Stress Urinary Incontinence
Conditions
Brief summary
The aim of the study was to compare the effects of stabilization exercises and pelvic floor muscle training in women with stress urinary incontinence.
Detailed description
Stress urinary incontinence is involuntary urinary incontinence with increased intraabdominal pressure. Different exercise approaches such as pelvic floor exercises and stabilization exercises are used in these patients. There is a need for studies comparing the effects of these exercises.
Interventions
Pelvic floor exercises for types I and II muscle fibers will be performed
Lumbar spinal stabilization exercises will be performed
Sponsors
Study design
Eligibility
Inclusion criteria
* Women between the ages of 18-65 who have symptoms of stress or stress-dominant mixed urinary incontinence, who volunteered to participate in the study
Exclusion criteria
* Those who are pregnant, have communication and cooperation problems, have a concomitant neurological or rheumatological disease, have a history of surgery involving the abdominal and pelvic regions in the last year, have undergone spine surgery, those diagnosed with pure urge urinary incontinence or mixed type incontinence, those with advanced pelvic organ prolapse, those with a spinal deformity (such as scoliosis), the presence of orthopedic problems in the lower extremities (such as lower extremity shortness, presence of deformity etc.) and vestibular system disorder
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Urinary incontinence severity | change from baseline at 8 weeks | Urinary incontinence severity will be measured with A 1-hour pad test |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Life quality | change from baseline at 8 weeks | Life quality will be assessed with King's Health Questionnaire. |
| Pelvic floor muscle activation response | change from baseline at 8 weeks | Pelvic floor muscle activation response will be measured with a portable EMG-Biofeedback device. |
| Pelvic floor muscle strength | change from baseline at 8 weeks | Pelvic floor muscle strength will be evaluated with Modified Oxford Scale |
| Urinary symptoms | change from baseline at 8 weeks | Urinary symptoms will be evaluated with International Consultation on Incontinence Questionnaire-Urinary Incontinence Short Form |
| Balance | change from baseline at 8 weeks | Balance will be evaluated with Biodex Balance System as static and dynamic |
| Spinal function | change from baseline at 8 weeks | Spinal function will be evaluated with the Spinal Mouse device in standing position. |
| Subjective perception of improvement | After treatment (at 8 week) | Subjective perception of improvement will be measured with a four-point Likert scale. |
| Core stability | change from baseline at 8 weeks | Core stability will be evaluated with Sahrmann Test using the pressure stabilizer. |