Effects of Group-based and Individual Pelvic Floor Muscle Training on Elderly Individuals With Urinary Incontinence

Celal Bayar University

Status: Completed

Conditions: Urinary Incontinence

Treatments: Other: Individualized PFMT; Other: Group-based PFMT

Study type: Interventional

Funder types: Other

Identifiers

NCT06547580

CelalBayarU1

Details and patient eligibility

About

The purpose of this study is to asses the effects of 12-week group-based and individually planned pelvic floor muscle training on individuals aged 65 and over with urinary incontinence.

Full description

The research was conducted on participants over the age of 65 with urinary incontinence living in a nursing home. After these participants were informed about the content of the study, a signed informed consent form will be obtained. This study is an assessor-blinded, randomized controlled trial. Participants with incontinence aged 65 and over living in a nursig home were randomly assigned to intervention (IG) and control group (CG). The intervention group attended an exercise program that individualized pelvic floor muscle with Emg biofeedback training (individualized-PFMT). The control group was included in the group-based PFMT program. Duration of exercise for both groups was 45-60 minutes per session three times a week for 12 weeks. Incontinence symptoms and severity (Pelvic Floor Distress Inventory-20, bladder diary), PFM and abdominal muscle function (superficial electromyography), balance (Berg Balance Scale), functional status (Senior Fitness Test), hand grip strength, knee extansor, ankle dorsi-plantar flexion muscle srength, sleep quality and fear of falling (Falls Efficacy Scale) was measured at baseline and after the intervention.

Enrollment: 35 patients

Sex: All

Ages: 65 to 100 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Having signed the informed volunteer consent form
• Being 65 years or older
• Having urinary incontinence
• Ability to walk unaided and not use any walking aids

Exclusion criteria

• Having severe walking and balance problems
• Severe cognitive impairment (Mini mental state assessment test score below
• Having a serious neurological problem
• Having serious heart diseases
• Having a genito-urinary infection
• Having pelvic organ prolapse
• Six months ago he received medication for incontinence
• Having had incontinence and abdominal surgery
• Having metastatic cancer
• Having any vision problems

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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35 participants in 2 patient groups

Group-based PFMT

Experimental group

Description:

A group-based Pelvic floor muscle training was practiced under the supervision of an experienced physiotherapist, 2 sessions a week, 30-45 minutes each, for 12 weeks.

Treatment:

Other: Group-based PFMT

Individualized PFMT

Experimental group

Description:

Individualized Pelvic floor muscle training with Electromyography Biofeedback was practiced under the supervision of an experienced physiotherapist, 2 sessions a week, 30-45 minutes each, for 12 weeks.

Treatment:

Other: Individualized PFMT