Effect of Global Postural Correction Exercises on Stress Urinary Incontinence During Pregnancy: A Randomized Controlled Trial

Study Overview
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Brief Summary
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Background: One of the many consequences of pregnancy that may negatively affect a woman's quality of life is stress urinary incontinence caused by activities of daily living especially those associated with increased intraabdominal pressure. Objective: This study aimed to investigate the effect of global postural correction exercises on stress urinary incontinence among pregnant women. Participants and Methods: Forty primigravida women (aged between 30-39 years), with a single fetus, diagnosed with stress urinary incontinence participated in the study. Participants were assigned randomly into two groups: Study group (group A; n=20) and control group (group B; n=20). The participants were tested twice, before and after a 12-week period, during which group A received global postural correction exercises in addition to Kegel exercises, while group B performed only Kegel exercises. A perineometer was used to evaluate the change in vaginal squeeze pressure both before and after conducting the study. Urogenital Distress Inventory Questionnaire (UDI-6) was used to assess changes in incontinence severity symptoms.

Official Title
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Effect of Global Postural Correction Exercises on Stress Urinary Incontinence During Pregnancy: A Randomized Controlled Trial

Conditions
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Stress Urinary Incontinence

Intervention / Treatment
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* Other: Kegel exercises


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Forty primigravida women with singleton fetus in their third trimester and diagnosed with pregnancy related SUI participated in this study. All participants suffered from a mild to moderate grade of SUI identified by clinical grading (Ingelman-Sundberg) (Wlazlak et al., 2015) as follows: Grade I (mild), the leakage of urine occurs on straining; and grade II (moderate), the leakage occurs following abrupt movement Exclusion Criteria: Females were excluded from the study if they had severe grade SUI; infections in their lower urinary tract; neurological conditions; gestational diabetes; and chronic chest diseases. Females who smoked, used any medications or medical/surgical interventions for SUI, or who suffered any other type of urinary incontinence were also excluded from the study
Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: global postural correction exercises<br>global postural correction exercises in addition to Kegel exercises | Other: Kegel exercises<br>* global postural correction exercises<br>|
| Active Comparator: Kegel exercises<br>only Kegel exercises | Other: Kegel exercises<br>* global postural correction exercises<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| strength of pelvic floor muscle |  | change from Baseline strength of pelvic floor muscle at 12-weeks | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Urogenital Distress Inventory Questionnaire |  | change from Baseline Urogenital Distress Inventory Questionnaire (UDI-6) at 12-weeks | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Kegel exercise, Postural Correction, Stress Urinary Incontinence