Abdominal Muscles Strengthening And Pelvic Floor Muscle Strengthening Exercises In Females With Urinary Incontinence

Study Overview
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Brief Summary
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Urinary incontinence is common females., it badly affects their performance and result in psychosocial problems in addition to the barriers that already have been resulted from incontinence. This study combines simple regime of hip adductor a strengthening with pelvic floor muscles. The theme is to test if pelvic floor muscle training can be augmented by incorporating adductor muscle strengthening. If this comes out to be effective, this can be great contribution to gym doing females to improve their urinary incontinence related impairments. Woman would be encouraged to continue regular exercise. This will be randomized clinical trial. There are two groups for the compression of adductors strengthening and pelvic floor muscle strengthening. The collected data will be entered in SPSS 20.0, Descriptive and Inferential statists will be applied. Results and conclusion will be drawn.

Detailed Description
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Urinary incontinence is common females., it badly affects their performance and result in psychosocial problems in addition to the barriers that already have been resulted from incontinence. This study combines simple regime of hip adductor a strengthening with pelvic floor muscles. The theme is to test if pelvic floor muscle training can be augmented by incorporating adductor muscle strengthening. If this comes out to be effective, this can be great contribution to gym doing females to improve their urinary incontinence related impairments. Woman would be encouraged to continue regular exercise. This will be randomized clinical trial. There are two groups for the compression of adductors strengthening and pelvic floor muscle strengthening. Group A: with pelvic floor muscle strengthening is strengthening. Group B: abdominal muscles strengthening exercises. The collected data will be entered in SPSS 20.0, Descriptive and Inferential statists will be applied. Results and conclusion will be drawn.

Official Title
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Comparison Of Abdominal Muscles Strengthening And Pelvic Floor Muscle Strengthening Exercises On Bladder Neck Mobility In Females With Urinary Incontinence

Conditions
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Urinary Incontinence

Intervention / Treatment
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* Other: abdominal strengthening exercises
* Other: pelvic floor muscles strengthening exercises


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Women aged 25-45 years of age Females with abdominal muscles weakness Females with pelvic floor muscles weakness Females with urinary incontinence Exclusion Criteria: Pregnant females Females having any history of trauma Any neurological disorders affecting bowl bladder Any malignancy in lower abdominal area

Ages Eligible for Study
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Minimum Age: 25 Years
Maximum Age: 45 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
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: pelvic floor muscles strengthening exercises<br>pelvic floor muscles strengthening exercises | Other: pelvic floor muscles strengthening exercises<br>* to strengthen pelvic floor muscles<br>|
| Experimental: abdominal strengthening exercises<br>abdominal strengthening exercises | Other: abdominal strengthening exercises<br>* abdominal strengthening exercises<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| urinary distress | Urinary Distress Inventory, Short Form (UDI-6), UDI-6 consists of 6 items: 1-Frequent urination, 2-Leakage related to feeling of urgency, 3-Leakage related to activity, 4-Coughing, or sneezing small amounts of leakage (drops), 5-Difficulty emptying the bladder, and 6-Pain or discomfort in the lower abdominal or genital area | 6 months | 
| Cough stress test | Cough stress test to evaluate urinary incontinence. Leakage of fluid from the urethral meatus coincident with/simultaneous to the cough(s) is considered a positive test. | 6 months | 
| Vaginal Ultrasonography | Bladder neck mobility can be described as a semicircular movement with the tip of the symphysis pubis as the center and a line from the tip to the bladder neck as the radius (BS). Movement can be measured by 2 independent factors: BS distance and size of the angle between the BS line and the midline of the symphysis, at rest, during the Valsalva maneuver and withholding urine. The continent controls were characterized by a 90 degrees angle at rest, a long BS (2.4 cm) and a fixed bladder neck | 6 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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bladder neck mobility