Effectiveness of a Hip Abductor Training in Women With Stress Urinary Incontinence
NCT ID: NCT05635175
Last Updated: 2025-09-24
Study Results
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Basic Information
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RECRUITING
NA
78 participants
INTERVENTIONAL
2023-09-28
2026-09-23
Brief Summary
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Brain imaging shows that PFMs (involved in continence mechanisms) and gluteal muscles can activate the same cortical region. This synergy is found if the gluteal muscles are voluntarily activated, but not if the PFMs are volontary activated alone . In women, hip abductor physiotherapy is a common practice which has already been the subject of a very extensive literature and has largely shown its effectiveness in the quality of lumbo-pelvic control, balance, quality of life and risk of fall prevention. This rehabilitation is based on exercises that induce solicitation of the hip abductors by synergistic reflex activation during a range of well-known exercises. Recent work has shown the effect of hip abductors on the activation of the PFMs . Until today, there is no literature evaluating the effectiveness of a hip abductors training program without associated voluntary contraction of the PFMs (PPM) on UI. The hypothesis of this work will be to demonstrate that a complementary training focused on the hip abductor, complementary to concomitant PFMT, would benefit from a more significant improvement in continence, and also in physical abilities and quality of life. Because balance seems involved in UI, we therefore propose to to observe the effects on the frontal balance of the pelvis. As the investigators have already done in previous studies, to identifying factors that predict the success of our interventions, investiagtors have planned to evaluate the observance and adherence of our patients .Complementary, the investigators planned to evaluate the effect of both intervention on pelvic floor muscles and hip abductors strength and endurance, pelvic organ prolapse symptoms and quality of life. For this objective, the investigators intend to compare two randomized parallel groups: Group A follow a 12 sessions supervised PFMT + home based PFMs exercices. Group B follow a 12 sessions supervised PFMT + home based hip abductor exercices.
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Detailed Description
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Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
NONE
Study Groups
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physiotherapist-supervised pelvic floor muscle training
physiotherapist-supervised pelvic floor muscle (PFM) training (PFMT) and self training PFMT
Standard pelvic floor muscle training
Standard pelvic floor muscle training
Standard pelvic floor muscle training self training
Standard pelvic floor muscle training self training
hip abductors self training program
physiotherapist-supervised pelvic floor muscle (PFM) training (PFMT) and self training hip abductors self training program
hip abductors physiotherapy self training
hip abductors self training program during 7 to 10 weeks associate with a PFMT
Standard pelvic floor muscle training
Standard pelvic floor muscle training
Interventions
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hip abductors physiotherapy self training
hip abductors self training program during 7 to 10 weeks associate with a PFMT
Standard pelvic floor muscle training
Standard pelvic floor muscle training
Standard pelvic floor muscle training self training
Standard pelvic floor muscle training self training
Eligibility Criteria
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Inclusion Criteria
* patient with urinary incontinence according to the ICS criteria \[3\]
* having received a prescription for perineal rehabilitation
* affiliated to french health care insurance
* Patient having read and understood the information letter and signed the consent form
* Effective contraception in women of childbearing age (negative urine pregnancy test). For postmenopausal women, a confirmatory diagnosis must be obtained (amenorrhea for at least 12 months before the inclusion visit)
Exclusion Criteria
* Neurological pathologies (multiple sclerosis, Parkinson's desease, etc.)
* Pregnant or parturient or breastfeeding woman or absence of proven contraception
* Person deprived of liberty by administrative or judicial decision or a person placed under the safeguard of justice, or guardianship or curatorship
* Physical inability to perform hip abductors exercises (unable to walk or stand independently)
* Women having scheduled continence surgery before the end of physiotherapy sessions at the time of randomization
* Women having at least one of the continence-specific anticholinergic treatments prescribed before the end of the physiotherapy sessions at the time of randomization
18 Years
FEMALE
No
Sponsors
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GIRCI NO
UNKNOWN
University Hospital, Rouen
OTHER
Responsible Party
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Locations
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Pôle santé de la Grace Dieu
Caen, , France
Chu Rouen
Rouen, , France
Médipôle du Rouvray
Saint-Étienne-du-Rouvray, , France
Countries
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Central Contacts
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Facility Contacts
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References
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Stewart WF, Hirsh AG, Kirchner HL, Clarke DN, Litchtenfeld MJ, Minassian VA. Urinary incontinence incidence: quantitative meta-analysis of factors that explain variation. J Urol. 2014 Apr;191(4):996-1002. doi: 10.1016/j.juro.2013.10.050. Epub 2013 Oct 16.
Ebbesen MH, Hunskaar S, Rortveit G, Hannestad YS. Prevalence, incidence and remission of urinary incontinence in women: longitudinal data from the Norwegian HUNT study (EPINCONT). BMC Urol. 2013 May 30;13:27. doi: 10.1186/1471-2490-13-27.
Pizzol D, Demurtas J, Celotto S, Maggi S, Smith L, Angiolelli G, Trott M, Yang L, Veronese N. Urinary incontinence and quality of life: a systematic review and meta-analysis. Aging Clin Exp Res. 2021 Jan;33(1):25-35. doi: 10.1007/s40520-020-01712-y. Epub 2020 Sep 22.
Hay-Smith EJC, Starzec-Proserpio M, Moller B, Aldabe D, Cacciari L, Pitangui ACR, Vesentini G, Woodley SJ, Dumoulin C, Frawley HC, Jorge CH, Morin M, Wallace SA, Weatherall M. Comparisons of approaches to pelvic floor muscle training for urinary incontinence in women. Cochrane Database Syst Rev. 2024 Dec 20;12(12):CD009508. doi: 10.1002/14651858.CD009508.pub2.
Related Links
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Steenstrup B, M. Pavy Lebrun, Aigueperse N, Quemener N, Cheveau S, Confalonieri C, Totte F. Efficacité d'une rééducation sensori-motrice posturale réflexe sur l'incontinence urinaire et l'urgenturie chez la femme. Kinesith Rev. 2019;19(206):12-18
Steenstrup B, Behague L, Quehen M. Rééducation posturale avec le jeu virtuel Wii ® en pelvi périnéologie: pourquoi pas? Kinésith Rev. 2015;15(160):45-50
Other Identifiers
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2020/0176/HP
Identifier Type: -
Identifier Source: org_study_id
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