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Study aim: To compare the effects of yoga therapy, transcutaneous tibial nerve stimulation (TTNS), and combined yoga therapy and TTNS on stress, anxiety, depression, quality of life, pelvic floor muscle function, and urinary incontinence symptoms in women with urgency urinary incontinence Design: Randomized, single-blind, parallel-group trial (no control), 70 women with urgency urinary incontinence. Block randomization (size 6) via randomization.com. Settings and conduct: Participants will be identified via the Physiotherapy Clinic, School of Rehabilitation, Shahid Beheshti University, and enrolled after informed consent. Allocation to three groups will use block randomization with sealed-envelope concealment. Twelve sessions (3x/week) will be held at Day Hospital and the Zafar Street yoga center. Pre- and post-intervention assessments will occur in sessions separate from treatment, using coded forms. Full participant blinding is not feasible given the observable nature of the interventions. Participants/Inclusion and exclusion criteria: Women aged 25 to 65 years with urgency urinary incontinence for 6 months to 1 year, confirmed by a specialist physician and a symptom questionnaire, with no regular pelvic floor exercise or yoga in the preceding 6 months; exclusions: pregnancy, pure or predominant stress incontinence, pelvic organ prolapse grade 2 or higher, absent pelvic floor muscle contraction, cognitive impairment, cardiac pacemaker or electrical implant, inability to attend sessions regularly, recent urinary tract infection or pelvic, lumbar, or lower limb surgery, and neurological or sensory disorders of the lower limbs Intervention groups: Yoga therapy, TTNS, combined yoga therapy and TTN Main outcome variables: Urgency urinary incontinence symptoms, pelvic floor muscle function, stress, anxiety, depression, quality of life
IRCTID: IRCT20260907070961N1
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  2. The Effect of Bilateral Transcutaneous Tibial Nerve Stimulation on Symptoms of Chronic Functional Constipation by Evaluation of Parasympathetic System through Hemodynamic Monitoring and Salivary Acetylcholinesterase Biomarker
  3. Effectiveness of pelvic floor muscle training with or without biofeedback therapy for urinary incontinence
  4. Comparison of quality of life and clinical results of posterior tibial nerve stimulation and selective anticholinergic treatment in multiple sclerosis patients with neurogenic bladder in a randomized clinical trial.
  5. The effect of trunk stabilization training versus pelvic floor muscle training on the ultrasonography indices, clinical indices and quality of life in women with stress urinary incontinence: A Randomized Controlled Trial
  6. Comparison of biofeedback therapy and posterior tibial nerve stimulation alone versus combined treatment on improving pelvic floor muscle activity, sign and quality of life in femals with chronic dyssynergic constipation and stress urinary incontinence: asingle blind randomized controlled trial
  7. A comparative study of the effect of direct current transcranial electrical stimulation and tibial nerve stimulation on the symptoms of women with overactive bladder syndrome
  8. Effects of pelvic floor muscle exercises on quality of life outcomes in women with stress urinary incontinence: a clinical trial study
  9. Evaluating the effectiveness of pelvic floor biofeedback combined with autologous platelet-rich plasma injection in comparison to biofeedback as a monotherapy in rehabilitation of women with stress urinary incontinence.
  10. The effect of Dynamic Neuromuscular Stabilization and Pelvic Floor Training on pain and pelvic floor muscle function in women with Non-Specific Chronic Low Back Pain and Stress Urinary Incontinence
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