Posture, Core Stabilization, Respiratory Muscle Strength and Quality of Life in Women With Urinary Incontinence

NCT06988683 | Completed

• 1 other identifier: urinary incontinence
• Study Type: observational
• Target: 62
• Locations: 1 country
• Sites: 1

Brief Summary

When the literature was examined, it was observed that there were studies on parameters such as quality of life, pelvic floor muscle strength in women with urinary incontinence, but there were not enough studies on posture, respiratory function, constipation and cough strength. Therefore, in this study, the researchers aimed to investigate posture, constipation, core muscle stabilisation, respiratory muscle strength and function, cough strength and quality of life of women with urinary incontinence and to compare these parameters with women without urinary incontinence.

Conditions

Urinary Incontinence (UI)

Keywords

Core stabilization; cough force; posture; respiratory muscle strength; urinary incontinence; maximal expiratory pressure

Outcome Measures

Primary Outcomes (2)

• Maximal inspiratory pressure (MIP)

  The MIP which shows respiratory muscle strength will be evaluated using a portable mouth pressure measuring device based on American Thoracic Society and European Respiratory Society criteria.

  1 year

• Maximal expiratory pressure (MEP)

  The MEP which shows respiratory muscle strength will be evaluated using a portabl mouth pressure measuring device based on American Thoracic Society and European Respiratory Society criteria.

  1 year

Secondary Outcomes (13)

• Forced vital capacity (FVC)

  1 year

• Forced expiratory volume in the first second (FEV1)

  1 year

• FEV1/FVC

  1 year

• Flow rate 25-75% of forced expiratory volume (FEF 25-75%)

  1 year

• Peak flow rate (PEF)

  1 year

Study Arms (2)

Study Group (Urinary incontinance)

The study included 32 volunteer individuals who were diagnosed with urinary Incontinance and fulfilled the inclusion criteria. Pad test was applied to evaluate the degree of urinary incontinence of the patients. Posture analyses of the individuals were evaluated with Fizyosoft Becure Mobile Posture Application. Stabiliser Pressure Biofeedback Unit® (BBU) (Chattanooga Medical Suplly Inc, Chattanooga, TN) was used for core muscle stabilisation, Cosmed® Pony FX was used for respiratory muscle strength and functions and ExpiRite Peak Flow Meter (ExpiRite Peak Flow Meter, China) was used for cough strength assessment. Modified Constipation Rating Scale (MCAS), Rome IV Criteria, Bristol Stool Scale (BGS) were used to evaluate constipation, while quality of life and pelvic floor symptoms were evaluated using Urogenital Distress Inventory (UDI-6), Incontinence Impact Questionnaire (IIQ-7) and Global Pelvic Floor Discomfort Questionnaire (GPTRA).

Control Group

The study included 30 asymptomatic volunteers without urinary incontinence without a diagnosis of UI. In this study, demographic information form was used to evaluate the socio-demographic status. Posture analyses of the individuals were evaluated with Fizyosoft Becure Mobile Posture Application. Stabiliser Pressure Biofeedback Unit® (BBU) (Chattanooga Medical Suplly Inc, Chattanooga, TN) was used for core muscle stabilisation, Cosmed® Pony FX was used for respiratory muscle strength and functions and ExpiRite Peak Flow Meter (ExpiRite Peak Flow Meter, China) was used for cough strength assessment. Modified Constipation Rating Scale (MCAS), Rome IV Criteria, Bristol Stool Scale (BGS) were used to evaluate constipation, while quality of life and pelvic floor symptoms were evaluated using Urogenital Distress Inventory (UDI-6), Incontinence Impact Questionnaire (IIQ-7) and Global Pelvic Floor Discomfort Questionnaire (GPTRA).

Eligibility Criteria

• Age: 18 Years+
• Gender Eligibility Details: Female
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Probability Sample

Study Population

This study, in which we aimed to evaluate individuals diagnosed with urinary incontinence, was conducted in the Gynaecology and Obstetrics outpatient clinic of Buca Seyfi Demirsoy Training and Research Hospital. Individuals diagnosed with UI by an Obstetrics and Gynaecology Specialist were included in the study. Thirty-two volunteer individuals diagnosed with UI who met the inclusion criteria and 30 individuals without urinary incontinence were included in the study.

You may qualify if:

• Being diagnosed with urinary incontinence
• Volunteer to participate in the study
• To be over 18 years of age
• To be able to communicate verbally and in written Turkish
• No symptoms of urinary incontinence
• Volunteer to participate in the study
• To be over 18 years of age
• Establish written and verbal communication in Turkish

You may not qualify if:

• The presence of any pathology that may affect pelvic floor function
• Trauma to the lumbopelvic, abdominal, thoracic or lower extremities within the last six months
• Urinary tract infection
• Grade III or higher urogenital prolapse
• Neurological or psychiatric illness
• Being pregnant

Sponsors & Collaborators

• Izmir Democracy University: lead

Study Sites (1)

Izmir Democracy University

Izmir, Karabağlar/İzmir, 35140, Turkey (Türkiye)

Location

Related Publications (5)

• Talasz H, Kofler M, Kalchschmid E, Pretterklieber M, Lechleitner M. Breathing with the pelvic floor? Correlation of pelvic floor muscle function and expiratory flows in healthy young nulliparous women. Int Urogynecol J. 2010 Apr;21(4):475-81. doi: 10.1007/s00192-009-1060-1. Epub 2009 Dec 8.

  PMID: 19997721 RESULT

• Stein TA, DeLancey JO. Structure of the perineal membrane in females: gross and microscopic anatomy. Obstet Gynecol. 2008 Mar;111(3):686-93. doi: 10.1097/AOG.0b013e318163a9a5.

  PMID: 18310372 RESULT

• Steenstrup B, Pelleray M, Cornu JN, Verdun S, Gilliaux M. Neutral posture education during cough can reduce urine leakage in women with cough-related stress urinary incontinence. Prog Urol. 2023 Dec;33(17):1083-1091. doi: 10.1016/j.purol.2023.09.002. Epub 2023 Sep 26.

  PMID: 37758607 RESULT

• Shi ZH, Jonkman A, de Vries H, Jansen D, Ottenheijm C, Girbes A, Spoelstra-de Man A, Zhou JX, Brochard L, Heunks L. Expiratory muscle dysfunction in critically ill patients: towards improved understanding. Intensive Care Med. 2019 Aug;45(8):1061-1071. doi: 10.1007/s00134-019-05664-4. Epub 2019 Jun 24.

  PMID: 31236639 RESULT

• Ptaszkowski K, Paprocka-Borowicz M, Slupska L, Bartnicki J, Dymarek R, Rosinczuk J, Heimrath J, Dembowski J, Zdrojowy R. Assessment of bioelectrical activity of synergistic muscles during pelvic floor muscles activation in postmenopausal women with and without stress urinary incontinence: a preliminary observational study. Clin Interv Aging. 2015 Sep 23;10:1521-8. doi: 10.2147/CIA.S89852. eCollection 2015.

  PMID: 26445533 RESULT

MeSH Terms

Conditions

Urinary Incontinence

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 Officials

• Özlem Çinar Özdemir, Prof.Dr

  İzmir Democracy University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: CASE CONTROL
• Time Perspective: CROSS SECTIONAL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Prof.Dr

Study Record Dates

• First Submitted: January 15, 2025
• First Posted: May 25, 2025
• Study Start: January 5, 2024
• Primary Completion: May 30, 2024
• Study Completion: June 24, 2024
• Last Updated: May 25, 2025

Record last verified: 2025-05

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)