Effects of Home-based High-intensity Inspiratory Muscle Training for Stress Urinary Incontinence

Izmir University of Economics

Status

Completed

Conditions

Stress Urinary Incontinence (SUI)

Treatments

Device: Inspiratory Muscle Training (IMT)

Device: Sham IMT

Study type

Interventional

Funder types

Other

Identifiers

NCT06842979

2023/16-03

Details and patient eligibility

About

Strengthening the diaphragm muscle, the roof of the pelvic floor muscles (PFM), may be an alternative intervention in patients suffering from stress urinary incontinence (SUI). This study aims to investigate the effects of home-based telerehabilitation-assisted high-intensity inspiratory muscle training (IMT) on PFM function and urinary symptoms in women with SUI.

Full description

The IMT protocol consisted of home-based high-intensity daily training - two cycles of 30 breaths with a 1-minute rest between sets, twice a day for 8 weeks using an IMT Threshold device (Threshold IMT Philips® Respironics, Inc). The IMT was performed twice a day, 7 days/week, for 8 weeks. The study group performed IMT at 60% of their baseline MIP and was adjusted weekly based on the modified Borg scale from 4 to 6 regarding respiratory effort performed during the session, while the control group performed a sham-IMT without applied resistance. Patients are evaluated before the inspiratory muscle training and after 8 weeks of training.

Enrollment

22 patients

Sex

Female

Ages

25 to 50 years old

Volunteers

No Healthy Volunteers

Inclusion criteria

Diagnosed with stress urinary incontinence by a specialized Urologist
Being female aged between 25 and 50 years
To have the ability to access and use technological devices required by the study
Being able to read and write
Volunteering to research

Exclusion criteria

Inability of the participant to understand or perform the procedures proposed during the evaluations or training program.
Active urinary tract infection,
pelvic organ prolapse stage 2 and more according to the pelvic organ prolapse staging system (Pelvic Organ Prolapse Quantification System (POP-Q))
Fecal incontinence,
Any neurogenic dysfunction of the lower urinary tract
Conservative or surgical treatment of urinary incontinence in the last 12 months
Previous pelvic floor training
Less than three months after pregnancy or postpartum
Having undergone any pelvic floor surgery (hysterectomy, etc.)
Radiotherapy treatment in the last 12 months
Severe low back pain or pelvic pain
Lower extremity orthopaedic problems that may affect the pelvic structure (such as lower extremity inequality, total hip arthroplasty)
Having any chronic respiratory disease
Having any neurological disease
Being in menopause
Latex allergy