Additional Effects of Transversus Abdominial Strengthening Along With Pelvic Floor Muscle Strengthening on Stress Urinary Incontinence Among Multiparous Women

Foundation University Islamabad

Status: Active, not recruiting

Conditions: Stress Urinary Incontinence

Treatments: Procedure: pelvic floor strengthening; Procedure: Transversus abdominal strengthening

Study type: Interventional

Funder types: Other

Identifiers

NCT06715813

FUI/CTR/2024/54

Details and patient eligibility

About

SUI stands for stress urinary incontinence. A common condition seen among multiparous women associated with physical strain like bending, coughing, sneezing that put strain on the pelvic floor muscles.

Enrollment: 46 estimated patients

Sex: Female

Ages: 18 to 45 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Age group: multiparous women ( 30-50 yrs)
• females only
• all modes of delivery of childbirth
• diagnosed cases of SUI from fauji foundation hospital.
• patient without any medical contraindications and limitations (Sign and Symptoms of SUI)
• accordances with the michigan incontinence index

Exclusion criteria

• pregnancy or recent childbirth
• any history of pelvic organ prolapse or surgical intervention
• metabolic diseases, uncontrolled hypertension as well as neurological intervention
• any kind of malignancy in lower abdomen

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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46 participants in 2 patient groups

pelvic floor strengthening group

Active Comparator group

Description:

Group A that is the control group will includes pelvic floor strengthening exercises. given three times a week on alternate days and session will be given for 4 weeks (protocol) and the retention effect will be given for 8 weeks. Each session will be performed at a moderate intensity , indicated by sustained contractions for 5 seconds initially and then progresively increased to 10 seconds overtime. pelvic floor strengtheing exercises includes : 1. breathing exercises, 2. kegels exercises 3. bridging exercises 4. squatting 5. Elevator exercises

Treatment:

Procedure: pelvic floor strengthening

PFMS + Transversus abdominal strengthening

Experimental group

Description:

group B includes interventional group which includes core stabilization exercises for 2 weeks like stomach hallowing , dead bugs and pelvic tilt exercises and after 2 weeks dead bug progression, planks and pelvic floor strengthening exercises.

Treatment:

Procedure: Transversus abdominal strengthening

Procedure: pelvic floor strengthening