Stress urinary incontinence
Conditions
Interventions
Intervention group:Each training session lasts for 50 minutes, consisting of a 5-minute warm-up, 40 minutes of Dynamic Neuromuscular Stabilization (DNS) training, and a 5-minute cool-down. The DNS tra
they are encouraged to achieve 360° expansion of the lower thoracic cavity and the entire abdominal wall during inhalation, and maintain sufficient and equal tension in all abdominal wall segments dur
Control group:1.Kegel exercise: The training positions were advanced in stages, with the supine position with knees flexed for Weeks 1–2, the sitting position for Weeks 3–4, and the standing position
Phase 2 (Weeks 3–4) involved side lying leg lift and side plank
Phase 3 (Weeks
Sponsors
Beijing Friendship Hospital Capital Medical University
Eligibility
Sex/Gender
Female
Age
45 Years to No maximum
Inclusion criteria
Inclusion criteria: 1. Meet the diagnostic criteria for stress urinary incontinence. 2. Be 45 years of age or older. 3. Meet the diagnostic criteria for non-specific low back pain (NSLBP) as specified in the Clinical Practice Guidelines. 4. The severity of NSLBP is >=3 points as assessed by the visual analogue scale (VAS). 5. Meet the hormonal criteria for perimenopausal and postmenopausal women. 6. Present with concurrent stress urinary incontinence and NSLBP. 7. Have not participated systematically in rehabilitation training or other physical therapy programs for SUI and NSLBP within the past 3 months. 8. After fully understanding the study protocol, accept and comply with the random grouping arrangement, and voluntarily sign the informed consent form. 9. Be able to ensure full participation in the experiment and complete the experimental intervention and assessments on schedule.
Exclusion criteria
Exclusion criteria: 1. Diagnosed with or complicated by other types of urinary incontinence such as urge urinary incontinence and overflow urinary incontinence; 2. Confirmed to have pelvic organ prolapse of grade ? or above by pelvic floor ultrasound screening; 3. A history of renal or urinary tract infection, genitourinary fistula, urinary incontinence surgery, indwelling urinary catheterization, or inability to contract the pelvic floor muscles; 4. Patients with pain symptoms caused by definite organic lesions, including lumbar intervertebral disc herniation, scoliosis, lumbar spondylolisthesis, spondylolysis (>grade 1), ankylosing spondylitis, a history of back surgery, vertebral fracture, etc.; 5. Patients with severe primary diseases of the cardiovascular and cerebrovascular system (e.g., heart disease, hypertension), hepatorenal system, neurological and hematological systems, or malignant tumors; 6. Patients with severe psychological or cognitive disorders who are unable to communicate effectively.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Visual Analog Scale;International Consultation on Incontinence Short Form;Pelvic floor electromyography;Thickness of transversus abdominis/ multifidus/ diaphragm;Quantitative Staging Method for Pelvic Organ Prolapse; | — |
Secondary
| Measure | Time frame |
|---|---|
| Functional Performance Assessment;Oswestry Disability Index Questionnaire;Quality of Life and Functional Impairment Assessment;Pelvic Belt Questionnaire;Pelvic Floor Dysfunction Questionnaire; | — |
Countries
China
Contacts
Public ContactXie Ying
Beijing Friendship Hospital Capital Medical University
Outcome results
None listed