Effects of the Hypopressive Exercises in Women With Pelvic Organ Prolapse

Hacettepe University

Status: Completed

Conditions: Pelvic Floor Disorders; Prolapse; Female

Treatments: Other: Pelvic Floor Muscle Training; Other: Hypopressive Exercises

Study type: Interventional

Funder types: Other

Identifiers

NCT06352112

02.04.2024 - POP

Details and patient eligibility

About

The aim of this study was compare home-based pelvic floor muscle training (PFMT) alone and home-based PFMT combined with hypopressive exercise (HE) in terms of pelvic floor muscle (PFM) activation and severity of pelvic floor dysfunction (PFD) in women with pelvic organ prolapse (POP) for eight weeks. For this purpose, the participants were randomly divided into two groups: [PFMT alone (n:15) and PFMT combined with HE(n:17)]. DuoBravo EMG device for evaluation of PFM activation and "Pelvic Floor Distress Inventory-20" was used to evaluate the severity of PFD. All evaluations were performed twice in total, at baseline and at week 8.

Full description

Pelvic floor muscle training (PFMT), which provides increased structural support of the pelvic organs by improving the functional strength, endurance and coordination of the pelvic floor muscles (PFM), has been a grade A recommendation based on Level 1 evidence to improve symptoms and stages of pelvic organ prolapse (POP). On the other hand, hypopressive exercises (HE) are a group of exercises that, when applied, relax the diaphragm, activate the abdominal muscles, activate the transversus abdominis muscle by reducing intra-abdominal pressure, thus providing reflex activation in the PFM, and are known to improve urinary incontinence and POP with these features. Although there are studies investigating the effects of both exercise groups on POP, the results of the studies are contradictory and more research is needed on this subject.For this reason, in this study, the investigators aimed to compare home-based PFMT alone and home-based PFMT combined with HE in terms of PFM activation and severity of pelvic floor dysfunction in women with POP for eight weeks.

Enrollment: 32 patients

Sex: Female

Ages: 20 to 50 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• having been diagnosed with POP according to Pelvic Organ Prolapse Quantification System by a gynecologist;
• being literate
• being between 20-50 years

Exclusion criteria

• pregnancy;
• having a cooperation problems;
• history of active cancer;
• finding an urinary infection during evaluation;
• being in the menstrual period during the evaluation;
• neurological, orthopedic or serious medical conditions that may affect the patient's pelvic floor functions.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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32 participants in 2 patient groups

Pelvic Floor Muscle Training

Experimental group

Description:

Participants received pelvic floor muscle training only.

Treatment:

Other: Pelvic Floor Muscle Training

Pelvic Floor Muscle Training combined with Hypopressive Exercises

Experimental group

Description:

Participants received hypopressive exercise in addition to pelvic floor muscle training.

Treatment:

Other: Hypopressive Exercises

Other: Pelvic Floor Muscle Training