Physiotherapy Management in Women With Urinary Incontinence
Ориентир для пациента и семьи
Простыми словами
Автоматическая сводка по структурированным данным реестра. Она помогает сориентироваться, но не заменяет официальный протокол или оценку врача.
- Что изучают
- В протоколе указаны: physiotherapy, exercises.
- Кому может быть актуально
- Состояния в реестре: Urinary Incontinence. Базовые параметры: 20 лет — 80 лет · Женщины.
- Что важно проверить
- Возраст, диагноз и пол — только базовые ориентиры. Предыдущее лечение, анализы и другие обязательные условия указаны ниже в критериях участия.
- Где проводится
- Польша
- Следующий шаг
- Сохраните исследование, покажите его лечащему врачу и уточните актуальный статус у исследовательского центра. Расходы, документы и поездка →
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Официальное название
Physiotherapy Management in Women With Urinary Incontinence Considering Postural Stability, Postural Pattern, Pelvic Type, Quality of Life, and Sexual Aspect
Обзор
Main objective: The primary aim of the study is to assess whether the author's exercise programme has an effect on reducing urinary incontinence and pelvic floor dysfunction after childbirth, considering vacuum extractor, forceps and caesarean section deliveries. Secondary objective: The secondary objective is to determine whether the duration of the author's exercise programme is sufficient to achieve positive changes in women.
Подробное описание
The study will involve women with stress urinary incontinence, urge urinary incontinence, and mixed urinary incontinence. Participants will be women aged 20-80 years (meeting inclusion criteria: urinary incontinence, regular menstrual cycles, pre-and post menopausal period, natural childbirth or cesarean section, and deliveries using forceps and vacuum extractors; exclusion criteria: no urinary incontinence, irregular menstrual cycles, no childbirth, abdominal surgeries/procedures, active cancer, no gynecological check-up in the last 12 months, recurrent urogenital infections, joint hypermobility). A total of 300 women will be examined, including 100 women meeting the inclusion criteria, 100 women meeting the inclusion criteria but not interested in exercising, and 100 healthy women. Participants can withdraw from the study at any stage.Study Group Division
Based on the evaluation of posture type, pelvic pattern, and postural stability, participants will be divided into three groups:
1. Women meeting inclusion criteria performing the author's exercise program - experimental group. 2. Women meeting inclusion criteria but not interested in performing the author's exercise program - control group. 3. Healthy women - control group. The experimental group will perform the author's pelvic floor muscle exercise program daily for six weeks, at a fixed time each day, under weekly physiotherapist supervision and independently on other days (after proper instruction by the physiotherapist).
Вмешательства
- Другое physiotherapy, exercises
An author's questionnaire will be used for participant selection, asking about the number and course of deliveries. Additionally, participants will log daily activities to calculate the physical activity level coefficient. Weight and height will be measured using a Tanita device to calculate BMI. The posture type and pelvic type will be assessed. Participants will be asked to complete the following questionnaires before and after the intervention: Pelvic Floor Disability Index (PFDI-20), Pelvic
Первичные конечные точки
- Modified 1-Hour Pad Test, measurement in grams [Срок оценки: before start exercises and after six week finish exercises]
- Floor Disability Index [Срок оценки: before start exercises and after six week finish exercises]
- Pelvic Floor Impact Questionnaire Short Form [Срок оценки: before start exercises and after six week finish exercises]
- Sexual Satisfaction Scale [Срок оценки: before start exercises and after six week finish exercises]
- Neck Disability Pain Index [Срок оценки: before start exercises and after six week finish exercises]
- Revised Oswestry Low Back Pain Disability Scale [Срок оценки: before start exercises and after six week finish exercises]
- Migraine Disability Assessment [Срок оценки: before start exercises and after six week finish exercises]
- Hospital Anxiety and Depression Scale [Срок оценки: before start exercises and after six week finish exercises]
- Short Form McGill Pain Questionnaire [Срок оценки: before start exercises and after six week finish exercises]
- CRANIA (Integrated Approach to Cranio Mandibular Neuroscience) questionnaire [Срок оценки: before start exercises and after six week finish exercises]
Вторичные конечные точки (1)
- Postural stability assessment, measurement in the form of a number, the manufacturer does not provide measurement units. [Срок оценки: before start exercises and after six week finish exercises]
Критерии участия
Критерии включения
- Urinary incontinence
- Regular menstrual cycles
- Pre and post-menopausal period
- Natural childbirth or cesarean section
- Deliveries using forceps and vacuum extractors
Критерии исключения
- No urinary incontinence
- Irregular menstrual cycles
- No childbirth
- Abdominal surgeries/procedures Active cancer No gynecological check-up in the last 12 months Recurrent urogenital infections Joint hypermobility
Contorl group will be healthy women
Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.
Здоровые добровольцы: Да
Дизайн исследования
- Распределение
- Нерандомизированное
- Модель
- Факторный дизайн
- Маскирование
- Открытое
- Основная цель
- Профилактика
Центры проведения
Польша · 1 центр
- 1Department of Physiotherapy, Poznan University of Physical Education, Faculty of Sport Sc — Poznan
Идентификаторы
NCT: NCT06581601 · 2024