Stress Urinary Incontinence
Conditions
Brief summary
INTRODUCTION: Stress urinary incontinence is a common condition in women and can be defined as the involuntary loss of urine on exertion, exercise, sneezing or coughing. This pathology causes physical discomfort and impacts the quality of life in a negative manner. Physiotherapeutic exercises is a treatment with low cost and high patient attendance. It can be applied with focus on strengthening the pelvic floor muscles or on muscular synergism. OBJECTIVE: To compare the effectiveness of Kegel exercises performed alone or performed in association with the strengthening of the muscles of the hip in the treatment of stress urinary incontinence. METHODOLOGY: The study is a randomized, blinded clinical trial. It aims at assessing objectively the strength of the pelvic floor, the improvement in the number of episodes of loss and impact on quality of life. The study will accept up to 40 women, who will be divided into two groups of physical therapy: group 1 (that will strengthen the pelvic floor muscles with Kegel exercises) and group 2 (that will perform strengthening the pelvic floor muscles with Kegel exercises associated with the strengthening of muscles of the hip). The two groups will be evaluated at the beginning and at the end of treatment.
Detailed description
the strength of the pelvic floor muscles will be evaluated with the aid of a perineometer
Interventions
OTHERStrengthening of pelvic floor muscles.
Kegel exercises kinesiotherapy
OTHERStrengthening of hip muscles.
Kegel exercises and strengthening of hip muscles as Gluteus Maximus and Medius and adductor muscles
Sponsors
University of Sao Paulo General Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
FEMALE
Age
30 Years to 70 Years
Healthy volunteers
No
Inclusion criteria
* Women with 30 to 70 years of age; * Clinical diagnosis of stress urinary incontinence; * Urodynamic study.
Exclusion criteria
* Stress urinary incontinence with sphincter deficiency; * Urinary urgence; * Mixed urinary incontinence; * Pregnant women; * Neurological or muscular disease that interfere with continence; * Urinary infection; * Genital prolapse; * Gynecological surgery for urinary incontinence in the last year; * Hormone replacement therapy; * Strength 0 in functional evaluation of the pelvic floor muscles.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in frequence of urinary incontinence | At the first session of physical therapy and after 10 weeks of physical therapy treatment a voiding diary will be applied, and every session a follow up diary will be used. The physiotherapy treatment will be held twice a week for 10 weeks. | number of episodes of urinary leakage per week |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in strength of pelvic floor muscles | At the first session of physical therapy and after 10 weeks of physical therapy treatment . The physiotherapy treatment will be held twice a week for 10 weeks. | The strength of pelvic floor muscles will be assessed qualitatively by the functional evaluation of pelvic floor and quantitatively by perineometer. |
| Change in quality of life | At the first session of physical therapy and after 10 weeks of physical therapy treatment . The physiotherapy treatment will be held twice a week for 10 weeks. | Questionnaires: International Consultation on Incontinence Questionnaire (ICIQ); King´s Health Questionnaire (KHQ) |
Countries
Brazil
Outcome results
None listed