Stress Urinary Incontinence
Conditions
Brief summary
The purpose of the study is to evaluate the effects of postural reeducation compared to pelvic floor muscle training on urinary incontinence (UI) symptoms, the impact of UI, and quality of life (QoL) in women experiencing stress urinary incontinence (SUI)
Detailed description
The study is designed as a randomized- controlled trial. It will be carried out on women suffering from stress urinary incontinence referred after urology consultations to the Physiotherapy Clinic in Soad Kafafy hospital. UI, particularly SUI, affects up to 28% of the population and occurs during activities like coughing or sneezing due to inadequate urethral closure pressure. The pelvic floor muscles play a critical role in supporting pelvic organs and maintaining continence. Pelvic floor dysfunction is a significant contributor to SUI. Postural dysfunction can increase mechanical stress and lead to pelvic floor dysfunction. Postural re-education techniques aim to correct imbalances and improve pelvic floor muscle activity, potentially alleviating SUI symptoms by restoring muscle efficiency and enhancing continence.
Interventions
OTHERPostural reeducation
The program will include postural awareness, stretching, McKenzie's method, and manual therapy for 12 weeks.
The program will include pelvic floor exercises for 12 weeks. Three sets of 10 long contractions will be performed, each sustained for 6-8 seconds, three times a day. After each contraction, participants will be asked to rest for the same period. Two series of 10 fast contractions will be recommended, consisting of short, quick exercises of 1- to 2-second contractions, followed by long, sustained exercises lasting 5-10 seconds.
Sponsors
Misr University for Science and Technology
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
FEMALE
Age
30 Years to 40 Years
Healthy volunteers
No
Inclusion criteria
* Fifty females with stress urinary incontinence. * Age of 30-40 years. * Body mass index (BMI) \> 30 kg/m2
Exclusion criteria
* Genital prolapse grade 3 or 4 based on Pelvic Organ Prolapse Quantification Classification (POP-Q). * Overactive bladder (OAB) * Functional impairment (Barthel scale \<85 points). * Neurological or cognitive impairment (mini mental examination \<24 points). * Any other type of urinary incontinence. * Pregnancy. * History of spinal, hip, knee or foot surgery, pelvic and abdominal surgery (including cesarean section) * Smoking, chronic cough, history of respiratory diseases, osteoporosis (self-reported).
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Urinary incontinence (UI) symptoms | 12 weeks | UI symptoms will be measured using a 48-hour Pad Test \[14\]. This is a standardized test for assessing urine leakage that can be performed at home\[15\]. Women replace pads as needed over the course of 48 hours. The results are calculated by subtracting the net weight of used pads from the total weight of non-used pads. The Pad Test results can be classified as mild (4-20 g), moderate (21-74 g), or severe UI (\> 75 g). |
| Urinary incontinence (UI) impact | 12 weeks | It will be assessed using the International Consultation Incontinence Short-Form (ICIQ-UI-SF). UI impact will be derived from the values of the third question assessing overall impact (How much does leaking urine interfere with everyday life?, ranging from 0 to 10), with a higher score indicating a greater UI impact. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Urinary incontinence-Quality of life (UI-QoL) | 12 weeks | It will be assessed using the International Consultation Incontinence Short-Form (ICIQ-UI-SF). The UI-QoL will be calculated using the questionnaire's final score (range from 0 to 21), which is the total of the three items, with a higher score indicating more severe UI and a bigger influence on QoL. |
Countries
Egypt
Outcome results
None listed