History
# Registration date Revision Id
3 2019-02-19, 1397/11/30 86021
2 2018-12-17, 1397/09/26 79398
1 2017-06-27, 1396/04/06 16924
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  • Protocol summary

    Objective: The aim of this study is to evaluate the effect of stabilization exercises focusing on pelvic floor on stress urinary incontinence and low back pain in postpartum women after 3 months. Design: RCT. Method: women with SUI and back pain associated with pregnancy that are in 3-6th month after their childbirth with desire to participate enter the study and are randomly divided into two groups of intervention or control. The assessment criteria in the first session, including the strength and endurance of the pelvic floor muscles through the vaginal examination, as well as applying the oswestry questionnaire to check the severity of disability caused by the back pain and UI questionnaire to examine the severity of urinary incontinence. Inclusion criteria: Women who lived in Tabriz experienced stress urinary incontinence and back pain after 3-6 months of natural childbirth. Exclusion criteria: Caesarean section; urogenital diseases or infections; receiving other treatments for SUI or back pain; history of pelvic floor or spinal surgeries; malignancies; pelvic or spinal fractures; having twins or multiple children; specific low back pain; severe urinary incontinence. Interventions: After initial assessment through the mentioned instruments, women of the intervention group received an exercise program focusing on pelvic floor muscles for 12 weeks. Women in the control group will not receive any treatment. Primary outcome measures: pain, disability and severity of SUI.
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    هدف: هدف از انجام این مطالعه، بررسی تأثیر تمرینات ثباتی با تأکید بر کف لگن، در زنان مبتلا به بی اختیاری ادرار استرسی و کمردرد مرتبط با بارداری بعد از زایمان است.طراحی: کارآزمایی بالینی تصادفی.نحوه انجام: زنان مبتلا به بی اختیاری ادرار استرسی و کمردرد مرتبط با بارداری در صورت تمایل وارد مطالعه می شوند و به صورت تصادفی در یکی از دو گروه مداخله یا کنترل قرار خواهند گرفت.معیارهای ارزیابی در جلسه ی اول، شامل قدرت و تحمل عضلات کف لگن از طریق معاینه ی واژینال، همچنین شدت ناتوانی ناشی از کمردرد و بی اختیاری ادرار استرسی به ترتیب از طریق پرسشنامه oswestry و SUI اندازه گیری می شوند.شرایط ورود به مطالعه:زنان ساکن تبریز که پس از گذشت 6-3 ماه از زایمان طبیعی، بی اختیاری ادرار استرسی و کمردرد مرتبط با بارداری و زایمان دارند.شرایط خروج از مطالعه:زایمان از نوع سزارین؛ ابتلا به سایر بیماری های ادراری تناسلی؛ دریافت سایر درمان ها برای بی اختیاری ادرار استرسی یا کمردرد؛ سابقه جراحی در کف لگن یا ستون فقرات؛ بدخیمی ها؛ شکستگی در لگن یا ستون فقرات؛ داشتن فرزندان دو یا چندقلو؛ ابتلا به کمردرد اختصاصی، ابتلا به بی اختیاری شدید ادرار.مداخلات: پس از انجام ارزیابی اولیه از طریق ابزارهای مذکور، زنان گروه مداخله به مدت 12 هفته، برنامه ی تمرین ثباتی با تأکید بر کف لگن خواهند داشت.زنان گروه کنترل، هیچ درمانی دریافت نخواهند کرد.متغیرهای پیامد اصلی: درد، ناتوانی و شدت بی اختیاری ادرار استرسی
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    The aim of this study is to evaluate the effect of stabilization exercises focusing on pelvic floor on stress urinary incontinence and low back pain in postpartum women.
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    هدف از انجام این مطالعه، بررسی تأثیر تمرینات ثباتی با تأکید بر کف لگن، در زنان مبتلا به بی اختیاری ادرار استرسی و کمردرد مرتبط با بارداری بعد از زایمان است.
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    Single-blind randomised linical trial with control group, community-based and pragmatic with parallel groups
