Effect of Postural Reeducation Versus Pelvic Floor Muscle Training on Stress Urinary Incontinence

NCT ID: NCT06653582

Last Updated: 2025-02-21

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 50 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2024-10-25
• Study Completion Date: 2025-02-01

Brief Summary

The purpose of the study is to evaluate the effects of postural reeducation compared to pelvic floor muscle training on urinary incontinence (UI) symptoms, the impact of UI, and quality of life (QoL) in women experiencing stress urinary incontinence (SUI)

Detailed Description

The study is designed as a randomized- controlled trial. It will be carried out on women suffering from stress urinary incontinence referred after urology consultations to the Physiotherapy Clinic in Soad Kafafy hospital.

UI, particularly SUI, affects up to 28% of the population and occurs during activities like coughing or sneezing due to inadequate urethral closure pressure. The pelvic floor muscles play a critical role in supporting pelvic organs and maintaining continence. Pelvic floor dysfunction is a significant contributor to SUI. Postural dysfunction can increase mechanical stress and lead to pelvic floor dysfunction. Postural re-education techniques aim to correct imbalances and improve pelvic floor muscle activity, potentially alleviating SUI symptoms by restoring muscle efficiency and enhancing continence.

Conditions

Stress Urinary Incontinence

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: SINGLE

Study Groups

Postural reeducation

They will receive a program of postural reeducation with a home program for 12 weeks.

Group Type: EXPERIMENTAL

Postural reeducation

Intervention Type: OTHER

The program will include postural awareness, stretching, McKenzie's method, and manual therapy for 12 weeks.

Pelvic floor exercises

They will receive a program of pelvic floor exercises with a home program for 12 weeks.

Group Type: EXPERIMENTAL

Pelvic floor exercises

Intervention Type: OTHER

The program will include pelvic floor exercises for 12 weeks. Three sets of 10 long contractions will be performed, each sustained for 6-8 seconds, three times a day. After each contraction, participants will be asked to rest for the same period. Two series of 10 fast contractions will be recommended, consisting of short, quick exercises of 1- to 2-second contractions, followed by long, sustained exercises lasting 5-10 seconds.

Interventions

Postural reeducation

The program will include postural awareness, stretching, McKenzie's method, and manual therapy for 12 weeks.

Intervention Type: OTHER

Pelvic floor exercises

The program will include pelvic floor exercises for 12 weeks. Three sets of 10 long contractions will be performed, each sustained for 6-8 seconds, three times a day. After each contraction, participants will be asked to rest for the same period. Two series of 10 fast contractions will be recommended, consisting of short, quick exercises of 1- to 2-second contractions, followed by long, sustained exercises lasting 5-10 seconds.

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• Fifty females with stress urinary incontinence.
• Age of 30-40 years.
• Body mass index (BMI) > 30 kg/m2

Exclusion Criteria

• Genital prolapse grade 3 or 4 based on Pelvic Organ Prolapse Quantification Classification (POP-Q).
• Overactive bladder (OAB)
• Functional impairment (Barthel scale <85 points).
• Neurological or cognitive impairment (mini mental examination <24 points).
• Any other type of urinary incontinence.
• Pregnancy.
• History of spinal, hip, knee or foot surgery, pelvic and abdominal surgery (including cesarean section)
• Smoking, chronic cough, history of respiratory diseases, osteoporosis (self-reported).

• Minimum Eligible Age: 30 Years
• Maximum Eligible Age: 40 Years
• Eligible Sex: FEMALE
• Accepts Healthy Volunteers: No

Sponsors

Misr University for Science and Technology

OTHER

Sponsor Role: lead

Responsible Party

Sally Mohamed Saeed

Principal Investigator

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

Sally Mohamed Saeed, PhD

Role: PRINCIPAL_INVESTIGATOR

Lecturer, MUST university

Malak Adel Elmahdy, PhD

Role: PRINCIPAL_INVESTIGATOR

Lecturer, Al Hayah university

Locations

Faculty of physical therapy, MUST University

Giza, , Egypt

Countries

Egypt

Other Identifiers

P.T.REC/012/005133

Identifier Type: -

Identifier Source: org_study_id