Effects of Hypopressive Exercises in Comparison With Routine Pelvic Floor Exercises in Women With Urinary Incontinence

Riphah International University20 enrolled

Overview

The aim of our study is to compare the effects of hypopressive exercises with routine pelvic floor exercises in improving the frequency and severity of urinary incontinence in women and also to enhance their quality of life as it worsens after childbirth, pregnancy, and in older age.

A randomized control trial study will be conducted in which patients with urinary incontinence will be assigned to group 1 that will receive hypopressive exercises with electrical muscle stimulation (EMS) and patients in group 2 will receive pelvic floor exercises with EMS. The intervention will be applied (3 days/week) for 8 weeks. Four sets of 10 repetitions with a 3-minute interval between each set will be performed for group 1 in an upright position while four sets of 10 repetitions with a 2-minute interval between each set will be performed for group 2 in the sitting position.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

SINGLE

Enrollment

Conditions

Urinary Incontinence

Interventions

Hypopressive exercisesOTHER

For hypopressive exercises, the patient will be instructed to inhale, then breathe to expand the ribcage, and then exhale completely. Hold the breath out before relaxing core and ribcage.

Pelvic floor exercisesOTHER

For pelvic floor exercises, the patient is instructed to hold each contraction for 6 seconds.

Eligibility

Sex: FEMALEMin age: 20 YearsMax age: 65 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Women aged between 20 to 65 years * Gynecologist and urologist diagnosed patients * Participants not engaged systematically in sports or physical activities(≤ sessions per week, ≤ weeks per week) Exclusion Criteria: * If participants had hypertension or any serious mental disease * Pregnancy or up to 2 months postpartum * Urge fecal incontinence or vaginal pain * Underwent any physiotherapy for urinary incontinence before * Any kidney disease

Locations (1)

Riphah International University

Faisalābad, Punjab Province, Pakistan

Outcomes

Primary Outcomes

International Consultation Incontinence Questionnaire Short Form (ICIQ-SF)

ICIQ-SF is a screening tool for incontinence. 4 main items (a total of 6) ask for a rating of symptoms in past four weeks. Item 1 and 2 are demographics so items 3,4,5 are summed for a total score. Using a score value, UI is classified as mild (1-5), moderate (6-12), severe (13-18), very severe (19-21) from a total score ranges from 0-21.

Time frame: 8th week

International Impact Questionnaire, Short Form (IIQ-7)

IIQ-7 is a reliable tool for measuring the impact on quality of life for UI patients. Calculate the mean of all items and then subtract the mean by 1, then multiply by 100/3 (0-100 range).

Time frame: 8th week

Medical, Epidemiologic and Social aspects of Aging Questionnaire (MESA Questionnaire)

It is a reliable and validated tool to evaluate the severity and predominance of stress and urge urinary incontinence. The MESA Questionnaire consists of 15 items total divided into stress (1-9) and urge (10-15) subscales. The total score of urgency (18) and stress (27) is divided into three degrees. For urgency, a score of 1-6 is categorized as mild, 7-12 moderate, and 13-18 as severe. For stress, a score of 1-9 is categorized as mild, 10-18 moderate, and 19-27 as severe. A higher MESA score indicates more frequent symptoms overall ranges from 0-45.

Time frame: 8th week

Data from ClinicalTrials.gov

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