Physiotherapy Management in Women With Urinary Incontinence

Poznan University of Physical Education

Status: Enrolling

Conditions: Urinary Incontinence

Treatments: Other: physiotherapy, exercises

Study type: Interventional

Funder types: Other

Identifiers

NCT06581601

2024

Details and patient eligibility

About

Main objective:

The primary aim of the study is to assess whether the author's exercise programme has an effect on reducing urinary incontinence and pelvic floor dysfunction after childbirth, considering vacuum extractor, forceps and caesarean section deliveries.

Secondary objective:

The secondary objective is to determine whether the duration of the author's exercise programme is sufficient to achieve positive changes in women.

Full description

The study will involve women with stress urinary incontinence, urge urinary incontinence, and mixed urinary incontinence. Participants will be women aged 20-80 years (meeting inclusion criteria: urinary incontinence, regular menstrual cycles, pre-and post menopausal period, natural childbirth or cesarean section, and deliveries using forceps and vacuum extractors; exclusion criteria: no urinary incontinence, irregular menstrual cycles, no childbirth, abdominal surgeries/procedures, active cancer, no gynecological check-up in the last 12 months, recurrent urogenital infections, joint hypermobility). A total of 300 women will be examined, including 100 women meeting the inclusion criteria, 100 women meeting the inclusion criteria but not interested in exercising, and 100 healthy women. Participants can withdraw from the study at any stage.Study Group Division

Based on the evaluation of posture type, pelvic pattern, and postural stability, participants will be divided into three groups:

1. Women meeting inclusion criteria performing the author's exercise program - experimental group.
2. Women meeting inclusion criteria but not interested in performing the author's exercise program - control group.
3. Healthy women - control group. The experimental group will perform the author's pelvic floor muscle exercise program daily for six weeks, at a fixed time each day, under weekly physiotherapist supervision and independently on other days (after proper instruction by the physiotherapist).

Enrollment: 300 estimated patients

Sex: Female

Ages: 20 to 80 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Urinary incontinence
• Regular menstrual cycles
• Pre and post-menopausal period
• Natural childbirth or cesarean section
• Deliveries using forceps and vacuum extractors

Exclusion criteria

• No urinary incontinence
• Irregular menstrual cycles
• No childbirth
• Abdominal surgeries/procedures Active cancer No gynecological check-up in the last 12 months Recurrent urogenital infections Joint hypermobility

Contorl group will be healthy women

Trial design

Primary purpose: Prevention

Allocation: Non-Randomized

Interventional model: Factorial Assignment

Masking: None (Open label)

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300 participants in 3 patient groups

Control group

No Intervention group

Description:

1.Contorl group: healtyhy women.

Pre-menopausal group

Experimental group

Description:

2.Pre-menopasal group: experimental group - exercise's group

Treatment:

Other: physiotherapy, exercises

Post-menopausal group

Experimental group

Description:

3.Post-menopausal group: experimental group - exercise's group

Treatment:

Other: physiotherapy, exercises