Urinary Incontinence,Stress
Conditions
Brief summary
The purpose of this study is to assess the influence of the body posture correcting therapy on pelvic floor muscles function and urinary incontinence problem.
Detailed description
This randomized, controlled study was aimed to asses influence of a six week global posture correction therapy on pelvic floor muscles function and urinary incontinence problem. Participants were randomly divided into two groups. All subjects overcame assessment of pelvic floor muscles (sEMG, manometry and digital) and completed questionnaire about urinary incontinence problem and general health condition connected with lower tract symptoms. Both groups had a pelvic floor education (what is it, where are the pelvic floor muscle, how to correct contract them etc.) Additionally, the study group had a six week therapy focused on body posture correction. Therapy consisted of manual therapy (once per week) and correction exercises.
Interventions
OTHERManual therapy, exercises and education program
a six week body posture therapy consisted of manual therapy (once per week) and home exercises; education about pelvic floor
OTHEREducation program
education about pelvic floor
Sponsors
Katarzyna Jórasz
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Subject)
Masking description
Subjects covered by the assigned number
Intervention model description
Participants divided into two groups (the study and the control)
Eligibility
Sex/Gender
FEMALE
Age
25 Years to 45 Years
Healthy volunteers
No
Inclusion criteria
* stress urinary incontinence (confirmed by a medical examination) * female * age between 25 and 45 years old
Exclusion criteria
* gynecological, spinal, and abdominal surgery (excluding cesarean delivery) * menopause * spinal and pelvis injuries * chronic diseases of the circulatory and respiratory system * neurlogical accidance
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in Incontinence Questionnaire-Urinary Incontinence Short Form (ICIQ-SF) | 6 week (post-treatment) | evaluating the frequency, severity and impact on quality of life (QoL) of urinary incontinence; scoring scale 0-21 (higher scores mean a worse outcome) |
| Change in Oswestry Disability Index (ODI) | 6 week (post-treatment) | level of disability connected with chronic lumbar pain; scoring scale 0-50 (higher scores mean a worse outcome) |
| Change in King's Health Questionnaire (KHQ) | 6 week (post-treatment) | to assess the impact of lower urinary tract symptoms including urinary incontinence on health related quality of life; the questionnarie consists of three parts; scoring scale: I-II part 0-100; III part 0-30 (higher scores mean a worse outcome) |
| Change in sEMG of the pelvic floor muscles | 6 week (post-treatment) | using vaginal probe; average maximum voluntary isometric contraction and relaxation (after 5 attempts); unit of measure - mV (microvolts); higher scores mean a better outcome (contraction); higher scores mean the worse outcome (relaxation) |
| Change in manometry of the pelvic floor muscles | 6 week (post-treatment) | to assess the pressure levels performed by voluntary contraction of pelvic floor muscles (after 5 attempts); unit of measure - centimeter of water column (cmH2O); higher scores mean the better outcome |
| Change in digital palpation of the pelvic floor muscles using PERFECT shame | 6 week (post-treatment) | to assess power of pelvic floor muscles (P) - scoring scale 1-5 (higher is better), endurance (E) - scoring scale (higher is better), the ability to repeat the contraction with maximum strength (R) - scale 1-10 (higer is better); number of fast contractions (F) - scale 1-15 (higher is better); possibility of elevation of perineum (E) - yes/no; co-contraction of another muscles (C) - yes/no; involuntary contraction during coughing (T) - yes/no |
Countries
Poland
Outcome results
None listed