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    کارآزمایی بالینی دارای گروه کنترل، مبتنی بر جامعه و عمل گرا، با گروه های موازی ، یک سویه کور ، تصادفی شده
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    This study was carried out with the participation of 80 women, aged 20 to 45 years old. The presence of SUI and mechanical LBP was verified by a gynecologist and a physiotherapist, respectively. The eligible women were randomly assigned to control and intervention groups using Random Allocation Software (RAS). Allocation was blind and done by a third person. The evaluation was carried out at the beginning and the end of the study by a physiotherapist who was not involved in the research and was blind to allocation. In the intervention group, women participated in a 12-week program that involved performing a home based progressive stabilization exercises focusing on pelvic floor. The control group did not receive any treatment. Place of study: Al-Zahra Hospital in Tabriz
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    80 زن در محدوده ی سنی 20 تا 45 سال در این مطالعه شرکت کردند. علائم بی اختیاری ادرار استرسی توسط یک متخصص زنان و کمردرد مکانیکال توسط یک متخصص فیزیوتراپی بررسی و تأیید شد. زنان از طریق نرم افزار RAS در دو گروه کنترل و مداخله قرار گرفتند. تخصیص به گروه ها به صورت کور و توسط شخص سوم صورت گرفت. ارزیابی زنان در ابتدا و انتهای مطالعه توسط فیزیوتراپیستی انجام شد که در روند آموزش تمرینات حضور نداشت و نسبت به گروه بندی زنان blind بود. Intervention: در گروه مداخله، تمرینات ثباتی پیشرونده با تأکید بر کف لگن در یک برنامه ی 12 هفته ای به بیمار آموزش داده شد و به صورت مکتوب و CD تصویری در اختیار آنان قرار داده شد. تمرینات به صورت هفته ای از طریق مصاحبه ی تلفنی کنترل می شد و در صورتی که بیمار ابراز می کرد که می تواند تمرینات را انجام دهد، اجازه داده می شد که تمرینات هفته ی بعد را شروع کند. زنان در گروه کنترل هیچ درمانی دریافت نکردند. محل انجام مطالعه: بیمارستان الزهرا تبریز
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    Inclusion criteria: Women who lived in Tabriz experienced stress urinary incontinence and back pain after 3-6 months of natural childbirth. Exclusion criteria: Caesarean section; urogenital diseases or infections; receiving other treatments for SUI or back pain; history of pelvic floor or spinal surgeries; malignancies; pelvic or spinal fractures; having twins or multiple children; specific low back pain; severe urinary incontinence.
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    شرایط ورود به مطالعه: زنان ساکن تبریز که پس از گذشت 6-3 ماه از زایمان طبیعی، بی اختیاری ادرار استرسی و کمردرد مرتبط با بارداری و زایمان دارند. شرایط خروج از مطالعه:زایمان از نوع سزارین؛ ابتلا به سایر بیماری های ادراری تناسلی؛ دریافت سایر درمان ها برای بی اختیاری ادرار استرسی یا کمردرد؛ سابقه جراحی در کف لگن یا ستون فقرات؛ بدخیمی ها؛ شکستگی در لگن یا ستون فقرات؛ داشتن فرزندان دو یا چندقلو؛ ابتلا به کمردرد اختصاصی، ابتلا به بی اختیاری شدید ادرار.
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    After initial assessment through the mentioned instruments, women of the intervention group received an exercise program focusing on pelvic floor muscles for 12 weeks. Women in the control group will not receive any treatment.
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    پس از انجام ارزیابی اولیه از طریق ابزارهای مذکور، زنان گروه مداخله به مدت 12 هفته، برنامه ی تمرین ثباتی با تأکید بر کف لگن خواهند داشت.زنان گروه کنترل، هیچ درمانی دریافت نخواهند کرد.
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    Pain; disability; urinary incontinence severity
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    درد؛ ناتوانی؛ شدت بی اختیاری ادرار
  • General information

    15
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    Double blinded
    Single blinded
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    2017-04-04, 1396/01/15
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    2017-12-21, 1396/09/30
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    2017-12-21, 1396/09/30
    The effects of stabilization exercises focusing on pelvic floor on stress urinary incontinence and low back pain in postpartum women
    Effects of stabilization exercises focusing on pelvic floor on postnatal Stress urinary incontinence and low back pain
    بررسی تأثیر تمرینات ثباتی با تأکید بر کف لگن در درمان توأم علائم بی اختیاری ادرار استرسی و کمردرد مرتبط با بارداری در زنان
    بررسی تأثیر تمرینات ثباتی با تأکید بر کف لگن در درمان توأم علائم بی اختیاری ادرار استرسی و کمردرد بعد از زایمان
    The effects of stabilization exercises focusing on pelvic floor on stress urinary incontinence and low back pain in postpartum women
    Effects of stabilization exercises focusing on pelvic floor on postnatal Stress urinary incontinence and low back pain
    بررسی تأثیر تمرینات ثباتی با تأکید بر کف لگن در درمان توأم علائم بی اختیاری ادرار استرسی و کمردرد مرتبط با بارداری در زنان
    بررسی تأثیر تمرینات ثباتی با تأکید بر کف لگن در درمان توأم علائم بی اختیاری ادرار استرسی و کمردرد بعد از زایمان
    Women who lived in Tabriz experienced stress urinary incontinence and back pain after 3-6 months of natural childbirth. The urinary incontinence and back pain of pregnancy are those that start during the pregnancy period or after the childbirth.
    زنان ساکن تبریز که پس از گذشت 6-3 ماه از زایمان طبیعی، بی اختیاری ادرار استرسی و کمردرد مرتبط با بارداری و زایمان دارند. منظور از بی اختیاری ادرار استرسی و کمردرد مرتبط با بارداری و زایمان، بی اختیاری ادرار استرسی و کمردردی است که حین بارداری یا در دوره ی پس از زایمان شروع شده باشد.
    Caesarean section
    urogenital diseases or infections
    receive other treatments for SUI or LBP
    history of pelvic floor or spinal surgeries
    malignancies
    pelvic or spinal fractures
    having twins or multiple children
    specific low back pain
    severe urinary incontinence
    LBP or UI before pregnancy
    زایمان از نوع سزارین
    ابتلا به سایر بیماری ها یا عفونت های ادراری تناسلی
    دریافت سایر درمان ها برای بی اختیاری ادرار استرسی یا کمردرد
    سابقه ی سایر جراحی ها در کف لگن یا ستون فقرات
    بدخیمی ها
    شکستگی در لگن یا ستون فقرات
    داشتن فرزندان دو یا چندقلو
    ابتلا به کمردرد غیر اختصاصی
    ابتلا به بی اختیاری شدید ادرار
    ابتلا به کمردرد یا بی اختیاری ادرار استرسی قبل از بارداری
    The randomization is by table of random numbers.
    تصادفی سازی به روش جدول اعداد تصادفی می باشد.
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    Randomization will be done through Random Allocation software (RAS).
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    تصادفی سازی از طریق نرم افزار Random Allocation صورت خواهد گرفت.
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    Women's assessment at the beginning and end of the study will be conducted by a physiotherapist who is not present in the training process and is blind to women's allocation.
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    ارزیابی زنان در ابتدا و انتهای مطالعه توسط فیزیوتراپیستی انجام خواهد شد که در روند آموزش تمرینات حضور ندارد و نسبت به گروه بندی زنان blind است.
  • Secondary outcomes

