Effectiveness of Different Hypopressive Exercises in Pelvic Floor Dysfunction
NCT ID: NCT04336150
Last Updated: 2024-01-22
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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COMPLETED
NA
120 participants
INTERVENTIONAL
2019-02-10
2022-04-10
Brief Summary
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Detailed Description
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Inclusion Criteria:
Women diagnosed with pelvic floor dysfunction by their doctor. With minimum strength of the pelvic floor muscles of 3 according to Modified Oxford Score
Exclusion Criteria:
Women who are pregnant or women who have had a vaginal or caesarean birth in the past six months.
Women whose PFD is severe and the first indication is surgical (POP-Q grade III-IV prolapses).
Women with only urinary incontinence or fecal urgency. Women with pain in the pelvic-perineal region of 3 cm in the visual analog scale, where a score of 0 cm means no pain, and a score of 10cm, the maximum pain that the participant can imagine.
Women who have received pelvic floor physiotherapy treatment in the last 12 months.
Women who are unable to voluntarily contract the pelvic floor muscles, quantified by the Modified Oxford Score by a score less than or equal to 2.
Women with any pathology that may affect the treatment (neurological, gynecological or urological), or with recurrent urinary infection or hematuria.
Women with cognitive limitations to understand the information, answer the questionnaires, consent and / or participate in the study.
Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
DOUBLE
Study Groups
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Hypopressive exercisesE
Hypopressive exercises described according to Dr. Caufriez
1. Anatomical and physiological explanation of the abdomen-pelvic cavity (perineal organs, bone, ligament and muscle structures of the entire abdomen-pelvic cavity).
2. Hypopressive exercises according to the original method described by Dr. Caufriez, which is based on performing the hypopressive maneuver in 33 postures that he described (1,2).
Hypopressive exercises
See information included in arm/group descriptions.
Hypopressive exercises&PFM contraction
Hypopressive exercises + active pelvic floor muscle contraction:
1. Anatomical and physiological explanation of the abdomen-pelvic cavity (perineal organs, bone, ligament and muscle structures of the entire abdomen-pelvic cavity).
2. Hypopressive exercises according to the original method described by Dr.Caufriez, which is based on performing the hypopressive maneuver in 33 postures he described, plus the active contraction of the pelvic floor muscles (PFM) during the hypopressive maneuver.
Hypopressive exercises plus pelvic floor muscle contraction
See information included in arm/group descriptions.
Hypopressive maneuver
Hypopressive maneuver:
1. Anatomical and physiological explanation of the abdomen-pelvic cavity (perineal organs, bone, ligament and muscle structures of the entire abdomen-pelvic cavity).
2. Hypopressive maneuver with transabdominal ultrasound biofeedback.
Hypopressive maneuver
See information included in arm/group descriptions.
Hypopressive maneuver&PFM contraction
Hypopressive maneuver + pelvic floor muscles contraction:
1. Anatomical and physiological explanation of the abdomen-pelvic cavity (perineal organs, bone, ligament and muscle structures of the entire abdomen-pelvic cavity).
2. Hypopressive maneuver plus active contraction of the pelvic floor muscles with transabdominal ultrasound biofeedback.
Hypopressive maneuver plus pelvic floor muscle contraction
See information included in arm/group descriptions.
Interventions
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Hypopressive exercises
See information included in arm/group descriptions.
Hypopressive maneuver
See information included in arm/group descriptions.
Hypopressive exercises plus pelvic floor muscle contraction
See information included in arm/group descriptions.
Hypopressive maneuver plus pelvic floor muscle contraction
See information included in arm/group descriptions.
Eligibility Criteria
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Inclusion Criteria
* With minimum strength of the pelvic floor muscles of 3 according to Modified Oxford Score
Exclusion Criteria
* Women whose PFD is severe and the first indication is surgical (POP-Q grade III-IV prolapses).
* Women with only urinary incontinence or fecal urgency.
* Women with pain in the pelvic-perineal region of 3 cm in the visual analog scale, where a score of 0 cm means no pain, and a score of 10cm, the maximum pain that the participant can imagine.
* Women who have received pelvic floor physiotherapy treatment in the last 12 months.
* Women who are unable to voluntarily contract the pelvic floor muscles, quantified by the Modified Oxford Score by a score less than or equal to 2.
* Women with any pathology that may affect the treatment (neurological, gynecological or urological), or with recurrent urinary infection or hematuria.
* Women with cognitive limitations to understand the information, answer the questionnaires, consent and / or participate in the study.
18 Years
65 Years
FEMALE
No
Sponsors
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University of Alcala
OTHER
Responsible Party
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Maria Torres Lacomba
Principal investigator & Professor
Principal Investigators
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María Torres-Lacomba, PhD
Role: PRINCIPAL_INVESTIGATOR
University of Alcalá
Locations
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María
Alcalá de Henares, Madrid, Spain
Countries
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Other Identifiers
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OE13/2017
Identifier Type: -
Identifier Source: org_study_id
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