Urinary Incontinence, Stress Urinary Incontinence
Conditions
Interventions
This is a randomized controlled clinical trial. Blinding will be implemented, with the physiotherapist responsible for assessments being different from the physiotherapist responsible for the interven
pelvic floor muscle assessment by vaginal palpation
Global Perceived Effect Scale
quality of life assessment using the King’s Health Questionnaire, Short Form 6 Dimensions Brazil, and King’s Health Questionnaire Scoring Algorithm
and economic evaluation. In this group, participants will perform pelvic floor muscle training without physiotherapist supervision, using an educational booklet, and will be instructed to perform the
non-polarized current
rectangular waveform
pulse duration of 700 µs
on-time of 5 seconds
off-time ratio of 1:3 during the first five sessions (15 seconds) and 1:2 during the last five sessions (10 seconds)
rise time of 1 second
decay time of 0
frequency of 50 Hz
application time of 20 minutes
and current amplitude adjusted to the maximum tolerated by the participant. Pelvic floor muscle training will be based on the protocol proposed by Bø, Talseth, and Holme and will last 10 weeks as foll
sets: 1 set in each position
repetitions: 8 to 12 contractions, each sustained for 6 to 8 seconds. After these repetitions, 3 to 4 quick contractions will be added. Relaxation time: 6 seconds. Intensity: maximum contraction. A fa
Sponsors
Programa de Pós-Graduação em Fisioterapia da Universidade Federal de São Carlos
Universidade Federal de São Carlos
Eligibility
Sex/Gender
Female
Age
18 Years to 90 Years
Inclusion criteria
Inclusion criteria: Women will be included (biological sex); older than 18 years; who know how to read and write in Portuguese; who are available to provide face to face care in São Carlos; with symptoms of stress urinary incontinence
Exclusion criteria
Exclusion criteria: Participants will be excluded if they have never had sexual activity involving vaginal penetration; are pregnant; are less than 6 months postpartum; present with vaginal or urinary tract infection; have a neurological disease; have cancer in the abdominal or pelvic region; have previously undergone treatment or surgery for urinary incontinence; have a metallic implant or hip and knee limitations; present with pain or discomfort; or are unable to perform pelvic floor muscle contraction
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To evaluate whether there is a change in quality of life in women after intervention to treat stress urinary incontinence, using the King's Health Questionnaire (KHQ), which consists of 30 questions that evaluate the items health perception, impact of urinary incontinence, limitations of daily activities, physical limitations and social limitations, personal relationships, emotions, sleep and energy, severity measures. The scores of this questionnaire range from 0 to 100, and consider that the higher the score, the worse the quality of life determined for each person. And the Short-Form 6 Dimensions – Brazil (SF-6D) questionnaire, which assesses functional capacity, global limitation, physical aspects, emotional aspects, social aspects, pain, mental health and vitality. Also identify the frequency of urination and frequency of urinary loss through the urination diary and identify whether there is a change in the function of the pelvic floor muscles after treatment through vaginal palpation. | — |
Secondary
| Measure | Time frame |
|---|---|
| Identify the health costs that will be evaluated by the Short-Form 6 Dimensions - Brazil, as it allows the generation of utility indices (adjusted life years) from the effectiveness data used in economic analysis and has a unique score ranging from 0 to 1. (where 0 represents the worst state of health and 1 represents the best state of health). | — |
Countries
BR
Contacts
Public ContactIngrid Vilela
Universidade Federal de São Carlos
Outcome results
None listed