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    strength of transverse abdominis
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    قدرت عضله ی عرضی شکم
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    Beginning and end of the study with an interval of 12 weeks
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    ابتدا و انتهای مطالعه با فاصله ی زمانی 12 هفته
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    Pressure Biofeedback
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    بیوفیدبک فشاری
  • Intervention groups

    #1
    Intervention group: Progressive stabilization exercises focusing on pelvic floor daily and once a week under supervision of physiotherapist for 12 weeks
    Intervention group: women participated in a 12-week program that involved performing a home based progressive stabilization exercises focusing on pelvic floor. The first session was for educating the correct contraction of transverse abdominis muscle using pressure biofeedback and PFM contraction using vaginal examination. Pamphlet and a video CD were given to all participants in this group and the exercises were monitored weekly through telephone interviews. Each week, permission to start new exercises was given only if the participant had no problem performing the previous exercise.
    گروه مداخله : تمرینات پیش رونده ثباتی با تأکید بر کف لگن به مدت 12 هفته بصورت روزانه و هفته ای یکبار با نظارت فیزیوتراپیست
    گروه مداخله: در گروه مداخله، تمرینات ثباتی پیشرونده با تأکید بر کف لگن در یک برنامه ی 12 هفته ای به بیمار آموزش داده شد و به صورت مکتوب و CD تصویری در اختیار آنان قرار داده شد. تمرینات به صورت هفته ای از طریق مصاحبه ی تلفنی کنترل می شد و در صورتی که بیمار ابراز می کرد که می تواند تمرینات را انجام دهد، اجازه داده می شد که تمرینات هفته ی بعد را شروع کند.
  • Recruitment centers

    #1
    Name of recruitment center - English: Al-Zahra hospital in Tabriz
    Name of recruitment center - Persian: بیمارستان الزهرا تبریز
    Full name of responsible person - English: Fahime Khorasani
    Full name of responsible person - Persian: فهیمه خراسانی
    Street address - English: Tabriz, Baghshomal four-way, Al-Zahra hospital
    Street address - Persian: تبریز، چهارراه باغ شمال، بیمارستان الزهرا
    City - English: Tabriz
    City - Persian: تبریز
    Province:
    Country: Iran (Islamic Republic of)
    Postal code:
    Phone:
    Fax:
    Email:
    Web page address:
    Name of recruitment center - English: Al-Zahra hospital in Tabriz
    Name of recruitment center - Persian: بیمارستان الزهرا تبریز
    Full name of responsible person - English: Fahime Khorasani
    Full name of responsible person - Persian: فهیمه خراسانی
    Street address - English: Tabriz, Baghshomal four-way, Al-Zahra hospital
    Street address - Persian: تبریز، چهارراه باغ شمال، بیمارستان الزهرا
    City - English: Tabriz
    City - Persian: تبریز
    Province: East Azarbaijan
    Country: Iran (Islamic Republic of)
    Postal code: 5138663134
    Phone: +98 41 3553 9161
    Fax:
    Email: alzahrahosp@tbzmed.ac.ir
    Web page address:
  • Sponsors / Funding sources

    #1
    contact.organization_id:
    Name of organization / entity - English: Vice Chancellor for research of Tabriz University of Medical Sciences
    Name of organization / entity - Persian: معاونت پژوهشی دانشگاه علوم پزشکی تبریز
    Full name of responsible person - English: Dr Mohamad Reza Rashidi
    Full name of responsible person - Persian: دکتر محمد رضا رشیدی
    Street address - English: Tabriz university of medical science, Tabriz, East Azarbayjan, Iran
    Street address - Persian: دانشگاه علوم پزشکی تبریز، تبریز، آذربایجان شرقی، ایران
    City - English: Tabriz
    City - Persian: تبریز
    Province:
    Country: Iran (Islamic Republic of)
    Postal code:
    Phone:
    Fax:
    Email:
    Web page address:
    contact.organization_id:
    Name of organization / entity - English: Vice Chancellor for research of Tabriz University of Medical Sciences
    Name of organization / entity - Persian: معاونت پژوهشی دانشگاه علوم پزشکی تبریز
    Full name of responsible person - English: Dr Mohamad Reza Rashidi
    Full name of responsible person - Persian: دکتر محمد رضا رشیدی
    Street address - English: Tabriz university of medical science, Tabriz, East Azarbayjan, Iran
    Street address - Persian: دانشگاه علوم پزشکی تبریز، تبریز، آذربایجان شرقی، ایران
    City - English: Tabriz
    City - Persian: تبریز
    Province: East Azarbaijan
    Country: Iran (Islamic Republic of)
    Postal code: 5138663134
    Phone: +98 41 3334 4280
    Fax:
    Email: research-vice@tbzmed.ac.ir
    Web page address:
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    Public
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    Domestic
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    Academic
  • Person responsible for general inquiries

