Comparison of Stabilization Exercises and Pelvic Floor Muscle Training in Women With Stress Urinary Incontinence

Study Overview
=================
Brief Summary
-----------------
The aim of the study was to compare the effects of stabilization exercises and pelvic floor muscle training in women with stress urinary incontinence.

Detailed Description
-----------------
Stress urinary incontinence is involuntary urinary incontinence with increased intraabdominal pressure. Different exercise approaches such as pelvic floor exercises and stabilization exercises are used in these patients. There is a need for studies comparing the effects of these exercises.

Official Title
-----------------
Comparison of Stabilization Exercises and Pelvic Floor Muscle Training in Women With Stress Urinary Incontinence

Conditions
-----------------
Stress Urinary Incontinence

Intervention / Treatment
-----------------
* Other: Pelvic floor exercises
* Other: Stabilization exercises


Participation Criteria
=================
Eligibility Criteria
-----------------
Inclusion Criteria: Women between the ages of 18-65 who have symptoms of stress or stress-dominant mixed urinary incontinence, who volunteered to participate in the study Exclusion Criteria: Those who are pregnant, have communication and cooperation problems, have a concomitant neurological or rheumatological disease, have a history of surgery involving the abdominal and pelvic regions in the last year, have undergone spine surgery, those diagnosed with pure urge urinary incontinence or mixed type incontinence, those with advanced pelvic organ prolapse, those with a spinal deformity (such as scoliosis), the presence of orthopedic problems in the lower extremities (such as lower extremity shortness, presence of deformity etc.) and vestibular system disorder

Ages Eligible for Study
-----------------
Minimum Age: 18 Years
Maximum Age: 65 Years

Sexes Eligible for Study
-----------------
Female

Accepts Healthy Volunteers
-----------------
No

Study Plan
=================
How is the study designed?
-----------------

Design Details

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


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Pelvic floor exercise group<br>Pelvic floor exercises for muscle fiber types I and II will performed 3 days a week for 8 weeks | Other: Pelvic floor exercises<br>* Pelvic floor exercises for types I and II muscle fibers will be performed<br>|
| Active Comparator: Stabilization exercise group<br>Lumbar spinal stabilization exercises will performed 3 days a week for 8 weeks | Other: Stabilization exercises<br>* Lumbar spinal stabilization exercises will be performed<br>|

What is the study measuring?
-----------------
Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Urinary incontinence severity | Urinary incontinence severity will be measured with A 1-hour pad test | change from baseline at 8 weeks | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Urinary symptoms | Urinary symptoms will be evaluated with International Consultation on Incontinence Questionnaire-Urinary Incontinence Short Form | change from baseline at 8 weeks | 
| Life quality | Life quality will be assessed with King's Health Questionnaire. | change from baseline at 8 weeks | 
| Pelvic floor muscle activation response | Pelvic floor muscle activation response will be measured with a portable EMG-Biofeedback device. | change from baseline at 8 weeks | 
| Pelvic floor muscle strength | Pelvic floor muscle strength will be evaluated with Modified Oxford Scale | change from baseline at 8 weeks | 
| Core stability | Core stability will be evaluated with Sahrmann Test using the pressure stabilizer. | change from baseline at 8 weeks | 
| Balance | Balance will be evaluated with Biodex Balance System as static and dynamic | change from baseline at 8 weeks | 
| Spinal function | Spinal function will be evaluated with the Spinal Mouse device in standing position. | change from baseline at 8 weeks | 
| Subjective perception of improvement | Subjective perception of improvement will be measured with a four-point Likert scale. | After treatment (at 8 week) |