Comparison of Home Versus Clinic Kegel Rehabilitation in Women With Urinary Incontinence in the Tabuk Region

NCT07795931 | Not Yet Recruiting

• 1 other identifier: University of Tabuk (UTabuk)
• Study Type: interventional
• Target: 100
• Locations: 1 country
• Sites: 1

Brief Summary

Urinary incontinence is a common condition among women that significantly affects physical health, emotional well-being, social participation, and overall quality of life. Pelvic floor muscle training recommended as the first-line conservative treatment for urinary incontinence. While clinic-based rehabilitation provides direct supervision by healthcare professionals, home-based Kegel exercise programs offer greater convenience and accessibility. However, limited evidence exists regarding the comparative effectiveness of these approaches among women in Saudi Arabia. The study aims to compare the effectiveness of home-based Kegel exercises and clinic-based rehabilitation programs in improving pelvic floor muscle strength, reducing urinary incontinence symptoms, and enhancing quality of life among women with urinary incontinence in the Tabuk region. This study will employ a randomized controlled trial (RCT) design. Eligible women diagnosed with urinary incontinence will be recruited from the Maternity and Children Hospital, Tabuk. Participants will be randomly assigned to one of two groups:

• Group A: Home-based Kegel exercise program.
• Group B: Supervised clinic-based pelvic floor rehabilitation program. Both interventions will be conducted over a 12-week period. Outcome Measures The effectiveness of the interventions will be evaluated using:
• Perineometer measurements to assess pelvic floor muscle strength.
• Pad Test to assess urinary leakage severity.
• King's Health Questionnaire (KHQ) to evaluate quality of life.
• Adherence records to monitor compliance with the exercise program. The assessments will be conducted at baseline, week 8, and week 12.

Conditions

Urinary Incontinence (UI)

Keywords

Urinary incontinence, Pelvic floor muscles, Kegel Exrecises

Outcome Measures

Primary Outcomes (1)

• Perineometer

  Pelvic floor muscle strength will be measured using a perineometer min 0 cmH₂O and max 300 cmH₂O. Higher scores indicate greater pelvic floor muscle strength

  From enrollment to the end of treatment at 12 weeks

Secondary Outcomes (2)

• long-term Pad Test

  From enrollment to the end of treatment at 12 weeks

• King's Health Questionnaire

  From enrollment to the end of treatment at 12 weeks

Study Arms (2)

Home-Based Kegel Exercises

EXPERIMENTAL

Women diagnosed with urinary incontinence in this arm attending the Women's Department of Maternity and Children Hospital will use an AI trainer called Kegel trainer for 12 weeks focusing on strengthening the pelvic floor muscles. They will join a telegram group supervised by the caregiver to follow their interactions during the whole period.

Other: Home -Based Kegel Trainer Exercises (Kegel Trainer Application) will be used by the participants at home for training the pelvic floor muscles over 9 levels.

Clinic-Based Rehabilitation Program

EXPERIMENTAL

Women diagnosed with urinary incontinence in this arm attending the Women's Department of Maternity and Children Hospital will be supervised by the Physiotherapist at the department for two times per week during the Kegel training for pelvic floor muscles training for 12 weeks .

Other: Clinic-Based Rehabilitation Program will consist of physiotherapist supervised pelvic floor strengthening exercises for the participant , 2 times per week for 3 months

Interventions

Home -Based Kegel Trainer Exercises (Kegel Trainer Application) will be used by the participants at home for training the pelvic floor muscles over 9 levels. OTHER

Kegel exercises are designed to focus on strengthening the weak pelvic floor muscles by using Kegel Trainer Application over 9 levels.

Also known as: Kegel Trainer, Pelvic floor muscle exercises

Home-Based Kegel Exercises

Clinic-Based Rehabilitation Program will consist of physiotherapist supervised pelvic floor strengthening exercises for the participant , 2 times per week for 3 months OTHER

Clinic-Based Rehabilitation Program will consist of physiotherapist supervised pelvic floor strengthening exercises for the participant , 2 times per week for 3 months

Clinic-Based Rehabilitation Program

Eligibility Criteria

• Age: 20 Years - 50 Years
• Gender Eligibility Details: * Female participants aged 20-50 years. * Diagnosed with urinary incontinence. * Able to understand study instructions. * Willing to provide informed consent
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Female participants aged 20-50 years.
• Diagnosed with urinary incontinence.
• Able to understand study instructions.
• Willing to provide informed consent

You may not qualify if:

• Delivery within the previous 3 months.
• Gynecological surgery during the previous 3 months.
• Lower urinary tract surgery during the previous 3 months.
• Postmenopausal women.
• Contraindications to pelvic floor muscle training.

Sponsors & Collaborators

• University of Tabuk: lead

Study Sites (1)

Maternity and Children Hospital in Tabuk

Tabuk, Tabuk Region, Saudi Arabia

Location

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

• Enas ES Abutaleb, Associate Professor

  University of Tabuk

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: TRIPLE
• Who Masked: PARTICIPANT, CARE PROVIDER, OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Associate Professor of Physical Therapy-University of Tabuk,Professor of Physical Therapy- Cairo University,

Study Record Dates

• First Submitted: August 26, 2026
• First Posted: August 31, 2026
• Study Start: October 1, 2026
• Primary Completion (Estimated): February 15, 2027
• Study Completion (Estimated): March 1, 2027
• Last Updated: September 25, 2026

Record last verified: 2026-09

Data Sharing

• IPD Sharing: Will not share

Locations

SA (1)