The Relationship Between Pelvic Floor Muscle Function and Hip Pain Among Women

University of Haifa51 enrolled

Overview

This study examines the relationship between pelvic floor muscle (PFM) function and self-perception of PFM contraction with hip pain, their severity, and hip muscle strength. In addition, it will examines the association between PFM function, and anxiety.

This cross-sectional study will include women with symptoms of hip-related pain persisting \> three months(research group), and women without hip pain (control group). A single session will include various assessments as follows: abdominal ultrasound examination to evaluate PFM function and endurance, in addition, each participant will evaluate her ability to perform correct contraction of PFM, hand-held dynamometer testing for hip rotator muscle strength, the International Consultation on Incontinence Questionnaire (ICIQ) for evaluating symptoms and impact of urinary incontinence, the International Hip Outcome Tool 12 for assessing hip function and pain, the Hospital Anxiety \& Depression Scale (HADS), and a functional performance task involving the hip muscles - a single-leg squat.

Study Type

OBSERVATIONAL

Enrollment

Conditions

Incontinence Stress Incontinence Hip Pain Chronic

Interventions

pelvic floor muscle assessmentDIAGNOSTIC_TEST

no intervention will be performed - several diagnostic assessments tools

Eligibility

Sex: FEMALEMin age: 18 YearsMax age: 60 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria for Research Group: * complaints of hip related pain, * Visual Analog Scale (VAS) \>3 for three months, * with one or more of the symptoms relevant to the syndrome - (1) hip or groin pain produced by a certain movement or position, stiffness and limitation of movement or clicks from the hip joint, (2) examination A positive FADIR performed by the researcher before conducting the study Exclusion criteria: * the presence of additional diagnoses of the slipped capital femoral epiphysis, * Perthes disease, * avascular necrosis, and osteoarthritis-Calve-Legg, * neurological or Metabolism, * surgery/fracture in the hip joint of which the woman complains, * pregnancy or childbirth in the last year, * Treatment of the pelvic floor in the last year. control group - health women without any pain or symptoms in the spine and lower extremities

Locations (1)

Haifa University, Department of PHysical Therapy

Haifa, Haifa District, Israel

Outcomes

Primary Outcomes

International Consultation on Incontinence Questionnaire

evaluating the frequency, severity and impact on quality of life of urinary incontinence. The score ranges from 0-21, with a higher score indicating greater severity

Time frame: baseline

pelvic floor muscle function assessed as correct movement of the urinary bladder

upward or downward displacement of urinary bladder will be measured via diagnostic ultrasound. Upward movement is considered the correct direction describing good function of pelvic floor muscles

Time frame: baseline

urinary bladder displacement in millimeters

bladder displacement will be measured via diagnostic ultrasound using the on screen caliper tool

Time frame: baseline

pelvic floor muscles endurance of contraction in seconds

The participant is instructed to contract pelvic floor muscle and hold the contraction as long as possible. bladder status on ultrasound is assessed. When the bladder starts to move downward from its position the examination ends. (measured in sec).

Time frame: baseline

Secondary Outcomes

muscle strength

hip muscle abduction sill be measure via hand held dynamometer

Time frame: baseline

hip function assessment

International Hip Outcome Tool 12 questionnaire. range 0-100, with a high score indicates a high quality of life

Time frame: baseline

self-reporting of fear and anxiety of hip pain regarding quality of life

Data from ClinicalTrials.gov

This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.