Comparison of Pelvic Floor Therapy and Yoga on Stres Urinary Incontinence Incontinence

Hasan Kalyoncu University

Status: Unknown

Conditions: Urinary Tract Disorders; Urinary Incontinence

Treatments: Procedure: Therapeutic Yoga Training; Procedure: Pelvic floor Physical Therapy

Study type: Interventional

Funder types: Other

Identifiers

NCT05253898

2021/005

Details and patient eligibility

About

The aim of this study is to compare the effectiveness of pelvic floor physical therapy (PFT) and therapeutic yoga training (TYT) for women who have postnatal stress urinary incontinence (SUI).

Full description

32 subjects with postnatal stress urinary incontinence will be included in the study after a voluntary consent form will be filled out. Subjects will randomly be divided into two groups according to the order.

Pelvic floor physical therapy (PFT) (n=16) will be Group 1, and therapeutic yoga training (TYT) (n=16) will be the Group 2.

PFT group will be received sessions twice a week and a special home exercise program once a week for 8 weeks. Each session will include warm-up exercises, pelvic floor muscle contractions in different positions, and abdominal breathing techniques. Each session is planned for 45 minutes.

TYT group will be received sessions twice a week and a special home exercise program once a week for 8 weeks. Each session will include warm-up exercises, different asanas, and yogi breathing exercises. each session is planned for 45 minutes.

Enrollment: 32 estimated patients

Sex: Female

Ages: 18 to 50 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Women ages between 18 and 50 years old,
• Women who have SUI 45 days and above after giving birth
• Patients who accept to join the group sessions and will participate regularly in the treatment program

Exclusion criteria

• Women who have pelvic organ prolapsus and fecal incontinence
• Women who have undergone surgery for the lower urinary system
• Those who receive medication treatment for incontinence in the last 3 months
• Those with acute infection and bladder stones or tumors will not be included in the study.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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32 participants in 2 patient groups

Pelvic Floor Physical Therapy

Active Comparator group

Description:

Group 1 includes a training program about correctly using pelvic floor muscles. At the first session, an educational program will be given to all women about the anatomy and function of the pelvic floor muscles. Then, the pelvic floor muscles contractions will be controlled by vaginal palpation for approximately 10 minutes. Then it will follow with 5 minutes of warm-up exercises, 30 minutes of fast and slow pelvic floor muscles contractions in different positions, and 10 minutes of abdominal breathing, general relaxation, stretching, and cool-down exercises. It is planned to teach contractions with internal palpation for 10 minutes before the first session to ensure that the patients' pelvic floor contractions are performed correctly. PFT treatment will be given as two sessions per week, 45 minutes, and 8 weeks as group sessions.

Treatment:

Procedure: Pelvic floor Physical Therapy

Therapeutic Yoga Training

Active Comparator group

Description:

Group 2 program includes therapeutic yoga training. It will begin with education about the positive effects of yoga on the body and pelvic floor. Then it will follow with 5 minutes of warm-up exercises, 30 minutes of different asanas coordinated with breathing, and 10 minutes of yogi breathing and cool-down exercises. Also, a home exercise program will be given based on yoga sessions. Participants will receive a detailed description of the home program.

Treatment:

Procedure: Therapeutic Yoga Training