Yoga and Vibration Training for Stress Urinary Incontinence in Women

Official title

Effects Of Yoga And Whole Body Vibration Training On Women With Stress Urinary Incontinence

Overview

This study aimed to compare the effects of yoga and Whole Body Vibration Training on pelvic floor muscle strength, severity of urinary symptoms and UI-related quality of life in women with UI. The intervention period for the study was determined as 6 weeks. It has been decided that yoga practice will be done 3 times a week for 45 minutes, and whole body vibration training will be done for 45-55 minutes. The home exercise group will perform the planned exercise protocol every day for 6 weeks. The results of the study will be evaluated by statistical analysis as a result of the interventions and evaluations.

Interventions

• Procedure yoga and home exercise
  The intervention period for the study was determined as 6 weeks. It has been decided that yoga practice will be done 3 times a week for 45 minutes. Poses to be practiced in the yoga group: 1. Tadasana (mountain pose) 2. Utkatasana (chair pose) 3. Trikonasana (triangle pose) 4. Malasana (squat pose): 5. Viparita Karani Variation (legs up the wall pose) 6. Salamba Set Bandhasana (supported bridge pose) 7. Supta Baddha Konasana (reclining bound angle pose) 8. Savasana (dead pose)
• Procedure whole body vibration training and home exercise
  A total of 40-45 minutes of training was planned for WBVT, including warm-up (10 minutes), active phase (25-30 minutes) and cooling phase (5 minutes).
• Procedure home exercise group
  Pelvic floor muscle training will be done in the home exercise group. This training will be done in the form of slow and fast contractions of the pelvic floor muscles in supine, chin up, sitting, squat and standing positions.

Primary outcome measures

• pelvic floor muscle strength test [Time frame: 6 weeks]
• Numerical Rating Scale [Time frame: 6 weeks]
• International Consultation of Incontinence Society-Short Form [Time frame: 6 weeks]
• 1 hour pad test [Time frame: 6 weeks]
• Incontinence Impact Questionnaire-7 [Time frame: 6 weeks]
• Urogenital Distress Inventory-6 [Time frame: 6 weeks]

Eligibility criteria

Inclusion criteria

• Between the ages of 20-60,
• patients with SUI or Mix UI with a predominant SUI component,
• patients who have not received treatment with any physical therapy modality in the last 3 months,
• patients who signed the informed consent form.

Exclusion criteria

• Those with neurological diseases that may cause incontinence
• Those with prolapse
• Those using intrauterine devices
• Obesity (BMI >30)
• Patients with serious systemic diseases that prevent them from exercising (Cardiovascular disease, COPD, CVO and/or cancer)
• Patients with pure urge or mixed UI with a predominant urge component
• Patients with a history of thrombosis
• Patients who engage in high-intensity sports activities for at least half an hour at least twice a week (tennis, aerobic exercise, running, exercises with body weight).
• Patients with neurological or vestibular disease that may cause balance disorders
• Patients with grade 3 or 4 knee and/or hip osteoarthritis
• Patients with a history of knee and/or hip joint replacement surgery
• Patients with kidney or gallbladder stones
• Patients with acute disc herniation or spondylolisthesis

Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.

Healthy volunteers: Yes

Study design

Allocation

Randomized

Model

Parallel assignment

Masking

Single blind

Primary purpose

Treatment

Study locations

Turkey (Türkiye) · 1 center

• Suleyman Demirel University — Isparta

Publications

• Rocha F, Carvalho J, Jorge Natal R, Viana R. Evaluation of the pelvic floor muscles training in older women with urinary incontinence: a systematic review. Porto Biomed J. 2018 Jul 18;3(2):e9. doi: 10.1016/j.pbj.0000000000000009. eCollection 2018 Oct. PMID 31595241
• Abrams P, Cardozo L, Fall M, Griffiths D, Rosier P, Ulmsten U, Van Kerrebroeck P, Victor A, Wein A; Standardisation Sub-Committee of the International Continence Society. The standardisation of terminology in lower urinary tract function: report from the standardisation sub-committee of the International Continence Society. Urology. 2003 Jan;61(1):37-49. doi: 10.1016/s0090-4295(02)02243-4. No abst PMID 12559262
• Bo K, Nygaard IE. Is Physical Activity Good or Bad for the Female Pelvic Floor? A Narrative Review. Sports Med. 2020 Mar;50(3):471-484. doi: 10.1007/s40279-019-01243-1. PMID 31820378
• Ghaderi F, Kharaji G, Hajebrahimi S, Pashazadeh F, Berghmans B, Pourmehr HS. Physiotherapy in Patients with Stress Urinary Incontinence: A Systematic Review and Meta-analysis. Urol Res Pract. 2023 Sep;49(5):293-306. doi: 10.5152/tud.2023.23018. PMID 37877877
• Krhut J, Zachoval R, Smith PP, Rosier PF, Valansky L, Martan A, Zvara P. Pad weight testing in the evaluation of urinary incontinence. Neurourol Urodyn. 2014 Jun;33(5):507-10. doi: 10.1002/nau.22436. Epub 2013 Jun 24. PMID 23797972
• Shin DC, Shin SH, Lee MM, Lee KJ, Song CH. Pelvic floor muscle training for urinary incontinence in female stroke patients: a randomized, controlled and blinded trial. Clin Rehabil. 2016 Mar;30(3):259-67. doi: 10.1177/0269215515578695. Epub 2015 Apr 10. PMID 25862769
• Cam C, Sakalli M, Ay P, Cam M, Karateke A. Validation of the short forms of the incontinence impact questionnaire (IIQ-7) and the urogenital distress inventory (UDI-6) in a Turkish population. Neurourol Urodyn. 2007;26(1):129-33. doi: 10.1002/nau.20292. PMID 17083117
• Yesil H, Akkoc Y, Karapolat H, Guler A, Sungur U, Evyapan D, Gokcay F. Reliability and validity of the Turkish version of the Danish Prostatic Symptom Score to assess lower urinary tract symptoms in stroke patients. NeuroRehabilitation. 2017;41(2):429-435. doi: 10.3233/NRE-162136. PMID 28946578

Identifiers

NCT: NCT06705283 · 78/30

Primary sources (government registries)

• ClinicalTrials.gov (US NIH)

View this study on ClinicalTrials.gov ↗