Effect of Hypo-pressive Exercises and Pelvic Floor Muscle Training in Postpartum Stress Urinary Incontinence Women (SUI PFMT HE)

Lahore University of Biological and Applied Sciences

Status: Active, not recruiting

Conditions: Stress Urinary Incontinence (SUI); Stress Urinary Incontinence in Women

Treatments: Other: pelvic floor muscle training; Other: hypo-pressive exercise

Study type: Interventional

Funder types: Other

Identifiers

NCT07322328

U1111-1332-3272 (Registry Identifier)

DPT/ERB/29

Details and patient eligibility

About

Postpartum stress urinary incontinence is a widespread condition characterized by involuntary loss of urine during physical exertion, such as sneezing, coughing, or lifting heavy weights. Most frequently occur in multiparous women with vaginal delivery, who are obese, constipated, or with low maternal education. Damage to the levator ani muscle complex and adjacent fascia during childbirth affects urethral mobility and consequently results in sphincter insufficiency.

Hypopressive exercises involve breathing techniques that regulate the intra-abdominal pressure. HE has been recently recognized for benefits such as pelvic floor muscle (PFM) strength, endurance, postural control, core muscle activation, and respiratory capacity, which efficiently improve symptom severity and quality of life in postpartum women.

Pelvic floor muscle training (PFMT) is a set of frequent voluntary contractions designed to improve strength, coordination, and control. PFMT is considered as standard treatment protocol for urinary incontinence and other postpartum complications.

The International Consultation on Incontinence Questionnaire-Short Form (ICIQ-UI-SF) and the Incontinence Quality of Life (IQOL) are used to assess symptom severity and quality of life, respectively. This study seeks to bridge that gap by evaluating and comparing the outcomes of HE and PFMT in postpartum women experiencing SUI. This research aims to support postpartum recovery, improve women's daily functioning, and enhance their overall well-being.

Enrollment: 38 estimated patients

Sex: Female

Ages: 20 to 40 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Women aged between 20 and 40 years old
• Multiparous women
• Postpartum women ≤ 6 months.
• Vaginal deliveries.
• Women diagnosed with stress urinary incontinence within 6 weeks to six months

Exclusion criteria

• Neurological disorder
• Metabolic issue
• Abdominal and pelvic surgery in previous years
• Mentally retarded
• Pregnant women

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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38 participants in 2 patient groups

Hypopressive Exercises

Experimental group

Description:

Hypo-pressive Exercise (HE) training involves ribcage expansion and apnea to generate negative pressure, which in turn activates the deep core and pelvic floor muscles instinctively. Activating type I muscle fibers improves postural control, endurance, and coordination.

Treatment:

Other: hypo-pressive exercise

Pelvic Floor Muscle Training

Active Comparator group

Description:

Pelvic Floor Muscle Training (PFMT) through voluntary contraction and resistance training strengthens pelvic floor musculature. In addition, these exercises have the potential to improve control over urine and fecal incontinence.

Treatment:

Other: pelvic floor muscle training