Effects of Pilates Exercises Versus Pelvic Floor Muscle Exercises Among Elderly Women With Urinary Incontinence

Dow University of Health Sciences

Status

Completed

Conditions

Urinary Incontinence

Treatments

Other: Shoulder bridge

Other: Clam shell

Other: Pelvic clock supine

Other: Adductor squeeze

Other: urine hold and tummy tuck in

Other: Scissors

Other: Split table top

Device: Electrical muscle stimulation

Other: Bridging

Study type

Interventional

Funder types

Other

Identifiers

NCT05341778

HAhmed

Details and patient eligibility

About

To compare the effects of Pilates exercises versus pelvic floor muscle exercises among elderly women with urinary incontinence. The study is a single-blinded randomized clinical trial. 70 patients(calculated through PASS version 15 software) will be selected. Subjects will be screened whether they met inclusion and exclusion criteria. The participants for this study will be elderly women with urinary incontinence. The participants will be recruited from SIPMR and Civil hospital Karachi. The initial assessment will be done by Medical Consultant. Patients must fulfill inclusion criteria. Consent must be taken from each patient and samples will be collected in the given time frame and patients will be randomly assigned(through a randomization sheet) to the treatment groups. Treatment group 1 will be doing Pilates exercises and treatment group 2 will be doing Pelvic floor muscle exercises. EMS will be given to both treatment groups. A voiding diary, Stamey's urinary incontinence system, and IQOL questionnaire will be used at baseline assessment and at the end of treatment sessions. 12 treatment sessions will be given, 3 visits each week for 4 weeks. The data will be analyzed on SPSS version 21. : Non-probability purposive sampling technique will be used for selecting individuals. Percentages and frequencies will be calculated for categorical variables and parametric and nonparametric tests will be applied.

Enrollment

70 patients

Sex

Female

Ages

60+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

Elderly females from an outpatient setting of Sindh Institute of physical medicine and rehabilitation and civil hospital Karachi.
Patients aged ≥60 years.
Experienced stress or mixed urinary incontinence symptoms at least 3 times/ week for 3 months or more.

Exclusion criteria

Have limited mobility (unable to move without crutches, walker, or a cane).
Have untreated chronic constipation or have experienced any stool or mucus leakage.
Organ prolapse surgery within the last year.
In the last 3 months, any active urinary or vaginal infection.
Malignancy

Trial design

Primary purpose

Treatment

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

Single Blind

70 participants in 2 patient groups

Pilates exercises

Experimental group

Description:

The Pilates method's exercises emphasize breathing and the activation of the deep stabilizing muscles of the trunk in coordination with the PFM. The pilates method consists of exercises that emphasize pelvic stability, mobility, and body alignment. PMFE are performed in tandem with breathing, with concurrent trunk muscle recruitment in various positions.

Treatment: