Posturography Rehabilitation and Pelvic Floor Training on Urinary Incontinence in Women

NCT07337278 | Recruiting

• 1 other identifier: UM5-MPR-2025-01
• Study Type: interventional
• Target: 78
• Locations: 1 country
• Sites: 1

Brief Summary

The goal of this clinical trial is to evaluate whether lumbopelvic postural rehabilitation combined with pelvic floor muscle training (PFMT) is more effective than PFMT alone in women with urinary incontinence. The main questions it aims to answer are:

• Does the addition of lumbopelvic postural rehabilitation improve the severity of urinary incontinence as measured by the ICIQ-UI-SF questionnaire?
• Does it improve urinary symptom profile, pelvic floor muscle strength, patient-reported overall improvement, and quality of life compared to PFMT alone? Participants will be randomly assigned to one of two groups:
• Experimental group (Group A): PFMT (3 sessions/week) plus lumbopelvic postural rehabilitation (2 sessions/week) for 12 weeks.
• Control group (Group B): PFMT alone (3 sessions/week) for 12 weeks. Participants will perform pelvic floor exercises in supine and seated positions, with supervised sessions at the hospital and home exercises. Postural rehabilitation includes stability and mobility exercises for the lumbopelvic region using Posturography. Outcomes will be assessed at baseline, at 6 weeks, and at 12 weeks.

Conditions

Urinary Incontinence

Keywords

Urinary incontinence, Pelvic floor, Lumbopelvic static, Posturography

Outcome Measures

Primary Outcomes (1)

• International Consultation on Incontinence Questionnaire - Urinary Incontinence Short Form (ICIQ-UI SF)

  The primary outcome is the severity of urinary incontinence measured by the ICIQ-UI-SF. This validated questionnaire assesses frequency, quantity, and impact of leaks on quality of life. The overall score is obtained by adding up the 3 questions, ranging from 0 to 21, with a higher score indicating more severe symptoms.

  6 weeks and 12 weeks from start of intervention

Secondary Outcomes (4)

• Patient Global Impression of Improvement (PGI-I)

  6 weeks and 12 weeks from start of intervention

• Urinary Symptom Profile (USP) scores

  6 weeks and 12 weeks from start of intervention

• Pelvic Floor Muscle Strength (Modified Oxford Scale)

  6 weeks and 12 weeks from start of intervention

• Incontinence Impact Questionnaire - Short Form (IIQ-7)

  6 weeks and 12 weeks from start of intervention

Study Arms (2)

Combined Pelvic Floor Muscle Training and Posturography Rehabilitation

EXPERIMENTAL

Participants receive pelvic floor muscle training combined with lumbopelvic rehabilitation using posturography for a total duration of 12 weeks.

Behavioral: Pelvic Floor Muscle Training; Behavioral: Posturography Rehabilitation

Pelvic Floor Muscle Training Alone

ACTIVE COMPARATOR

Participants receive pelvic floor muscle training alone for a total duration of 12 weeks.

Behavioral: Pelvic Floor Muscle Training

Interventions

Pelvic Floor Muscle Training BEHAVIORAL

Pelvic floor training consists of voluntary contractions of the pelvic floor muscles, using short, rapid contractions combined with slow, sustained contractions, aimed at improving strength and endurance. Training is performed in supine and seated positions, with one supervised session per week at the hospital and three home sessions per week, over a total duration of 12 weeks.

Combined Pelvic Floor Muscle Training and Posturography Rehabilitation; Pelvic Floor Muscle Training Alone

Posturography Rehabilitation BEHAVIORAL

Postural rehabilitation consists of seated exercises focusing on stability and mobility of the lumbopelvic region, using posturography. Sessions last 30 minutes, conducted twice weekly, over a total duration of 12 weeks.

Combined Pelvic Floor Muscle Training and Posturography Rehabilitation

Eligibility Criteria

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

You may qualify if:

• Female participants aged between 18 and 65 years
• Presence of clinical signs of urinary incontinence (stress urinary incontinence and/or urge urinary incontinence and/or mixed urinary incontinence) diagnosed according to the International Continence Society (ICS) terminology
• USP (urinary symptom profile) scores for stress urinary incontinence and/or overactive bladder ≥ 1
• Normal neuro-perineal examination
• Written informed consent provided prior to participation in the study

You may not qualify if:

• Known detrusor overactivity or reduced bladder compliance of neurological origin
• Associated voiding dysfunction, defined as a Urinary Symptom Profile (USP) dysuria subscale score ≥ 1
• Known organic or morphological pathology of the lower urinary tract
• Pelvic organ prolapse grade II or higher according to the Pelvic Organ Prolapse Quantification system (POP-Q)
• Current urinary tract infection or vaginal infection
• Cognitive or visual impairments that may interfere with understanding or performing the exercise program
• Pregnant women or women within 10 months postpartum
• Anticholinergic medication use or hormone replacement therapy within the last 6 months
• Recent pelvic or abdominal surgery within the last 6 months

Sponsors & Collaborators

• Mohammed V University in Rabat: lead

Study Sites (1)

Al Ayachi Hospital, CHU Ibn Sina

Rabat, Rabat-Salé-Kénitra, 10000, Morocco

RECRUITING

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

Central Study Contacts

Khaoula Mestour

CONTACT

+212 6 17 70 82 62; khaoulamestour00@gmail.com

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: Resident in Physical and Rehabilitation Medicine

Model Details: Participants are randomly assigned to two parallel groups: a combined pelvic floor muscle training and lumbopelvic postural rehabilitation group, and a pelvic floor muscle training alone group.

Study Record Dates

• First Submitted: January 1, 2026
• First Posted: January 13, 2026
• Study Start: November 20, 2025
• Primary Completion: February 1, 2026
• Study Completion: March 1, 2026
• Last Updated: January 13, 2026

Record last verified: 2026-01

Data Sharing

• IPD Sharing: Will not share

Locations

MO (1)