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IRCT2017082218362N2 IRCT 2017-10-19 Ahvaz Jundishapur University of Medical Sciences, Vice Chancellor for Research Development and Techn Comparison of the Effects of Isolated Pelvic Floor Muscles Training, Deep Abdominal Muscles Training and Their Combination in Management of Stress Urinary Incontinence. Comparison of the Effects of Isolated Pelvic Floor Muscles Training, Deep Abdominal Muscles Training and Their Combination in Quality of Life of Females with Stress Urinary Incontinence. 2017-07-24 anticipated 54 Complete https://irct.ir/trial/16673 interventional Randomization: Randomized, Blinding: Double blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Other design features: Table of random numbers will be used to simply assign the subjects in three groups of treatment. The examiner will not be aware of which intervention will be administered to which subject. The patients do not aware of other groups. N/A stress urinary incontinence. Intervention 1: Intervention 1: Participants in the pelvic training group will be instructed to contract PFM .Vaginal palpation will be applied for the valid evaluation of vaginal squeeze pressure. Contraction of PFM will be progressed by positioning in: 1st session: crook; 2nd: supine; 3rd: side lying; 4th: sitting; 5th: standing; 6th, 7th: walking and last: ADL. Individuals will meet physiotherapist once a week to be instructed new exercise and physiotherapist will check exercises using telephone calls twice a week for 8 weeks. Participants will perform exercises 3 sets, 2 times a day .Each set contains 10 repetition of isolated MVC of PFM as long as possible (maximum: 10 seconds) and 5 fast contraction(contraction: 1 second, rest:1second). Intervention 2: Intervention 2: Participants in the deep abdominal muscles training group will be instructed to contract Transversus Abdominis. Contraction of TrA will be progressed by positioning in: 1st session: crook; 2nd: crook with flexion and extension of knee; 3rd: crook with flexion and extension of shoulder; 4th: sitting; 5th: standing; 6th, 7th: walking and last: ADL. Individuals will meet physiotherapist once a week to be instructed new exercise and physiotherapist will check exercises using telephone calls twice a week for 8 weeks. Participants will perform exercises 3 sets, 2 times a day .Each set contains 10 repetition of isolated maximum voluntary contraction of TrA as long as possible (maximum: 10 seconds) and 5 fast contraction (contraction: 1 second, rest:1second ). Intervention 3: Intervention 3 : Participants in the combination of pelvic and abdominal muscles training group will be instructed to contract PFM and TrA. Vaginal palpation will be applied for the evaluation of vaginal squeeze pressure. Cocontraction of PFM and TrA will be progressed by positioning in: 1st session: crook; 2nd: supine; 3rd: side lying; 4th: sitting; 5th: standing; 6th, 7th: walking and last: ADL. Individuals will meet physiotherapist once a week to be instructed new exercise and physiotherapist will check exercises using telephone calls twice a week for 8 weeks. Participants will perform exercises 3 sets, 2 times a day .Each set contains 10 repetition of isolated maximum voluntary Cocontraction of PFM and TrA as long as possible (maximum: 10 seconds) and 5 fast contraction (contraction: 1 second, rest:1second ).
public Dr. Fateme Esfandiarpour
School of Rehabilitation Sciences, University Pardis, Golestan
Ahvaz Iran (Islamic Republic of) +98 61 3374 3108 esfandiarpour_f@ajums.ac.ir Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran scientific Dr. Fateme Esfandiarpour
School of Rehabilitation Sciences, University Pardis, Golestan
Ahvaz Iran (Islamic Republic of) +98 61 3374 3108 esfandiarpour_f@ajums.ac.ir Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran Iran (Islamic Republic of) Inclusion Criteria: Females with SUI in the age range of 18-60 years will be included in this study if they have complaint of involuntary leakage of urine on effort or on sneezing or coughing. Exclusion Criteria: Subjects will be excluded if they have a history of surgery involving the pelvic floor; neurological or psychiatric disease or a major medical condition; current pregnancy or less than 3 months postpartum; prolapse; severe low back pain or pelvic pain; ongoing urinary tract infections and undergoing concurrent treatment for SUI. 18 years 60 years Female N39.3 Stress incontinence Rehabilitation Rehabilitation Rehabilitation Intervention 1: Participants in the pelvic training group will be instructed to contract PFM .Vaginal palpation will be applied for the valid evaluation of vaginal squeeze pressure. Contraction of PFM will be progressed by positioning in: 1st session: crook; 2nd: supine; 3rd: side lying; 4th: sitting; 5th: standing; 6th, 7th: walking and last: ADL. Individuals will meet physiotherapist once a week to be instructed new exercise and physiotherapist will check exercises using telephone calls twice a week for 8 weeks. Participants will perform exercises 3 sets, 2 times a day .Each set contains 10 repetition of isolated MVC of PFM as long as possible (maximum: 10 seconds) and 5 fast contraction(contraction: 1 second, rest:1second). Intervention 2: Participants in the deep abdominal muscles training group will be instructed to contract Transversus Abdominis. Contraction of TrA will be progressed by positioning in: 1st session: crook; 2nd: crook with flexion and extension of knee; 3rd: crook with flexion and extension of shoulder; 4th: sitting; 5th: standing; 6th, 7th: walking and last: ADL. Individuals will meet physiotherapist once a week to be instructed new exercise and physiotherapist will check exercises using telephone calls twice a week for 8 weeks. Participants will perform exercises 3 sets, 2 times a day .Each set contains 10 repetition of isolated maximum voluntary contraction of TrA as long as possible (maximum: 10 seconds) and 5 fast contraction (contraction: 1 second, rest:1second ). Intervention 3 : Participants in the combination of pelvic and abdominal muscles training group will be instructed to contract PFM and TrA. Vaginal palpation will be applied for the evaluation of vaginal squeeze pressure. Cocontraction of PFM and TrA will be progressed by positioning in: 1st session: crook; 2nd: supine; 3rd: side lying; 4th: sitting; 5th: standing; 6th, 7th: walking and last: ADL. Individuals will meet physiotherapist once a week to be instructed new exercise and physiotherapist will check exercises using telephone calls twice a week for 8 weeks. Participants will perform exercises 3 sets, 2 times a day .Each set contains 10 repetition of isolated maximum voluntary Cocontraction of PFM and TrA as long as possible (maximum: 10 seconds) and 5 fast contraction (contraction: 1 second, rest:1second ). Incontinence Quality of Life Questionnaire scale. Timepoint: Before and after treatment interventions. Method of measurement: Incontinence Quality of Life Questionnaire. Maximal voluntary contraction of pelvic floor muscles. Timepoint: Before and post treatment intervention. Method of measurement: perinometer. Endurance of pelvic floor muscles. Timepoint: Before and post treatment intervention. Method of measurement: perinometer. Ahvaz Jundishapur University of Medical Sciences, Vice Chancellor for Research Development and Techn Approved 2017-07-22 Ethics Committee of Ahvaz Jundishapur University of Medical Sciences Central Office, University Campus, Golestan Ahvaz Iran (Islamic Republic of)