    contact.organization_id:
    Name of organization / entity - English: Tabriz university of medical science
    Name of organization / entity - Persian: دانشگاه علوم پزشکی و خدمات درمانی تبریز
    Full name of responsible person - English: Fahime Khorasani
    Full name of responsible person - Persian: فهیمه خراسانی
    Position - English: MSC student of physiotherapy
    Position - Persian: دانشجوی کارشناسی ارشد فیزیوتراپی
    Latest degree:
    Area of specialty/work: 0
    Area of specialty/work title - English:
    Area of specialty/work title - Persian:
    Street address - English: Tabriz university of medical science, Tabriz, East Azarbayjan, Iran
    Street address - Persian: دانشگاه علوم پزشکی و خدمات بهداشتی درمانی تبریز تبریز آذربایجان شرقی ایران
    City - English: Tabriz
    City - Persian: تبریز
    Province:
    Province - English:
    Province - Persian:
    contact.provinces_available: 1
    Country: Iran (Islamic Republic of)
    Postal code: 5157635411
    Phone: +98 41 3331 1293
    Mobile: +93 69090283
    Fax: +98 41 3333 4647
    Email: Fahime_khorasani71@yahoo.com
    Web page address:
    contact.organization_id:
    Name of organization / entity - English: Tabriz university of medical science
    Name of organization / entity - Persian: دانشگاه علوم پزشکی و خدمات درمانی تبریز
    Full name of responsible person - English: Fahime Khorasani
    Full name of responsible person - Persian: فهیمه خراسانی
    Position - English: MSC student of physiotherapy
    Position - Persian: دانشجوی کارشناسی ارشد فیزیوتراپی
    Latest degree: bachelor
    Area of specialty/work: 68
    Area of specialty/work title - English:
    Area of specialty/work title - Persian:
    Street address - English: Tabriz university of medical science, Tabriz, East Azarbayjan, Iran
    Street address - Persian: دانشگاه علوم پزشکی و خدمات بهداشتی درمانی تبریز تبریز آذربایجان شرقی ایران
    City - English: Tabriz
    City - Persian: تبریز
    Province: East Azarbaijan
    Province - English:
    Province - Persian:
    contact.provinces_available: 1
    Country: Iran (Islamic Republic of)
    Postal code: 5157635411
    Phone: +98 41 3331 1293
    Mobile: +93 69090283
    Fax: +98 41 3333 4647
    Email: Fahime_khorasani71@yahoo.com
    Web page address:
  • Person responsible for scientific inquiries

    contact.organization_id:
    Name of organization / entity - English: Tabriz university of medical sciences
    Name of organization / entity - Persian: دانشگاه علوم پزشکی و خدمات درمانی تبریز
    Full name of responsible person - English: Dr. Fariba Ghaderi
    Full name of responsible person - Persian: دکتر فریبا قادری
    Position - English: Phd of physiotherapy
    Position - Persian: دکترای تخصصی فیزیوتراپی
    Latest degree:
    Area of specialty/work: 0
    Area of specialty/work title - English:
    Area of specialty/work title - Persian:
    Street address - English: Valieasr, North Tavanir, school of rehabilitation
    Street address - Persian: ولیعصر، توانیر شمالی، دانشکده توانبخشی
    City - English: Tabriz
    City - Persian: تبریز
    Province:
    Province - English:
    Province - Persian:
    contact.provinces_available: 1
    Country: Iran (Islamic Republic of)
    Postal code: 5157635411
    Phone: +98 33311392
    Mobile: +98 09125654971
    Fax: +41 33334647
    Email: ghaderimailbox@gmail.com
    Web page address:
    contact.organization_id:
    Name of organization / entity - English: Tabriz university of medical sciences
    Name of organization / entity - Persian: دانشگاه علوم پزشکی و خدمات درمانی تبریز
    Full name of responsible person - English: Dr. Fariba Ghaderi
    Full name of responsible person - Persian: دکتر فریبا قادری
    Position - English: Phd of physiotherapy
    Position - Persian: دکترای تخصصی فیزیوتراپی
    Latest degree: phd
    Area of specialty/work: 68
    Area of specialty/work title - English:
    Area of specialty/work title - Persian:
    Street address - English: Valieasr, North Tavanir, school of rehabilitation
    Street address - Persian: ولیعصر، توانیر شمالی، دانشکده توانبخشی
    City - English: Tabriz
    City - Persian: تبریز
    Province: East Azarbaijan
    Province - English:
    Province - Persian:
    contact.provinces_available: 1
    Country: Iran (Islamic Republic of)
    Postal code: 5157635411
    Phone: +98 33311392
    Mobile: +98 912 565 4971
    Fax:
    Email: ghaderimailbox@gmail.com
    Web page address:
  • Person responsible for updating data

