Urinary Stress Incontinence
Conditions
Keywords
Urinary stress incontinence, pelvic floor muscle, Kaatsu training
Brief summary
This study examines the effect of adding so called Kaatsu training to pelvic floor muscle training. Half the participants will perform Kaatsu training on their thigh muscles followed by pelvic floor muscle training. The other half will receive pelvic floor muscle training alone.
Detailed description
Stress urinary incontinence (SU) is a common problem among adult women . Pelvic floor muscle training (PFMT) is recommended as first line treatment but PFMT is not always efficient and some women cannot comply with the intensive PFMT needed to obtain effect because of weakened or damaged muscles caused by vaginal delivery and age related changes. Hypothetically alternative methods could be used to enhance the effect of a strength-training program. A low intensity training program with a simultaneous partial occlusion of the blood supply for the training muscle, so called Kaatsu training has been found to increase muscle strength faster than ordinary strength training but with much less effort. It seems difficult to make occlusion of the pelvic floor muscles during PFMT but a study found that low intensity training of the quadriceps femoris with partial occlusion of the blood supply did not only increase muscle strength of the quadriceps femoris muscle but also of the biceps humeri muscle if that muscle was trained with low-load training and no occlusion in the same training session. The specific reason for this this cross-transfer effect could not be fully explained but it was believed to be caused by a systemic effect caused by growth hormones. The aim of this study is therefore to examine if Kaatsu training offered in relation to a low-load PFMT program can increase the effect of PFMT in women with SUI
Interventions
BEHAVIORALPelvic floor muscle training and Kaatsu
The intervention includes three outpatient visits (weeks 0, 6 and 12) and between visits the participants perform PFMT and Kaatsu training as home training
BEHAVIORALPelvic floor muscle training
The intervention includes three outpatient visits (weeks 0, 6 and 12) and between visits the participants perform PFMT as home training
Sponsors
Herlev Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Investigator)
Eligibility
Sex/Gender
FEMALE
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* ICIQ-SF ≥ 12 * Urinary stress incontinence * Ability to contract pelvic floor muscles * Normal bladder capacity and normal flow during micturition with at least one micturition of \> 350 ml
Exclusion criteria
* Urgency urinary incontinence * Cognitive problems * Physical inability to perform Kaatsu program * Inability to understand and read Danish
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| ICIQ-SF (International Consultation on Incontinence Questionnaire - Short Form ) | 12 weeks | Subjective measure of severity of urinary loss and impact on quality of life |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| ICIQ-SF | 6 weeks | Subjective measure of severity of urinary loss and impact on quality of life |
| UPR (Urethral Pressure Reflectometry) | 12 weeks | UPR is a novel method measuring the pressure and the cross-sectional area of the female urethra. The difference in urethral opening pressure during pelvic floor muscle contraction before and after intervention is measured in cm H2O |
| PGI-I (Patient Global Index of Improvement scale) | 6 and 12 weeks | Global scale |
| Three days bladder diary | 6 and 12 weeks | Diary to report number of incontinence episodes |
| VAS (Visual Analog Scale) | 6 and 12 weeks | Scale used to report bother with performing the interventions |
Countries
Denmark
Outcome results
None listed