Effect of Hip Strengthening Exercises and Pelvic Floor Exercises on Stress Urinary Incontinence in Postnatal Women

Cairo University (CU)

Status: Active, not recruiting

Conditions: Stress Urinary Incontinence

Treatments: Other: expremental pre and post test

Study type: Interventional

Funder types: Other

Identifiers

NCT06269016

P.T.REC/012/003888

Details and patient eligibility

About

this study will investigate effect of hip strengthening exercises and pelvic floor exercises on stress urinary incontinence in postnatal women. Clinical practice guidelines recommend PFMT as the first-line treatment for female SUI . Also, it has been speculated that the hip muscles are involved in the continence mechanism and that their deficiency could destabilize the normal function of the system. The addition of hip muscle exercises, regardless of PFM contractions, aimed to improve muscular condition for the motor or synergic strategies in PFM contraction. Secondary effects of these techniques, such as the influence of passive lumbar rotational mobilization in improving hip flexor strength, have been of high interest in physiotherapy in general

Enrollment: 120 patients

Sex: Female

Ages: 30 to 35 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

1. Their ages will be ranged from 30 to 35 years old.
2. Their BMI will not exceed 35 Kg/m2.
3. All patients will be multipara women.
4. Their deliveries were normal vaginal delivery.
5. All patients will be diagnosed by gynecologist as mild or moderate degree of SUI.
6. All patients will have the same medical treatment and free from any pathological conditions that might affect the result.

Exclusion criteria

1. Recurrent urinary tract infections.
2. Hypertension.
3. Diabetes mellitus.
4. Intra uterine device.
5. Hysterectomy.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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120 participants in 4 patient groups

control group no intervention

Experimental group

Description:

no intervention for 3 months with assessment for maximum vaginal squeeze pre and post experiment using bio feedback device and urinary distress inventory UDI-6 short form.

Treatment:

Other: expremental pre and post test

study group hip muscles strengthening exercise.

Experimental group

Description:

hip muscles exercises (hip abductors, adductors and gluteus maximus) for 3 months with assessment for maximum vaginal squeeze pre and post experiment using bio feedback device and urinary distress inventory UDI-6 short form.

Treatment:

Other: expremental pre and post test

study group hip muscles strengthening exercise combined with pelvic floor muscles exercise.

Experimental group

Description:

hip muscles exercises (hip abductors, adductors and gluteus maximus) combined with pelvic floor muscles exercises for 3 months with assessment for maximum vaginal squeeze pre and post experiment using bio feedback device and urinary distress inventory UDI-6 short form.

Treatment:

Other: expremental pre and post test

study group pelvic floor muscles exercise.

Experimental group

Description:

pelvic floor muscles exercises for 3 months with assessment for maximum vaginal squeeze pre and post experiment using bio feedback device and urinary distress inventory UDI-6 short form.

Treatment:

Other: expremental pre and post test