Comparative Effects of Bebo Concept and Diaphragmatic Breathing Technique on Stress Incontinence
Condition: Urinary Incontinence
MeSH terms: Urinary Incontinence; Urinary Incontinence, Stress
Study type: Interventional

Summary: 
      Pelvic floor muscle dysfunctions can lead to urinary incontinence, a condition which often
      affects female both during pregnancy and after childbirth. As a result of this, certain
      exercises are recommended during and after pregnancy to prevent and treat this incontinence,
      and the BeBo Concept is one of these methods used to prevent pelvic floor muscle dysfunction.
      Urinary incontinence among female is considered a social disease, which may affect up to
      20-60% of the population of female over 18 years of age. The strength and endurance of the
      pelvic floor muscles decrease significantly after the first delivery. Research shows that 65%
      of female with urinary incontinence remember that the first episode of urine loss occurred
      during pregnancy or in the puerperium. Prior to the study, all participants will be informed
      of the purpose and method of Conducting the research. . A 6-week physical therapy program
      according to the BeBo Pelvic Floor Training Concept. Individual meetings will be twice a
      week, each lasting 60 min. Each meeting will consist of a theoretical part lasting up to 10
      min and a practical part lasting about 50 min. In addition, each participant will receive a
      set of exercises to be performed at home once daily. For the experimental group, In the first
      week (meetings 1 and 2), the homework will include the following activities: concentration on
      the pelvic floor muscles and becoming aware of them in various body positions, mobilization
      of the pelvis in a sitting position on a chair- 10x, lying on the back with bent legs and
      activation of PFM with exhalation, inhalation- relaxation-10x, balance exercise, standing on
      one leg, 10 s each leg, and so on to 6 weeks. Treatment protocol for Control Group
      (Diaphragmatic Breathing), Exercise programs will consist of 1 set of contractions per day
      and each set will include 30 repetitions for 6 weeks. Female will be asked to complete forms
      before starting the program and again at the end of the 6-week program.
    

Detailed description: 
      Pelvic floor muscle dysfunctions can lead to urinary incontinence, a condition which often
      affects female both during pregnancy and after childbirth. As a result of this, certain
      exercises are recommended during and after pregnancy to prevent and treat this incontinence,
      and the BeBo Concept is one of these methods used to prevent pelvic floor muscle dysfunction.
      Urinary incontinence among female is considered a social disease, which may affect up to
      20-60% of the population of female over 18 years of age. The strength and endurance of the
      pelvic floor muscles decrease significantly after the first delivery. Research shows that 65%
      of female with urinary incontinence remember that the first episode of urine loss occurred
      during pregnancy or in the puerperium. Prior to the study, all participants will be informed
      of the purpose and method of Conducting the research. Each of them will sign an informed
      consent release to participate in the project and to process personal data for scientific
      purposes. We confirm that all research will be performed in accordance with relevant
      guidelines and regulations. A 6-week physical therapy program according to the BeBo Pelvic
      Floor Training Concept. Individual meetings will be twice a week, each lasting 60 min. Each
      meeting will consist of a theoretical part lasting up to 10 min and a practical part lasting
      about 50 min. In addition, each participant will receive a set of exercises to be performed
      at home once daily. For the experimental group, In the first week (meetings 1 and 2), the
      homework will include the following activities: concentration on the pelvic floor muscles and
      becoming aware of them in various body positions, mobilization of the pelvis in a sitting
      position on a chair- 10x, lying on the back with bent legs and activation of PFM with
      exhalation, inhalation- relaxation-10x, balance exercise, standing on one leg, 10 s each leg,
      and so on to 6 weeks. Treatment protocol for Control Group (Diaphragmatic Breathing),
      Exercise programs will consist of 1 set of contractions per day and each set will include 30
      repetitions for 6 weeks. Female will be asked to complete forms before starting the program
      and again at the end of the 6-week program.
    

Intervention name(s): bebo concept; diaphragmatic breathing
Intervention type(s): Other; Other
Intervention description(s): techniques to remove urinary incontinence; techniques to remove urinary incontinence
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: None (Open Label)
Primary purpose: Treatment
Keywords: Bebo Concept, diaphragmatic breathing, vaginal delivery