Synchronized Core-Pelvic Floor Activation in Urinary Incontinence

Bezmialem Vakif University

Status: Not yet enrolling

Conditions: Mixed Incontinence Due to Prolapse of Female Genital Organ; Stress Urinary Incontinence; Urinary Incontinence; Urinary Incontinence,Stress

Treatments: Other: Pelvic Floor and Core Muscle Co-activation Training; Other: Conventional Pelvic Floor Muscle Training

Study type: Interventional

Funder types: Other

Identifiers

NCT07387640

bvubcinar04

Details and patient eligibility

About

This study aims to investigate whether co-activation of the pelvic floor and core muscles improves treatment outcomes in individuals with urinary incontinence. Participants diagnosed with stress, or mixed urinary incontinence will undergo a 12-week pelvic floor physiotherapy program, with or without additional core muscle co-activation exercises. Changes in urinary incontinence severity, pelvic floor muscle function, core muscle activation, and quality of life will be evaluated.

Full description

Urinary incontinence is a prevalent condition that negatively affects quality of life and functional independence. Pelvic floor muscle training (PFMT) is recommended as a first-line conservative treatment. Recent evidence suggests that coordinated activation of the pelvic floor muscles with core muscles, including the transversus abdominis and multifidus, may enhance treatment effectiveness.

This randomized controlled study will include women aged 18-65 years diagnosed with stress or mixed urinary incontinence. Eligible participants will be randomly allocated to one of two groups: a conventional pelvic floor muscle training group (control group) or a pelvic floor muscle training plus core muscle co-activation group (intervention group).

Both groups will participate in a 12-week exercise program performed at least three days per week, including one supervised session and two home-based sessions weekly. Outcome measures will be assessed at baseline and after completion of the intervention. Primary outcomes include urinary incontinence severity, while secondary outcomes include pelvic floor muscle function, core muscle activation assessed by surface electromyography, and quality of life.

Enrollment: 50 estimated patients

Sex: Female

Ages: 18 to 65 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Aged between 18 and 65 years
• Diagnosed with stress, urge, or mixed urinary incontinence
• Pelvic floor muscle strength grade ≥ 3 according to the Modified Oxford Scale
• At least one episode of urinary leakage within the last month

Exclusion criteria

• Pregnancy
• Childbirth within the previous 6 weeks
• Severe pelvic organ prolapse
• Active vaginal or urinary tract infection
• Presence of neurological or psychiatric disorders
• Malignancy
• Inability to cooperate with assessments or interventions

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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50 participants in 2 patient groups

Control Group

Active Comparator group

Description:

Participants will receive conventional pelvic floor muscle training for 12 weeks, at least three days per week

Treatment:

Other: Conventional Pelvic Floor Muscle Training

Experimental Group

Experimental group

Description:

Participants will receive pelvic floor muscle training combined with co-activation exercises targeting core muscles for 12 weeks at least three days per week

Treatment:

Other: Pelvic Floor and Core Muscle Co-activation Training