Effect of Pilates and Kegel Exercises During Pregnancy

NCT06869538 | Completed DMC

• 2 other identifiers: 469Hitit University
• Study Type: observational
• Target: 67
• Locations: 1 country
• Sites: 1

Brief Summary

Urinary incontinence and fecal incontinence are common health problems in the postpartum period because of their effect on daily life and are likely to reduce quality of life. It is known that the most effective way to protect from UI during pregnancy and the postpartum period is pelvic floor muscle exercise. This study aimed to investigate the effects of Pilates and Kegel exercises applied during pregnancy on the quality of life of urinary and fecal incontinence in the postpartum period.

Conditions

Pregnancy

Keywords

Urinary İncontinence; Fecal İncontiance; Quality Of Life; pregnancy; exercise

Outcome Measures

Primary Outcomes (6)

• Baseline Anthropometric Measurements (Weight, Height, BMI)

  Baseline meausurement ( 1 week) Participants will be evaluated at baseline. Data collection refers to anthropometric parameters (Weight, height and BMI. BMI BMI will calculated as weight in kilograms divided by height squared (kg/m2) in meters

  2021 june

• Urinary Incontinence Quality of Life Scale (I-QOL)-Baseline and Follow-up Measurements

  Urinary Incontinence Quality of Life Scale (I-QOL) - Evaluates the quality of life related to urinary incontinence. Description: Evaluates the quality of life related to urinary incontinence. This scale was applied at baseline and at the 1st and 3rd months postpartum. Minimum Value: 0 (Poor quality of life) Maximum Value: 100 (High quality of life) Higher Scores Indicate: Better quality of life Data Aggregation: Mean ± SD and comparison of scores between groups using ANOVA.

  June 2021 (Baseline) and 1st and 3rd months postpartum

• Effect of an 8-Week Exercise Intervention on Urinary and Fecal Incontinence - Measured by ICIQ-UI Short Form and Wexner Continence Assessment Scale

  This measure evaluates the effect of an 8-week exercise intervention on urinary and fecal incontinence in pregnant women. Urinary incontinence severity will be assessed using the ICIQ-UI SF, and fecal incontinence using the Wexner Scale at baseline, post-intervention (8 weeks), and 1st and 3rd months postpartum. Participants are divided into two groups: Pilates Group (PEG): Performed Pilates twice a week, 40 minutes per session, for 8 weeks, using a mini ball, resistance band, and Pilates ring. Kegel Group (KEG): Performed Kegel exercises 4 days a week, 3 sessions per day, for 8 weeks, involving controlled pelvic floor contractions and relaxations. Measurement Tools: Urinary Incontinence: ICIQ-UI SF Fecal Incontinence: Wexner Scale

  Baseline (June 2021), Post-intervention (August 2021), and Follow-up at 1st and 3rd months postpartum.

• International Incontinence Questionnaire Short Form Score (ICIQ-SF) - Urinary Incontinence Impact

  Description: Assesses the impact of urinary incontinence on daily life. Minimum Value: 0 (No impact) Maximum Value: 21 (Severe impact) Higher Scores Indicate: Worse quality of life Data Aggregation: Mean ± SD and comparison of groups using repeated measures ANOVA, paired t-test for pre- and post-intervention comparison.

  2021 September 2021 November

• Wexner Continence Assessment Scale Score - Fecal Incontinence Severity

  Description: Measures the severity of fecal incontinence. Minimum Value: 0 (Complete continence) Maximum Value: 20 (Complete incontinence) Higher Scores Indicate: Worse fecal incontinence Data Aggregation: Mean ± SD and comparison of groups using repeated measures ANOVA, paired t-test for pre- and post-intervention comparison.

  September 2021 - November 2021

• Fecal Incontinence Quality of Life Scale (FIQL) Score

  Description: Assesses the quality of life related to fecal incontinence. Minimum Value: 1 (Poor quality of life) Maximum Value: 5 (High quality of life) Higher Scores Indicate: Better quality of life Data Aggregation: Mean ± SD and comparison of groups using repeated measures ANOVA, paired t-test for pre- and post-intervention comparison

  September 2021 - November 2021

Interventions

Exercise OTHER

For the Pilates exercises, a Pilates instructor created movements (squeeze mini ball, stretch hoop, circle with large ball, back and forth with large ball, and squat) in the gymnasium of the pregnancy school for 8 weeks, 2 days a week. Auxiliary equipment (mini ball, resistance band, Pilates ring) was used. Kegel exercises were performed 4 days a week, 3 sessions a day for 8 weeks.

Eligibility Criteria

• Age: 18 Years - 38 Years
• Gender Eligibility Details: Only pregnancy women
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)
• Sampling Method: Probability Sample

Study Population

Pregnancy women

You may not qualify if:

• Not being between the ages of 18-38,
• Having a condition that prevents exercise,
• Not being in the 1st and 2nd trimesters of pregnancy,
• Leaving scale items blank, and having a cesarean section.

Sponsors & Collaborators

• Hitit University: lead

Study Sites (1)

Hitit University

Çorum, Central, 19030, Turkey (Türkiye)

Location

Related Links

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MeSH Terms

Conditions

Nocturnal Enuresis; Motor Activity

Interventions

Exercise

Condition Hierarchy (Ancestors)

Enuresis; Urination Disorders; Urologic Diseases; Female Urogenital Diseases; Female Urogenital Diseases and Pregnancy Complications; Urogenital Diseases; Male Urogenital Diseases; Behavioral Symptoms; Behavior; Elimination Disorders; Mental Disorders

Intervention Hierarchy (Ancestors)

Motor Activity; Movement; Musculoskeletal Physiological Phenomena; Musculoskeletal and Neural Physiological Phenomena

Study Design

• Study Type: observational
• Observational Model: OTHER
• Time Perspective: OTHER
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Associate Professor

Study Record Dates

• First Submitted: February 8, 2025
• First Posted: March 11, 2025
• Study Start: June 15, 2021
• Primary Completion: November 5, 2021
• Study Completion: February 13, 2022
• Last Updated: March 11, 2025

Record last verified: 2025-03

Data Sharing

• IPD Sharing: Will share
• Shared Documents: STUDY PROTOCOL

Locations

TU (1)