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IRCT20240326061368N1 IRCT 2024-08-31 The University Of Arak Investigating the effect of neuromuscular and pelvic floor dynamic stability exercises on non-specific chronic back pain and stress urinary incontinence in women 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 2024-07-22 anticipated 30 Complete https://irct.ir/trial/76135 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Other, Purpose: Other, Other design features: Using neuromuscular and pelvic floor dynamic stability exercises, Randomization description: We prepare a list of people who have the conditions to enter the study. People are placed in blocks of three and a lottery is done for each block. The first person of each block is in the control group, the second person is in the group of neuromuscular dynamics exercises and the third person is in the group of neuromuscular dynamics stability exercises along with pelvic floor exercises. N/A Chronic non-specific back pain and stress urinary incontinence. Intervention 1: Group 1:Dynamic Neuromuscular Stabilization Exercises: One of the newest sports rehabilitation techniques is Dynamic Neuromuscular Stabilization (DNS). The DNS treatment method is based on a detailed assessment of the quality of stability and movement, and the purpose of these exercises is to restore the spinal integration system (ISSS) through specific functional exercises based on evolved kinesiology positions. These exercises should activate the optimal patterns necessary for stabilization (support) in the closed kinetic chain as well as dynamic movements in the open kinetic chain. The ultimate strategy in these exercises is to maintain central control, joint stability, and ideal quality of movement. By repeating the exercises, an automatic pattern is created, which becomes an essential part of everyday movement and skills. The exercises will be done for 8 weeks, 3 times a week for 45 to 60 minutes. Intervention 2: Group 2: A combination of neuromuscular dynamic stability exercises and pelvic floor exercises: pelvic floor or Kegel exercises are those exercises that strengthen the pelvic floor muscles and help control the flow of urine and prevent involuntary leakage of urine. to be Kegel exercises include movements that help strengthen the muscles of the pelvic floor by tightening and then relaxing them and make them maintain their strength, just as other muscles in the body are strengthened by lifting weights. Doing Kegel exercises is a way to be strong. Keeping the pelvic floor muscles. These exercises will be done 3 times a week for 45 to 60 minutes for 8 weeks. Intervention 3: Intervention group: pelvic floor exercises: the control group will only perform pelvic floor exercises. These exercises will be performed for 8 weeks, 3 sessions per week for 45 to 60 minutes. No - There is not a plan to make this available Justification or reason for not sharing IPD is There is no further information
public Dr.shahnaz shahrjerdi
Faculty of Sports Sciences, Arak University, Karbala Boulevard, Basij Square, Arak
Arak Iran (Islamic Republic of) ۳۸۴۸۱۷۷۵۸۴ +98 86 3417 3492 shahrjerdishahnaz@gmail.com The University of Arak scientific Dr.shahnaz shahrjerdi
Faculty of Sports Sciences , Arak University , Karbala Boulevard , Basij Square , Arak
Arak Iran (Islamic Republic of) ۳۸۴۸۱۷۷۵۸۴ +98 86 3417 3492 shahrjerdishahnaz@gmail.com The University of Arak Iran (Islamic Republic of) Maximum of 2 natural births Age range 30 to 40 years Body mass index up to 35 Having non-specific chronic back pain with mild to moderate intensity Has stress urinary incontinence 30 years 40 years Female Women with persistent back pain and a pain score of more than 8 History of urinary and kidney infection and spinal inflammation and infection Dislocations Neurological bladder Hormonal treatments Excessive obesity (grade 2) Spinal stenosis or nerve compression or disc herniation Inflammatory rheumatic diseases History of hip or spine fracture Osteoporosis Ankylosing spondylitis Spondylosis Neoplasm Spondylolisthesis Sacroiliac joint disorder Smoking or alcohol consumption Diabetes Those who cannot do the exercises or do not want to do the exercises Spine or pelvic floor surgeries Rehabilitation Rehabilitation N/A Group 1:Dynamic Neuromuscular Stabilization Exercises: One of the newest sports rehabilitation techniques is Dynamic Neuromuscular Stabilization (DNS). The DNS treatment method is based on a detailed assessment of the quality of stability and movement, and the purpose of these exercises is to restore the spinal integration system (ISSS) through specific functional exercises based on evolved kinesiology positions. These exercises should activate the optimal patterns necessary for stabilization (support) in the closed kinetic chain as well as dynamic movements in the open kinetic chain. The ultimate strategy in these exercises is to maintain central control, joint stability, and ideal quality of movement. By repeating the exercises, an automatic pattern is created, which becomes an essential part of everyday movement and skills. The exercises will be done for 8 weeks, 3 times a week for 45 to 60 minutes. Group 2: A combination of neuromuscular dynamic stability exercises and pelvic floor exercises: pelvic floor or Kegel exercises are those exercises that strengthen the pelvic floor muscles and help control the flow of urine and prevent involuntary leakage of urine. to be Kegel exercises include movements that help strengthen the muscles of the pelvic floor by tightening and then relaxing them and make them maintain their strength, just as other muscles in the body are strengthened by lifting weights. Doing Kegel exercises is a way to be strong. Keeping the pelvic floor muscles. These exercises will be done 3 times a week for 45 to 60 minutes for 8 weeks. Intervention group: pelvic floor exercises: the control group will only perform pelvic floor exercises. These exercises will be performed for 8 weeks, 3 sessions per week for 45 to 60 minutes. Chronic non-specific back pain. Timepoint: The beginning and end of the study. Method of measurement: VAS questionnaire and electromyography device Myotrac Infinity model made in Canada. Stress urinary incontinence. Timepoint: The beginning and end of the study. Method of measurement: Brawley's Urinary Incontinence Questionnaire(QUID) and one-hour test pad. Pain. Timepoint: Before starting the intervention, 8 weeks after the intervention. Method of measurement: Visual Analog Scale questionnaire. The University Of Arak Approved 2024-03-13 Ethics Committee of Arak University The University of Arak , Karbala BLV , Basij Square , Arak Arak Markazi Iran (Islamic Republic of)