Combining Pelvic Floor Rehabilitation With Postural Re-education in Women With Stress Urinary Incontinence and Chronic Low Back Pain: a Preliminary Study.

I.R.C.C.S. Fondazione Santa Lucia

Status: Completed

Conditions: Stress Urinary Incontinence; Low Back Pain

Treatments: Other: Perineal Exercises; Other: Postural re-education; Other: Spinal mobilization

Study type: Interventional

Funder types: Other

Identifiers

NCT05954234

CE/PROG.593

Details and patient eligibility

About

Stress Urinary incontinence (SUI) is a common health condition in female population. Although its prevalence increases with the age, women of all ages could be affected. Several epidemiological studies have shown an association of SUI with Low Back Pain (LBP) demonstrating, moreover, that the presence of one condition may predispose the patient to the onset of the other. Concerning the LBP, the clinical practice guidelines provided recommendations for physical rehabilitative treatment. Different techniques and physical exercises have been developed and it is difficult at the date to affirm the superiority of one approach as compared to another. Moreover, the crucial role plays by the pelvic floor muscles (PFM) both as an integral part of trunk and lumbo-pelvic stability and in maintenance of urinary continence, lead the pelvic floor muscles disfunction to be associated both with SUI and LBP, making the PFM rehabilitation a useful approach in both the conditions. In this rehabilitative context the present study aims to verify the effectiveness of a global physical approach based on postural re-education combined to the pelvic floor rehabilitation in women with diagnosis of stress urinary incontinence associated with non-specific chronic low back pain.

Enrollment: 30 patients

Sex: Female

Ages: 18 to 75 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• woman aged from 18 to 75 years;
• diagnosis of Stress Urinary Incontinence associated with non-specific chronic Low Back Pain

Exclusion criteria

• severe pelvic organs prolapse (>second stage following the International Continence Society (ICS) classification);
• pregnancy;
• perineal denervation;
• inverted perineal command;
• presence of pelvic pain;
• fecal incontinence;
• vaginal infections;
• associated pathologies involving the Central Nervous System (CNS);
• psychotic disorders

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Triple Blind

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30 participants in 2 patient groups

pelvic floor rehabilitation and postural re-education

Active Comparator group

Treatment:

Other: Perineal Exercises

Other: Postural re-education

pelvic floor rehabilitation and spinal mobilization

Active Comparator group

Treatment:

Other: Perineal Exercises

Other: Spinal mobilization