Posture in Abdominopelvic Training in Women SUI

Study Overview
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Brief Summary
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Measure effect of postural correction in abdominopelvic exercises on the improvement of the quality of life in patients with SUI. 42 women aged between 46-75 with SUI and stress-predominant mixed urinary incontinence. There were randomly assigned two groups of different treatment. Quality of life was measured by questionnaires: Incontinence Questionnaire Short Form (ICIQ-IU-SF) and King's Health Questionnaire (KHQ) global punctuation and incontinence impact. Treatment satisfaction was measured by VAS scale.

Detailed Description
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The aim of this study was compare the effect of postural correction in abdominopelvic exercises on the improvement of the quality of life in patients with stress urinary incontinence (SUI). Was a randomized 2-treatment parallel design study. The sample consist in 42 women aged between 46-75 with stress urinary incontinence (SUI) and stress-predominant mixed urinary incontinence (IUM). They were randomly assigned to two groups: Group 1 (n=21) who received abdomino-pelvic training, and Group 2(n=21) who received the above treatment, guidelines about postural correction. Both groups received 12 treatment sessions in first session information regarding clinical and demographical aspects will be collected. To evaluate results of postural correction combined with abdominopelvic exercise women was assessed:at initial session, post- intervention and 3 months post-intervention treatment.Quality of life was measured by spanish validation questionnaires: International Continence Questionnaire Short Form (ICIQ-IU-SF) and King's Health Questionnaire (KHQ) global punctuation and incontinence impact. Treatment satisfaction was measured by Visual analogic scale (VAS).

Official Title
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Posture Correction in Abdominopelvic Training in Women With Stress Urinary Incontinence

Conditions
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Female Stress Incontinence

Intervention / Treatment
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* Other: abdominopelvic exercise and posture
* Other: abdominopelvic exercise


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: SUI or stress-predominant mixed UI diagnosed via clinical assessment and urodynamic study Estrogenic deficit.: perimenopause, menopause, postmenopause Exclusion Criteria: grade 3-4 prolapse, functional alterations (Barthel Scale > 85 points), neurological or cognitive alterations (mini mental examination > 24 points) other predominant type of urinary incontinence.

Ages Eligible for Study
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Minimum Age: 45 Years
Maximum Age: 75 Years

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
Interventional Model Description: 2 aleatorized groups; control group (n=21) and intervention group
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: abdominopelvic exercise and posture<br>N=21 received supervised physiotherapy abdominopelvic exercise previous postural correction. | Other: abdominopelvic exercise and posture<br>* n=21 women received supervised abdominopelvic exercise with previous postural correction. During 12 sessions a specialized physiotherapist supervised to realization of progressive abdominopelvic exercises, previous explain postural correction pelvis, cervical and dorsal zone.<br>|
| Experimental: abdominopelvic exercise<br>N=21 received supervised physiotherapy abdominopelvic exercise. | Other: abdominopelvic exercise<br>* n=21 women received supervised abdominopelvic exercise. During 12 sessions a specialized physiotherapist supervised to realization of progressive abdominopelvic exercises.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Changes from Quality of life. KHQ | The questionnaire KHQ consists of 30 items distributed in 9 dimensions that we expose below, the scores of this questionnaire vary from 0 to 100, each item presents a scale type Likert with four options of response. The score of the KHQ questionnaire can be globally with a range of 0 (which indicates better health-related quality of life) at 100 points (indicating a worse quality of life) | baseline,3 months,6 months | 
| Changes from Quality of life. ICIQ-IU-SF | t consists of four questions that assess the presence of urge urinary incontinence, the amount of fluid evacuated and the involvement of the quality of life. The final score oscillates from 0-21, indicating higher scores to greater severity of the IU. | baseline,3 months, 6 months | 
| Treatment satisfaction | Visual analogic scale (VAS, 0-10, 0=minimum score, 10=maximum score). Higher values represent a better outcome (less treatment satisfaction) | 3 months | 
| Changes from IU impact. KHQ | Question nº2 of KHQ measured IU impact in patient's life. Is a Likert scale 0-4 punctuation ( 0= no proceed, 4= A lot) | baseline,3 months, 6 months | 
| Changes from IU impact.ICIQ-IU-SF | Question nº3 of ICIQ-IU-SF, measured IU impact in patient's life.Is a numeric scale (1-10),(1= none and 10= a lot ) | Initial,3 months, 6 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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stress urinary incontinence, abdominopelvic exercise, quality of life