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IRCT20180503039517N16 IRCT 2026-10-30 Islamic Azad University The effect of Kegel exercises combined with abdominal exercises on middle-aged women with urinary incontinence. The effect of Kegel exercises combined with abdominal exercises on symptom severity, quality of life, sexual satisfaction, and sleep quality in middle-aged women with urinary incontinence. 2026-06-26 anticipated 60 Complete https://irct.ir/trial/91363 interventional Randomization: Randomized, Blinding: Double blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: 60 middle-aged women with urinary incontinence will be selected by convenience sampling method. A simple randomization method will be employed, with the individual as the unit of randomization. To generate the random sequence, participants will be numbered sequentially upon entry, and each will be assigned with an equal probability to one of the three groups (two intervention groups and one control group) using a random number table (or random number generator software). To ensure allocation concealment, the group assignment for each participant will be placed in separate, numbered, and sequentially sealed envelopes. These envelopes will be opened by an independent person (other than the researcher) only after the final registration and obtaining written informed consent from each participant, thereby minimizing allocation bias, Blinding description: In this research, the persons responsible for evaluating and collecting information, as well as the data analyst, are unaware of the type of intervention and the participants in the research groups. N/A Urinary incontinence. Intervention 1: Intervention group: 1: Kegel exercises: The exercises in this group include a series of pelvic floor muscle contractions for 6 to 8 seconds and a 5-second rest, which will be performed in different positions: lying down, sitting, and standing. These exercises will be performed every day of the week (15 minutes each time) for 12 consecutive weeks. Intervention 2: Intervention group: 2: Kegel exercises with abdominal exercises: This group will perform Kegel exercises according to the program of Group 1. In addition, for the abdominal exercises, participants will be instructed to contract their abdominal muscles by pulling their navel towards their spine in a lying position and contracting them strongly and statically, then try to touch the farthest point of their feet with their fingertips. Undecided - It is not yet known if there will be a plan to make this available Justification or reason for indecision in sharing IPD is Data will be made available upon formal request.
public Fahimeh Adibsaber
Lakan Blv
Rasht Iran (Islamic Republic of) 4147654919 +98 13 3342 4073 adibsaberfahimeh@iau.ac.ir Islamic Azad University scientific Fahimeh Adibsaber
Lakan Blv
Rasht Iran (Islamic Republic of) 4147654919 +98 13 3342 4070 adibsaberfahimeh@iau.ac.ir Islamic Azad University Iran (Islamic Republic of) Age range 40 to 55 years Urgent urinary incontinence diagnosis by an obstetrician-gynecologist or urologist Consent to participate in research 6 months or more have passed since the previous birth 40 years 55 years Female Having a urinary tract infection Use of common drug treatments and physiotherapy treatment Pregnancy Having surgery related to urinary incontinence Having co-morbid physical and mental illnesses such as cancer, heart disease, schizophrenia, and physical disabilities R32 stress incontinence and other specified urinary incontinence Treatment - Other Treatment - Other Intervention group: 1: Kegel exercises: The exercises in this group include a series of pelvic floor muscle contractions for 6 to 8 seconds and a 5-second rest, which will be performed in different positions: lying down, sitting, and standing. These exercises will be performed every day of the week (15 minutes each time) for 12 consecutive weeks. Intervention group: 2: Kegel exercises with abdominal exercises: This group will perform Kegel exercises according to the program of Group 1. In addition, for the abdominal exercises, participants will be instructed to contract their abdominal muscles by pulling their navel towards their spine in a lying position and contracting them strongly and statically, then try to touch the farthest point of their feet with their fingertips. Severe urinary incontinence symptoms. Timepoint: 48 hours before the intervention and 48 hours after 12 weeks of intervention. Method of measurement: It will be measured through the Urinary Incontinence Questionnaire - Short Form of Avery et al. (2004). Waist to hip ratio. Timepoint: 48 hours before the intervention and 48 hours after 12 weeks of intervention. Method of measurement: To measure waist circumference, the narrowest area between the last rib and the upper part of the pelvis and the hip circumference will be measured with a tape measure and as the largest circumference around the hips. Psychological well-being. Timepoint: 48 hours before the intervention and 48 hours after 12 weeks of intervention. Method of measurement: The Riff Psychological Well-Being Questionnaire (2002) will be used. Sexual function. Timepoint: 48 hours before the intervention and 48 hours after 12 weeks of intervention. Method of measurement: The Rosen (2000) Female Sexual Function Questionnaire will be used. Quality of life. Timepoint: 48 hours before the intervention and 48 hours after 12 weeks of intervention. Method of measurement: Quality of life will be measured through the questionnaire for people with urinary incontinence by Wegener, Patrick, Bavendam, Marty, and Bushing (1996). Sleep quality. Timepoint: 48 hours before the intervention and 48 hours after 12 weeks of intervention. Method of measurement: It will be measured through the Pittsburgh Sleep Quality Questionnaire by Boyce et al. (1989). Body composition. Timepoint: 48 hours before the intervention and 48 hours after 12 weeks of intervention. Method of measurement: For each individual, the body mass index (BMI) will be calculated from the ratio of weight in kilograms to the square of height in meters. Islamic Azad University Approved 2026-01-19 Research Ethics Committee of Islamic Azad University- Babol Branch Babol Azad University, Rahimi Highway, Babol Babol Mazandaran Iran (Islamic Republic of)