Urinary Incontinence
Conditions
Brief summary
It will be investigate if women with a diaper grant in Aalborg Municipality can reduce diaper size and thus costs for diapers in the municipality through meetings with a incontinence nurse and pelvic floor exercises.
Detailed description
Incontinence is a world wide challenge especially in elderly women. The participation in pelvic floor exercises can to some extent help women with urinary incontinency. In the Municipality of Aalborg in Denmark, the citizens can get a diaper grant, if they are incontinence. The project will be recruiting women with diaper grants and randomly allocate the women to 3 different groups 1) Group training (usual care), 2) Individual training and 3) Individual training with biofeedback in the form of ultrasound. All groups will receive the same incontinence education from the incontinence nurses and physiotherapists. The Women will be offered 6 individual or 10 group base trainings, with increased time between trainings, to increase the participants independency and rely more on home based exercises.
Interventions
From lying to sitting to active exercises with focus on the pelvic floor
Sponsors
Study design
Masking description
The Investigator and outcome assessor did not know what treatment the indivdual women got.
Intervention model description
3 arms, one with group exercises, one with individual exercises and one with ), Individual exercises guided by ultrasonography imaging
Eligibility
Inclusion criteria
Diaper grant * Urinary incontinency Living in own home in Aalborg Municipality
Exclusion criteria
* Dementia Inability to transport herself to the training facility neurological diseases inability to understand Danish or bring a translator
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Pelvic floor strength | Change compared to baseline after 12 week intervention | Change in pelvic floor strength measured through internal palpation with the use of oxford Scale (0-5, where 5 is the highest strength) but transferred to percentage and normalized to baseline values. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in life quality - UDI-6 | after 12 weeks of exercise and 3 months follow-up | Urinary Distress Inventory (UDI-6) questionnaire with a total score, in each of the 6 questions the subjects scores between 0 to 3, 0 being Not at all, 1 being A little bit, 2 being Moderately and 3 being Greatly |
| Change in life quality IIQ-7 | after 12 weeks of exercise and 3 months follow-up | Incontinence Impact Questionnaire (IIQ-7) questionnaire with a total score, in each of the 7 questions the subjects can score between 0 to 3, 0 being Not at all, 1 being A little bit, 2 being Moderately and 3 being Greatly |
Countries
Denmark