syndrome. The total score is between 0-40. Accordingly, those with a total score of \>11 are classified as Overactive Bladder Syndrome patients.

  At the end of 8 weeks

Secondary Outcomes (1)

• Overactive Bladder Quality of Life Scale (OAB-q)

  At the end of 8 weeks

Other Outcomes (1)

• Personal information form

  Baseline

Study Arms (2)

Experimental Group

EXPERIMENTAL

The experimental group will receive an online hypopressive exercise training program for 8 weeks.

Behavioral: Online hypopressive exercise training program

Control Group

NO INTERVENTION

No special intervention.

Interventions

Online hypopressive exercise training program BEHAVIORAL

The hypopressive exercises were based on recommendations from the literature and consultation with an expert in the field. Each session will be held twice a week for 20-25 minutes. Participants will perform each exercise 10 times during these sessions.

Experimental Group

Eligibility Criteria

• Age: 18 Years - 65 Years
• Gender Eligibility Details: Women
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• No contraindications to performing hypopressive exercises,
• Voluntary participation in the study,
• Being between 18 and 65 years of age,
• Having access to the internet,
• Ability to speak and understand Turkish.

You may not qualify if:

• Individuals with lower back pain,
• Those with uncontrolled hypertension,
• Individuals with hiatal hernia,
• Those with a history of inguinal hernia,
• Pregnant individuals,
• Those diagnosed with COPD,
• Individuals with neuromuscular disorders,
• Those who have undergone abdominal or pelvic surgery,
• Prior experience with hypopressive exercises.

Sponsors & Collaborators

• Pamukkale University: lead

Study Sites (1)

Pamukkale University

Denizli, Denizli, 20160, Turkey (Türkiye)

Location

Related Publications (6)

• Resende APM, Bernardes BT, Stupp L, Oliveira E, Castro RA, Girao MJBC, Sartori MGF. Pelvic floor muscle training is better than hypopressive exercises in pelvic organ prolapse treatment: An assessor-blinded randomized controlled trial. Neurourol Urodyn. 2019 Jan;38(1):171-179. doi: 10.1002/nau.23819. Epub 2018 Oct 12.

  PMID: 30311680 BACKGROUND

• Navarro Brazalez B, Sanchez Sanchez B, Prieto Gomez V, De La Villa Polo P, McLean L, Torres Lacomba M. Pelvic floor and abdominal muscle responses during hypopressive exercises in women with pelvic floor dysfunction. Neurourol Urodyn. 2020 Feb;39(2):793-803. doi: 10.1002/nau.24284. Epub 2020 Jan 27.

  PMID: 31985114 BACKGROUND

• Soriano L, Gonzalez-Millan C, Alvarez Saez MM, Curbelo R, Carmona L. Effect of an abdominal hypopressive technique programme on pelvic floor muscle tone and urinary incontinence in women: a randomised crossover trial. Physiotherapy. 2020 Sep;108:37-44. doi: 10.1016/j.physio.2020.02.004. Epub 2020 Feb 19.

  PMID: 32707289 BACKGROUND

• Molina-Torres G, Moreno-Munoz M, Rebullido TR, Castellote-Caballero Y, Bergamin M, Gobbo S, Hita-Contreras F, Cruz-Diaz D. The effects of an 8-week hypopressive exercise training program on urinary incontinence and pelvic floor muscle activation: A randomized controlled trial. Neurourol Urodyn. 2023 Feb;42(2):500-509. doi: 10.1002/nau.25110. Epub 2022 Dec 8.

  PMID: 36482844 BACKGROUND

• Jose-Vaz LA, Andrade CL, Cardoso LC, Bernardes BT, Pereira-Baldon VS, Resende APM. Can abdominal hypropressive technique improve stress urinary incontinence? an assessor-blinded randomized controlled trial. Neurourol Urodyn. 2020 Nov;39(8):2314-2321. doi: 10.1002/nau.24489. Epub 2020 Aug 19.

  PMID: 32813928 BACKGROUND

• Ithamar L, de Moura Filho AG, Benedetti Rodrigues MA, Duque Cortez KC, Machado VG, de Paiva Lima CRO, Moretti E, Lemos A. Abdominal and pelvic floor electromyographic analysis during abdominal hypopressive gymnastics. J Bodyw Mov Ther. 2018 Jan;22(1):159-165. doi: 10.1016/j.jbmt.2017.06.011. Epub 2017 Jun 21.

  PMID: 29332741 BACKGROUND

MeSH Terms

Conditions

Urinary Bladder, Overactive

Condition Hierarchy (Ancestors)

Urinary Bladder Diseases; 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
• Masking Details: Single
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Dean of Health Sciences, Professor

Model Details: Women who meet the inclusion criteria will be distributed to the experimental and control groups in a randomized controlled manner.

Study Record Dates

• First Submitted: January 8, 2025
• First Posted: January 17, 2025
• Study Start: August 30, 2024
• Primary Completion: September 1, 2025
• Study Completion: September 1, 2025
• Last Updated: January 17, 2025

Record last verified: 2024-12

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)