    contact.organization_id:
    Name of organization / entity - English:
    Name of organization / entity - Persian:
    Full name of responsible person - English: Fahime Khorasani
    Full name of responsible person - Persian: فهیمه خراسانی
    Position - English: MSC student of physiotherapy
    Position - Persian: دانشجوی کارشناسی ارشد فیزیوتراپی
    Latest degree:
    Area of specialty/work: 0
    Area of specialty/work title - English:
    Area of specialty/work title - Persian:
    Street address - English: Iran, East Azarbayjan, North Tavanir, school of Rehabilitation
    Street address - Persian: ایران، تبریز، توانیر شمالی، دانشکده ی توانبخشی
    City - English: Tabriz
    City - Persian: تبریز
    Province:
    Province - English:
    Province - Persian:
    contact.provinces_available: 1
    Country: Iran (Islamic Republic of)
    Postal code: 5157635411
    Phone: +98 33311392
    Mobile: +98 09369090283
    Fax: +41 33334647
    Email: Fahime_khorasani71@yahoo.com
    Web page address:
    contact.organization_id:
    Name of organization / entity - English: Tabriz university of medical sciences
    Name of organization / entity - Persian: دانشگاه علوم پزشکی تبریز
    Full name of responsible person - English: Fahime Khorasani
    Full name of responsible person - Persian: فهیمه خراسانی
    Position - English: MSC student of physiotherapy
    Position - Persian: دانشجوی کارشناسی ارشد فیزیوتراپی
    Latest degree: bachelor
    Area of specialty/work: 68
    Area of specialty/work title - English:
    Area of specialty/work title - Persian:
    Street address - English: Iran, East Azarbayjan, North Tavanir, school of Rehabilitation
    Street address - Persian: ایران، تبریز، توانیر شمالی، دانشکده ی توانبخشی
    City - English: Tabriz
    City - Persian: تبریز
    Province: East Azarbaijan
    Province - English:
    Province - Persian:
    contact.provinces_available: 1
    Country: Iran (Islamic Republic of)
    Postal code: 5157635411
    Phone: +98 33311392
    Mobile: +98 936 909 0283
    Fax:
    Email: Fahime_khorasani71@yahoo.com
    Web page address:
  • Sharing plan

    no
    no
    no
    no
    no
    no
    no
    empty
    There is no more information
    empty
    اطلاعات بیشتری وجود ندارد

Protocol summary

Study aim
The aim of this study is to evaluate the effect of stabilization exercises focusing on pelvic floor on stress urinary incontinence and low back pain in postpartum women.
Design
Single-blind randomised linical trial with control group, community-based and pragmatic with parallel groups
Settings and conduct
This study was carried out with the participation of 80 women, aged 20 to 45 years old. The presence of SUI and mechanical LBP was verified by a gynecologist and a physiotherapist, respectively. The eligible women were randomly assigned to control and intervention groups using Random Allocation Software (RAS). Allocation was blind and done by a third person. The evaluation was carried out at the beginning and the end of the study by a physiotherapist who was not involved in the research and was blind to allocation. In the intervention group, women participated in a 12-week program that involved performing a home based progressive stabilization exercises focusing on pelvic floor. The control group did not receive any treatment. Place of study: Al-Zahra Hospital in Tabriz
Participants/Inclusion and exclusion criteria
Inclusion criteria: Women who lived in Tabriz experienced stress urinary incontinence and back pain after 3-6 months of natural childbirth. Exclusion criteria: Caesarean section; urogenital diseases or infections; receiving other treatments for SUI or back pain; history of pelvic floor or spinal surgeries; malignancies; pelvic or spinal fractures; having twins or multiple children; specific low back pain; severe urinary incontinence.
Intervention groups
After initial assessment through the mentioned instruments, women of the intervention group received an exercise program focusing on pelvic floor muscles for 12 weeks. Women in the control group will not receive any treatment.
Main outcome variables
Pain; disability; urinary incontinence severity

