A prevalence of urinary incontinence ranging from 5.7% to 80% has been observed in young nulliparous athletes during their activity. The usual recommendations for managing adult women do not seem to be transferable. Young nulliparous athletes need specific educational and behavioral interventions and an alternative to pelvic floor muscle strengthening. A multimodal and multidimensional intervention for athletes and coaches combining specific pelvic health education and strengthening of lumbopelvic-abdominal stability appears to be an innovative and optimal solution for reducing the symptoms of urinary incontinence in young nulliparous women who participate in athletics.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
OTHER
Masking
NONE
Enrollment
198
The intervention will consist of participants: i) reviewing educational content (8 educational videos online) ii) participating in two in-person sessions at the athletics club and performing lumbar-pelvic-abdominal stability exercises iii) learning and implementing recommendations for empowering themselves in pelvic health management. iv) complete reports in 6 questionnaires during follow-up.
Collection of data on routine activities
CHU de Saint-Etienne
Saint-Etienne, France
Urinary incontinence symptoms
Severity of urinary incontinence symptoms as measured by the ICIQ-UI-SF score (International Consultation on Incontinence Questionnaire - Short Form for Urinary Incontinence). Scores typically range from 0 to 21. The higher the score, the more severe the urinary incontinence.
Time frame: Week 1, 7, 13, 19, 25, 31
The program's effects on the prevalence of urinary incontinence
The program's effects on the prevalence of urinary incontinence will be measured using the ICIQ-UI-SF questionnaire, with a dichotomous interpretation of the score: 0 = continent, ≥1 = incontinent.
Time frame: Week 1, 7, 13, 19, 25, 31
Effects of the intervention on athletes' knowledge of the pelvic-perineal region
A questionnaire we have developed will measure the effects of the intervention on athletes' knowledge of the pelvic and perineal region. It will consist of 10 questions. This outcome will be assessed by comparing the mean number of correct answers (on a scale of 0 to 10) within and between groups.
Time frame: Week 1, 31
The program's effects on associated pelvic and perineal symptoms
The ODS-S questionnaires measure associated pelvic and perineal symptoms. This criterion will be assessed by comparing the mean total scores (on a scale of 0 to 20) within and between groups.
Time frame: Week 1, 31
The program's effects on urinary dysfunction.
Section C of the LURN-SI29 questionnaire, which assesses urinary dysfunction. This criterion will be evaluated by comparing the mean total scores (on a scale of 0 to 20) within and between groups.
Time frame: Week 1, 31
Number of educational contents viewed
Measured by tracking content views at the end of the session.
Time frame: Week 13, 19, 25
Practicing lower back, pelvic, and abdominal stability exercises
Measured by collecting the frequency of implementation.
Time frame: Week 1, 7, 13, 19, 25, 31
The dose-response effect related to adherence
Assessed by measuring the effects on the ICIQ-UI-SF score based on the frequency of exercise implementation. Scores typically range from 0 to 21. The higher the score, the more severe the urinary incontinence.
Time frame: Week 1, 7, 13, 19, 25, 31
Program satisfaction
Assessed using a questionnaire. This criterion will be expressed as the average of the total scores for the satisfaction and recommendation questions (on a scale of 0 to 10). A score of "10" indicates high satisfaction and a strong recommendation.
Time frame: Week 31
Trends in Top Athletic Performance
Measured by the best performance (time/distance) in the most common track and field event. Time is measured in seconds and minutes. Distance is measured in meters.
Time frame: Week 1, 7, 13, 19, 25, 31
Number of educational contents viewed by coaches
Measured by tracking content views at the end of the session
Time frame: Week 13, 19, 25
Coaches' level of knowledge regarding the pelvic-perineal region
Assessed using a 10-question questionnaire. This criterion will be expressed through an intra-group and inter-group comparison of the average number of correct answers (on a scale of 0 to 10).
Time frame: Week 1, 31
Practicing lumbar-pelvic-abdominal stability exercises
Measured by collecting the frequency as specified in a questionnaire
Time frame: Week 1, 7, 13, 19, 25, 31
Coaches' satisfaction with the program
Assessed using a questionnaire. This criterion will be expressed as the average of the total scores for the satisfaction and recommendation questions (on a scale of 0 to 10). A score of "10" indicates high satisfaction and a strong recommendation.
Time frame: Week 31
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