Pelvic Floor Muscle Contraction in Response to Different Verbal Instructions in Women With Urinary Incontinence

Study Overview
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Brief Summary
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The aim of this study is to investigate which verbal instruction will lead to the most efficient contraction of pelvic floor muscles (PFM) in patients with urinary incontinence. and to examine whether correct PFM contraction can be taught by transabdominal ultrasound, which is used as biofeedback. Pelvic floor muscle contraction will be evaluated via transabdominal ultrasound.

Detailed Description
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A self-controlled clinical trial is planned for patients who receive physiotherapy for pelvic floor rehabilitation at one of the Meuhedet Institutes' physiotherapy clinics. Each participant will be asked to contract the pelvic floor muscles using three different verbal instructions: (1) contract your pelvic floor - all sphincters; (2) contract your anus; (3) contract your pelvic floor as if you're trying to stop urinating. Those who will not be able to contract will be taught by the ultrasound as biofeedback. The assessment of pelvic floor contraction will be measured by measuring bladder displacement via abdominal ultrasound. A curved linear array transducer will be placed in the transverse plane immediately suprapubically over the lower abdomen angled at 15-30 degrees from the vertical. An on-screen caliper and measurement tool will be used to measure bladder displacement.

Official Title
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Pelvic Floor Muscle Contraction in Response to Different Verbal Instructions in Women With Urinary Incontinence - A Self-controlled Clinical Trial

Conditions
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Urinary Incontinence

Intervention / Treatment
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* Other: Verbal instruction


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Diagnosis of urinary incontinence Understand the language and simple instruction Willing to participate in the study Exclusion Criteria: Has been treated before for pelvic floor rehabilitation by a physiotherapist Received medication or surgery for the problem

Ages Eligible for Study
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Minimum Age: 18 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
Intervention Model: Single Group Assignment
Interventional Model Description: Single Group Assignment all participants will receive the same verbal instruction
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Verbal instruction<br>The participants will be instructed to contract the pelvic floor muscle with the following verbal instruction: (1) contract your pelvic floor - all sphincters; (2) contract your anus; (3) contract your pelvic floor as if you're trying to stop urinating.Those who will not be able to contract will be taught by the ultrasound as biofeedback. | Other: Verbal instruction<br>* Verbal instruction for pelvic floor contraction will be given to participants. A transabdominal Ultrasound examination will be conducted to asses urinary bladder displacement being a marker for pelvic floor muscle function.<br>* Other names: Trans abdominal Ultrasound examination for pelvic floor contraction;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| urinary bladder displacement in millimeters during verbal instructions | bladder displacement will be measured via diagnostic ultrasound using the on screen caliper tool | baseline | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| International Consultation on Incontinence Questionnaire Short Form (ICIQ-SF) | Questionnaire regarding symptoms of urinary incontinence,scale range 0-21 points. higher values represent worse outcome | Baseline | 
| Pelvic floor muscles endurance of contraction in seconds | time of muscle contraction will be measured during the last contraction in each instruction | Baseline | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Urinary incontinence, Pelvic floor muscle contraction, Transabdominal ultrasound, Verbal instructions