Comparative Effects of Hypopressive and Transverses Abdominis Focused Core Training in Postpartum

NCT07576283 | Recruiting

• 1 other identifier: REC/RCR & AHS/25/0508
• Study Type: interventional
• Target: 60
• Locations: 1 country
• Sites: 1

Brief Summary

The study aims to compare the effectiveness of these two core training approaches in improving urinary incontinence, pelvic floor function, and quality of life in postpartum women.

Conditions

Postpartum

Keywords

urinary incontinence; pelvic floor function; quality of life; postpartum; female

Outcome Measures

Primary Outcomes (3)

• International Consultation on Incontinence Questionnaire - Urinary Incontinence

  The tool is used for assessing urinary incontinence symptoms by measuring the frequency, severity, and impact of urinary leakage on quality of life. It includes specific questions related to how often leakage occurs, the amount of urine lost, and how these symptoms affect various aspects of daily life, providing a comprehensive evaluation of the individual's condition

  6th week

• King's Health Questionnaire

  The tool is used for evaluating the impact of urinary incontinence on the quality of life in women, offering a comprehensive understanding of how stress urinary incontinence (SUI) affects their physical, emotional, and social well-being. It is particularly relevant for postpartum women, as it captures the functional limitations and lifestyle disruptions caused by incontinence, making it a valuable instrument for assessing the broader effects of SUI on daily life.

  6th week

• Incontinence Impact Questionnaire

  The Incontinence Impact Questionnaire (IIQ) is a validated self-report tool designed to measure the impact of urinary incontinence on a woman's quality of life across physical, social, and emotional domains.30 items divided into four domains: Physical activity (6 items), Travel (6 items), Social relationships (10 items), Emotional health (8 items)

  6th week

Study Arms (2)

hypopressive training

EXPERIMENTAL

Exercises were conducted in various postures to challenge the body differently and enhance muscular endurance

Other: hypopressive training

transverses abdominis focused core training

ACTIVE COMPARATOR

Teach correct pelvic floor and TrA activation; build foundational strength

Other: transverses abdominis focused core training

Interventions

hypopressive training OTHER

Frequency: 3 sessions/week under supervision Duration: 30-40 minutes/session For 6 weeks

hypopressive training

transverses abdominis focused core training OTHER

3 sessions/week under supervision Duration: 30-40 minutes/session For 6 weeks

transverses abdominis focused core training

Eligibility Criteria

• Age: 18 Years - 35 Years
• Gender Eligibility Details: postpartum
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• Multiparous women with urinary incontinence
• Who had undergone normal vaginal delivery
• Free from any medical and gynecological risk factors and /or conditions
• Stress urinary incontinence test is positive: Pad test

You may not qualify if:

• Had neurological impairments or connective tissue disorders
• Active urinary or vaginal infection in the past 3 months
• Had known detrusor instability
• Had undergone previous surgery to alleviate SUI
• Had pelvic organ prolapse

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

Al-madawah rehabilitation clinic

Lahore, Punjab Province, 6400, Pakistan

RECRUITING

Related Publications (5)

• Molina-Torres G, Moreno-Muñoz M, Rebullido TR, Castellote-Caballero Y, Bergamin M, Gobbo S, et al. The effects of an 8-week hypopressive exercise training program on urinary incontinence and pelvic floor muscle activation: A randomized controlled trial. Neurourology and Urodynamics. 2023;42(2):500-9

  BACKGROUND

• Katz CMS, Barbosa CP. Effects of hypopressive exercises on pelvic floor and abdominal muscles in adult women: A systematic review of randomized clinical trials. Journal of Bodywork and Movement Therapies. 2024;37:38-45.

  BACKGROUND

• Abd elglil AA, Mahmoud NSA. Effect of hypopressive exercises versus pelvic floor muscle exercises on stress urinary incontinence among multiparous women. Assiut Scientific Nursing Journal. 2023;11(40):162-74.

  BACKGROUND

• Soomro KUQ, Mughal SA, Hussain SA, Rajpar ZH, Shaikh AQ, Shaikh A. Pelvic Floor Muscle Exercise plus Core Stability Exercise on Urinary Incontinence in Females. Journal of The Society of Obstetricians and Gynaecologists of Pakistan. 2024;14(2):139-42.

  BACKGROUND

• Sikora K. The Effects of Core Stability Training on Improving Quality of Life and Symptom Severity in Females with Stress and Mixed Urinary Incontinence: A Meta-Analysis: California State University, Fresno; 2023.

  BACKGROUND

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

• hina gul, PhD*

  Riphah International University

  PRINCIPAL INVESTIGATOR

Central Study Contacts

imran amjad

CONTACT

03324390125; imran.amjad@riphah.edu.pk

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: SPONSOR

Study Record Dates

• First Submitted: May 4, 2026
• First Posted: May 8, 2026
• Study Start: October 1, 2025
• Primary Completion: May 1, 2026
• Study Completion (Estimated): June 1, 2026
• Last Updated: May 8, 2026

Record last verified: 2026-05

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)