Effect of Postural Reeducation Versus Pelvic Floor Muscle Training on Stress Urinary Incontinence

Misr University for Science and Technology

Status: Completed

Conditions: Stress Urinary Incontinence

Treatments: Other: Postural reeducation; Other: Pelvic floor exercises

Study type: Interventional

Funder types: Other

Identifiers

NCT06653582

P.T.REC/012/005133

Details and patient eligibility

About

The purpose of the study is to evaluate the effects of postural reeducation compared to pelvic floor muscle training on urinary incontinence (UI) symptoms, the impact of UI, and quality of life (QoL) in women experiencing stress urinary incontinence (SUI)

Full description

The study is designed as a randomized- controlled trial. It will be carried out on women suffering from stress urinary incontinence referred after urology consultations to the Physiotherapy Clinic in Soad Kafafy hospital.

UI, particularly SUI, affects up to 28% of the population and occurs during activities like coughing or sneezing due to inadequate urethral closure pressure. The pelvic floor muscles play a critical role in supporting pelvic organs and maintaining continence. Pelvic floor dysfunction is a significant contributor to SUI. Postural dysfunction can increase mechanical stress and lead to pelvic floor dysfunction. Postural re-education techniques aim to correct imbalances and improve pelvic floor muscle activity, potentially alleviating SUI symptoms by restoring muscle efficiency and enhancing continence.

Enrollment: 50 patients

Sex: Female

Ages: 30 to 40 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Fifty females with stress urinary incontinence.
• Age of 30-40 years.
• Body mass index (BMI) > 30 kg/m2

Exclusion criteria

• Genital prolapse grade 3 or 4 based on Pelvic Organ Prolapse Quantification Classification (POP-Q).
• Overactive bladder (OAB)
• Functional impairment (Barthel scale <85 points).
• Neurological or cognitive impairment (mini mental examination <24 points).
• Any other type of urinary incontinence.
• Pregnancy.
• History of spinal, hip, knee or foot surgery, pelvic and abdominal surgery (including cesarean section)
• Smoking, chronic cough, history of respiratory diseases, osteoporosis (self-reported).

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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50 participants in 2 patient groups

Postural reeducation

Experimental group

Description:

They will receive a program of postural reeducation with a home program for 12 weeks.

Treatment:

Other: Postural reeducation

Pelvic floor exercises

Experimental group

Description:

They will receive a program of pelvic floor exercises with a home program for 12 weeks.

Treatment:

Other: Pelvic floor exercises