A Mobile Application for Female Athletes With Pelvic Floor Dysfunctions (ACTITUD2.0)

NCT ID: NCT06814743

Last Updated: 2025-12-24

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

107 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-02-10

Study Completion Date

2025-09-30

Brief Summary

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Pelvic floor dysfunctions (PFD) are especially prevalent among females. As conservative management, strengthening pelvic floor (PF) musculature under health supervision, regard an important research line. However, embarrassment of female athletes limits healthcare demands. New technologies could facilitate an autonomous but supervised tele-rehabilitation programs.

This study will evaluate the effects of a 12-weeks program with exercises focused on PF awareness and strengthening by using a mobile application supervised by physiotherapists, with or without intracavitary biofeedback, on the PF anatomical and functional characteristics, symptomatology and sports performance of female athletes with PFD.

To this end, 105 female athletes with self-reported PFD who train and compete in sport in Spain will be recruited and randomly distributed in three groups of the experimental study. During 12 weeks, all participants will use the mobile application (named ACTITUD): the control group (CG) will have access to information about PF and direct communication with healthcare team; experimental group 1 (EG1) will have access to the same information and communication, and will perform a the exercise program for PF; the experimental group 2 (EG2) will be similar to EG1, but they will use an intravaginal biofeedback device during exercises to receive information about their intra-vaginal pressure.

Before and after these 12 weeks, anatomical and functional PF characteristics, PF symptoms and sports performance of all participants will be evaluated. As additional outcome, the compliance of the athletes from experimental groups to complete the training program will be registered (in %).

Detailed Description

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Female athletes from EG1 and EG2 will complete the exercise program for PF three times per week, during 12 weeks. Each session will last about 20 minutes and exercises will be modified every two weeks to meet the principle of training progression and avoid athletes become bored.

Conditions

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Pelvic Floor Disorders

Keywords

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Female Athletes e-Health Exercises

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Investigators Outcome Assessors
The design of this study does not allow to mask participants or care providers. Investigators and outcomes assessors will not know which group athletes belong to.

Study Groups

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Experimental group 2: Exercises with biofeedback guidance

All participants will use a mobile application with access to information about pelvic floor and communication with healthcare team, and a exercise program for pelvic floor, while using an intravaginal biofeedback device.

Group Type EXPERIMENTAL

Pelvic floor exercises program guided with an intravaginal biofeedback device

Intervention Type BEHAVIORAL

Use of the mobile application to perform a exercise program for pelvic floor musculature, while using an intracavitary biofeedback device that will inform about vaginal pressure. Behavioral: mobile application with access to information about pelvic floor and direct communication with healthcare team.

Pelvic floor exercises program

Intervention Type BEHAVIORAL

Use of the mobile application to perform a exercise program for pelvic floor musculature.

Behavioral: Information about pelvic floor and communication with health professionals Use of the mobile application with access to information about pelvic floor and direct communication with healthcare team.

Information about pelvic floor and communication with health professionals

Intervention Type BEHAVIORAL

Use of the mobile application with access to information about pelvic floor and direct communication with healthcare team.

Experimental group 1: Exercises

All participants will use a mobile application with access to information about pelvic floor and communication with healthcare team, and a exercise program for pelvic floor.

Group Type ACTIVE_COMPARATOR

Pelvic floor exercises program

Intervention Type BEHAVIORAL

Use of the mobile application to perform a exercise program for pelvic floor musculature.

Behavioral: Information about pelvic floor and communication with health professionals Use of the mobile application with access to information about pelvic floor and direct communication with healthcare team.

Information about pelvic floor and communication with health professionals

Intervention Type BEHAVIORAL

Use of the mobile application with access to information about pelvic floor and direct communication with healthcare team.

Control group: No exercises

All participants will use a mobile application with access to information about pelvic floor and communication with healthcare team.

Group Type ACTIVE_COMPARATOR

Information about pelvic floor and communication with health professionals

Intervention Type BEHAVIORAL

Use of the mobile application with access to information about pelvic floor and direct communication with healthcare team.

Interventions

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Pelvic floor exercises program guided with an intravaginal biofeedback device

Use of the mobile application to perform a exercise program for pelvic floor musculature, while using an intracavitary biofeedback device that will inform about vaginal pressure. Behavioral: mobile application with access to information about pelvic floor and direct communication with healthcare team.

Intervention Type BEHAVIORAL

Pelvic floor exercises program

Use of the mobile application to perform a exercise program for pelvic floor musculature.

Behavioral: Information about pelvic floor and communication with health professionals Use of the mobile application with access to information about pelvic floor and direct communication with healthcare team.

Intervention Type BEHAVIORAL

Information about pelvic floor and communication with health professionals

Use of the mobile application with access to information about pelvic floor and direct communication with healthcare team.

Intervention Type BEHAVIORAL

Other Intervention Names

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Information about pelvic floor and communication with health professionals Information about pelvic floor and communication with health professionals

Eligibility Criteria

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Inclusion Criteria

* To train and compete in any sport.
* To have a self-reported pelvic floor disorder (urinary incontinence, anorectal incontinence, sexual dysfunction or chronic pelvic pain).

Exclusion Criteria

* To have recurrent infections of urinary tract during the last three months.
* To be receiving physiotherapy treatment due to any pelvic floor disorder at the moment of the start of the study.
* To have been pregnant during the year prior to the start of the study.
Minimum Eligible Age

18 Years

Maximum Eligible Age

45 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Ministerio de Ciencia, Innovación y Universidades, Spain

UNKNOWN

Sponsor Role collaborator

University of the Balearic Islands

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Natalia Romero-Franco

Role: PRINCIPAL_INVESTIGATOR

University of the Balearic Islands

Natalia Romero-Franco, PhD

Role: PRINCIPAL_INVESTIGATOR

University of the Balearic Islands

Locations

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Palma de Mallorca

Palma, Balearic Islands, Spain

Site Status

Countries

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Spain

Other Identifiers

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124CER19_2.0

Identifier Type: -

Identifier Source: org_study_id