General information

Reason for update
Acronym
IRCT registration information
IRCT registration number: IRCT2017050618760N4
Registration date: 2017-06-27, 1396/04/06
Registration timing: registered_while_recruiting

Last update: 2019-02-15, 1397/11/26
Update count: 2
Registration date
2017-06-27, 1396/04/06
Registrant information
Name
Fariba Ghaderi
Name of organization / entity
Tabriz University of Medical Sciences
Country
Iran (Islamic Republic of)
Phone
+98 41 1333 4647
Email address
ghaderif@tbzmed.ac.ir
Recruitment status
Recruitment complete
Funding source
Vice Chancellor for research of Tabriz University of Medical Sciences
Expected recruitment start date
2017-04-04, 1396/01/15
Expected recruitment end date
2017-12-21, 1396/09/30
Actual recruitment start date
2017-04-04, 1396/01/15
Actual recruitment end date
2017-12-21, 1396/09/30
Trial completion date
2017-12-21, 1396/09/30
Scientific title
Effects of stabilization exercises focusing on pelvic floor on postnatal Stress urinary incontinence and low back pain
Public title
Effects of stabilization exercises focusing on pelvic floor on postnatal Stress urinary incontinence and low back pain
Purpose
Treatment
Inclusion/Exclusion criteria
Inclusion criteria:
Women who lived in Tabriz experienced stress urinary incontinence and back pain after 3-6 months of natural childbirth. The urinary incontinence and back pain of pregnancy are those that start during the pregnancy period or after the childbirth.
Exclusion criteria:
Caesarean section urogenital diseases or infections receive other treatments for SUI or LBP history of pelvic floor or spinal surgeries malignancies pelvic or spinal fractures having twins or multiple children specific low back pain severe urinary incontinence LBP or UI before pregnancy
Age
From 20 years old to 45 years old
Gender
Female
Phase
N/A
Groups that have been masked
  • Outcome assessor
Sample size
Target sample size: 38
Actual sample size reached: 40
Randomization (investigator's opinion)
Randomized
Randomization description
Randomization will be done through Random Allocation software (RAS).
Blinding (investigator's opinion)
Single blinded
Blinding description
Women's assessment at the beginning and end of the study will be conducted by a physiotherapist who is not present in the training process and is blind to women's allocation.
Placebo
Not used
Assignment
Parallel
Other design features

Secondary Ids

empty

Ethics committees

1

Ethics committee
Name of ethics committee
Ethics Committee of Vice Chancellor for Research of Tabriz University of Medical Science
Street address
Tabriz, daneshgah square, tabriz university of medical science
City
Tabriz
Province
East Azarbaijan
Postal code
5157635411
Approval date
2017-04-24, 1396/02/04
Ethics committee reference number
IR.TBZMED.REC.1396.65

Health conditions studied

1

Description of health condition studied
Stress urinary incontinence
ICD-10 code
N39.3
ICD-10 code description
Stress incontinence

2

Description of health condition studied
Low back pain
ICD-10 code
M54.5
ICD-10 code description
Low back pain

Primary outcomes

1

Description
disability
Timepoint
Beginning and end of the study with an interval of 12 weeks
Method of measurement
Oswestry questionnaire

2

Description
Pain
Timepoint
Beginning and end of the study with an interval of 12 weeks
Method of measurement
VAS scale

3

Description
Intensity of stress urinary incontinence
Timepoint
Beginning and end of the study with an interval of 12 weeks
Method of measurement
Urinary incontinence questionnaire

Secondary outcomes

1

Description
strength of pelvic floor muscles
Timepoint
Beginning and end of the study with an interval of 12 weeks
Method of measurement
Manual muscle testing

