Dynamic Neuromuscular Stabilization Training in Dysfunctional Voiding

NCT ID: NCT06040333

Last Updated: 2023-09-15

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

34 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-03-02

Study Completion Date

2023-06-21

Brief Summary

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In this study, the effect of dynamic neuromuscular stabilization (DNS) exercise on urinary flow and quality of life in individuals with dysfunctional voiding was investigated. The 34 participants included in the study were randomized into two groups: the experiment in which DNS exercises were applied and the standard therapy group in which the manual application was applied. Uroflowmetry, Voiding Symptom Score (DVSS), Short Form-36 Quality of Life Assessment Short Form were applied to all participants at baseline and at week 6.

Detailed Description

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In this study, the effect of dynamic neuromuscular stabilization (DNS) exercise on urinary flow and quality of life in individuals with dysfunctional voiding was investigated. This experimental study was conducted with patients who applied to UroKlinik in Istanbul between March 2021 and June 2023 and were diagnosed with dysfunctional voiding. The 34 participants included in the study were randomized into two groups: the experiment in which DNS exercises were applied and the standard therapy group in which the manual application was applied. Voiding Symptom Score (DVSS), Short Form-36 Quality of Life Assessment Short Form and Uroflowmetry test were applied to all participants before and at week 6.

Conditions

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Dysfunctional Voiding

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

OTHER

Blinding Strategy

NONE

Study Groups

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Dynamic Neuromuscular Stabilisation Exercise

The participants performed DNS exercises addition to standard therapy

Group Type EXPERIMENTAL

Exercise

Intervention Type OTHER

Dynamic Neuromuscular Stabilisation Exercise

Standard therapy

Intervention Type OTHER

Patient education, massage, diaphragmatic breathing, kegel exercise

Standard therapy

Patient education, massage, diaphragmatic breathing, kegel exercise

Group Type OTHER

Standard therapy

Intervention Type OTHER

Patient education, massage, diaphragmatic breathing, kegel exercise

Interventions

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Exercise

Dynamic Neuromuscular Stabilisation Exercise

Intervention Type OTHER

Standard therapy

Patient education, massage, diaphragmatic breathing, kegel exercise

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Having been diagnosed with dysfunctional voiding,
* Being between the ages of 18-75,
* Not having a neurogenic bladder
* Not having a urinary tract infection
* Not having an obstacle to exercise,
* Accepting and signing the Approval Form,
* Not having undergone surgery in the last 6 months,

Exclusion Criteria

* Not being cooperative
* Not being able to participate in the treatment,
* The use of drugs that will affect urination
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Halic University

OTHER

Sponsor Role lead

Responsible Party

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Duygu Şahin Altaç

Principal investigator, MSc, PT

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Seda Saka, PhD

Role: STUDY_DIRECTOR

Haliç University

Locations

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Haliç University

Istanbul, , Turkey (Türkiye)

Site Status

Countries

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Turkey (Türkiye)

References

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Akbal C, Genc Y, Burgu B, Ozden E, Tekgul S. Dysfunctional voiding and incontinence scoring system: quantitative evaluation of incontinence symptoms in pediatric population. J Urol. 2005 Mar;173(3):969-73. doi: 10.1097/01.ju.0000152183.91888.f6.

Reference Type RESULT
PMID: 15711352 (View on PubMed)

Altunkol A, Abat D, Sener NC, Gulum M, Ciftci H, Savas M, Yeni E. Is urotherapy alone as effective as a combination of urotherapy and biofeedback in children with dysfunctional voiding? Int Braz J Urol. 2018 Sep-Oct;44(5):987-995. doi: 10.1590/S1677-5538.IBJU.2018.0194.

Reference Type RESULT
PMID: 30130020 (View on PubMed)

Austin PF, Bauer SB, Bower W, Chase J, Franco I, Hoebeke P, Rittig S, Walle JV, von Gontard A, Wright A, Yang SS, Neveus T. The standardization of terminology of lower urinary tract function in children and adolescents: Update report from the standardization committee of the International Children's Continence Society. Neurourol Urodyn. 2016 Apr;35(4):471-81. doi: 10.1002/nau.22751. Epub 2015 Mar 14.

Reference Type RESULT
PMID: 25772695 (View on PubMed)

Haylen BT, Ashby D, Sutherst JR, Frazer MI, West CR. Maximum and average urine flow rates in normal male and female populations--the Liverpool nomograms. Br J Urol. 1989 Jul;64(1):30-8. doi: 10.1111/j.1464-410x.1989.tb05518.x.

Reference Type RESULT
PMID: 2765766 (View on PubMed)

Mahdieh L, Zolaktaf V, Karimi MT. Effects of dynamic neuromuscular stabilization (DNS) training on functional movements. Hum Mov Sci. 2020 Apr;70:102568. doi: 10.1016/j.humov.2019.102568. Epub 2020 Jan 13.

Reference Type RESULT
PMID: 31950895 (View on PubMed)

Zivkovic V, Lazovic M, Vlajkovic M, Slavkovic A, Dimitrijevic L, Stankovic I, Vacic N. Diaphragmatic breathing exercises and pelvic floor retraining in children with dysfunctional voiding. Eur J Phys Rehabil Med. 2012 Sep;48(3):413-21. Epub 2012 Jun 5.

Reference Type RESULT
PMID: 22669134 (View on PubMed)

Other Identifiers

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ssaka8

Identifier Type: -

Identifier Source: org_study_id

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