A Novel Biofeedback for Urinary Incontinence in Women

NCT ID: NCT04638348

Last Updated: 2024-02-28

Study Results

Results pending

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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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

51 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-02-01

Study Completion Date

2021-09-29

Brief Summary

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A three-armed randomized pilot trial will be conducted with 51 women having stress urinary incontinence, to evaluate the acceptance and ease of use of the conventional electromyography (EMG) biofeedback via vaginal probe in the treatment of urinary incontinence and that of the newly developed EMG biofeedback with Bluetooth. Women will be randomly allocated to one of two intervention groups (new biofeedback or conventional biofeedback) or the control group (PFMT alone). Women in the intervention groups will perform PFMT either with the new biofeedback or the conventional biofeedback, based on their group allocation. The control group will perform PFMT without a biofeedback device. Study outcome measures include, feasibility measures, International Consultation on Incontinence Questionnaire, and 1-hour pad test.

Detailed Description

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Objectives: (1) to compare the acceptance and ease of use of the conventional electromyography (EMG) biofeedback via vaginal probe in the treatment of urinary incontinence and that of the newly developed EMG biofeedback with Bluetooth; (2) to investigate the effects of conventional biofeedback, the new biofeedback, and pelvic floor muscle training (PFMT) alone on urinary incontinence and adherence to PFMT.

Hypotheses: (1) The new biofeedback will be easier to use and women will more readily accept it than the conventional biofeedback. (2) Women assigned to the new biofeedback group will report better adherence to PFMT and greater improvements in urinary incontinence than women assigned to participate in the conventional biofeedback group.

Design and subjects: A three-armed randomized pilot trial will be conducted with 51 women who have stress urinary incontinence.

Interventions: Women will be randomly allocated to one of two intervention groups (new biofeedback or conventional biofeedback) or the control group (PFMT alone). Women in the intervention groups will perform PFMT either with the new biofeedback or the conventional biofeedback, based on their group allocation. The control group will perform PFMT without a biofeedback device.

Outcome measures: Feasibility measures, International Consultation on Incontinence Questionnaire, and 1-hour pad test.

Data analysis and expected results: A one-way between-groups analysis of covariance will be conducted. Adherence to PFMT will be better in the new biofeedback group than in the conventional biofeedback group. New biofeedback will have greater beneficial effects on urinary incontinence than either the conventional biofeedback or PFMT alone.

Conditions

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Stress Urinary Incontinence

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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New Biofeedback

Women allocated to the new biofeedback group will be instructed to attach the biofeedback device to their underpants and then perform pelvic floor muscle training.

Group Type EXPERIMENTAL

New Biofeedback

Intervention Type DEVICE

Conventional biofeedback consists of a electromyography biofeedback device with a vaginal probe.

Conventional Biofeedback

Women allocated to the conventional biofeedback group will undergo pelvic floor muscle training with the conventional biofeedback probe inserted in the vagina

Group Type ACTIVE_COMPARATOR

New Biofeedback

Intervention Type DEVICE

Conventional biofeedback consists of a electromyography biofeedback device with a vaginal probe.

Control group

The control group will perform pelvic floor muscle training without any biofeedback device.

Group Type ACTIVE_COMPARATOR

New Biofeedback

Intervention Type DEVICE

Conventional biofeedback consists of a electromyography biofeedback device with a vaginal probe.

Interventions

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New Biofeedback

Conventional biofeedback consists of a electromyography biofeedback device with a vaginal probe.

Intervention Type DEVICE

Other Intervention Names

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Conventional Biofeedback

Eligibility Criteria

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Inclusion Criteria

* women in the age group of 35 to 60 years of age;
* non-pregnant;
* having stress urinary incontinence;
* experiencing mild to moderate urinary incontinence (obtaining a score of ≤ 12 on the short-form of the International Consultation on Incontinence Questionnaire (ICIQ-sf); and
* obtaining a mini-mental state examination (MMSE) score of ≥ 24.

Exclusion Criteria

* being in the postpartum stage of \< 6 months;
* having severe pelvic organ prolapse (stages 3 and 4 on the Baden and Walker grading tool);
* women taking any medications that might cause urine retention;
* women having complicated UI due to radiation to pelvic region;
* obesity with a body mass index ≥ 30;
* women with incontinence secondary to other medical conditions or previous surgeries;
* women with severe psychological problems impairing participation in the study; and
* women having mixed or urge UI.
Minimum Eligible Age

35 Years

Maximum Eligible Age

60 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Kwong Wah Hospital

OTHER

Sponsor Role collaborator

The Hong Kong Polytechnic University

OTHER

Sponsor Role lead

Responsible Party

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Dr. Priya Kannan

Assistant Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Priya Kannan, PhD

Role: PRINCIPAL_INVESTIGATOR

The Hong Kong Polytechnic Unviersity

Locations

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Kwong Wah Hospital

Kowloon, , Hong Kong

Site Status

Countries

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Hong Kong

References

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Kannan P, Cheing GLY, Fung BKY, Li J, Leung WC, Chung RCK, Cheung TW, Lam LF, Lee WY, Wong WC, Wong WH, Tang PYG, Chan PKL. Effectiveness of pelvic floor muscle training alone or combined with either a novel biofeedback device or conventional biofeedback for improving stress urinary incontinence: A randomized controlled pilot trial. Contemp Clin Trials. 2022 Dec;123:106991. doi: 10.1016/j.cct.2022.106991. Epub 2022 Nov 2.

Reference Type DERIVED
PMID: 36332826 (View on PubMed)

Other Identifiers

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P0033900

Identifier Type: -

Identifier Source: org_study_id

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