2

Description
Endurance of pelvic floor muscles
Timepoint
Beginning and end of the study with an interval of 12 weeks
Method of measurement
Manual muscle testing

3

Description
strength of transverse abdominis
Timepoint
Beginning and end of the study with an interval of 12 weeks
Method of measurement
Pressure Biofeedback

Intervention groups

1

Description
Intervention group: women participated in a 12-week program that involved performing a home based progressive stabilization exercises focusing on pelvic floor. The first session was for educating the correct contraction of transverse abdominis muscle using pressure biofeedback and PFM contraction using vaginal examination. Pamphlet and a video CD were given to all participants in this group and the exercises were monitored weekly through telephone interviews. Each week, permission to start new exercises was given only if the participant had no problem performing the previous exercise.
Category
Rehabilitation

2

Description
Control group: no treatment
Category
N/A

Recruitment centers

1

Recruitment center
Name of recruitment center
Al-Zahra hospital in Tabriz
Full name of responsible person
Fahime Khorasani
Street address
Tabriz, Baghshomal four-way, Al-Zahra hospital
City
Tabriz
Province
East Azarbaijan
Postal code
5138663134
Phone
+98 41 3553 9161
Email
alzahrahosp@tbzmed.ac.ir

Sponsors / Funding sources

1

Sponsor
Name of organization / entity
Vice Chancellor for research of Tabriz University of Medical Sciences
Full name of responsible person
Dr Mohamad Reza Rashidi
Street address
Tabriz university of medical science, Tabriz, East Azarbayjan, Iran
City
Tabriz
Province
East Azarbaijan
Postal code
5138663134
Phone
+98 41 3334 4280
Email
research-vice@tbzmed.ac.ir
Grant name
Grant code / Reference number
Is the source of funding the same sponsor organization/entity?
Yes
Title of funding source
Vice Chancellor for research of Tabriz University of Medical Sciences
Proportion provided by this source
100
Public or private sector
Public
Domestic or foreign origin
Domestic
Category of foreign source of funding
empty
Country of origin
Type of organization providing the funding
Academic

Person responsible for general inquiries

Contact
Name of organization / entity
Tabriz university of medical science
Full name of responsible person
Fahime Khorasani
Position
MSC student of physiotherapy
Latest degree
Bachelor
Other areas of specialty/work
Physiotherapy
Street address
Tabriz university of medical science, Tabriz, East Azarbayjan, Iran
City
Tabriz
Province
East Azarbaijan
Postal code
5157635411
Phone
+98 41 3331 1293
Fax
+98 41 3333 4647
Email
Fahime_khorasani71@yahoo.com
Web page address

Person responsible for scientific inquiries

Contact
Name of organization / entity
Tabriz university of medical sciences
Full name of responsible person
Dr. Fariba Ghaderi
Position
Phd of physiotherapy
Latest degree
Ph.D.
Other areas of specialty/work
Physiotherapy
Street address
Valieasr, North Tavanir, school of rehabilitation
City
Tabriz
Province
East Azarbaijan
Postal code
5157635411
Phone
+98 33311392
Fax
Email
ghaderimailbox@gmail.com
Web page address

Person responsible for updating data

Contact
Name of organization / entity
Tabriz university of medical sciences
Full name of responsible person
Fahime Khorasani
Position
MSC student of physiotherapy
Latest degree
Bachelor
Other areas of specialty/work
Physiotherapy
Street address
Iran, East Azarbayjan, North Tavanir, school of Rehabilitation
City
Tabriz
Province
East Azarbaijan
Postal code
5157635411
Phone
+98 33311392
Fax
Email
Fahime_khorasani71@yahoo.com
Web page address

Sharing plan

Deidentified Individual Participant Data Set (IPD)
No - There is not a plan to make this available
Justification/reason for indecision/not sharing IPD
There is no more information
Study Protocol
No - There is not a plan to make this available
Statistical Analysis Plan
No - There is not a plan to make this available
Informed Consent Form
No - There is not a plan to make this available
Clinical Study Report
No - There is not a plan to make this available
Analytic Code
No - There is not a plan to make this available
Data Dictionary
No - There is not a plan to make this available
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