Pelvic Floor Muscle Training With and Without Hypopressive Exercises in Postmenopausal Females.

Study Overview
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Brief Summary
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To compare the effects of pelvic floor muscle training with and without hypopressive exercises on pelvic organ prolapse in postmenopausal females

Official Title
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Effects of Pelvic Floor Muscle Training With and Without Hypopressive Exercises on Pelvic Organ Prolapse in Postmenopausal Females.

Conditions
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Pelvic Organ Prolapse

Intervention / Treatment
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* Other: hypopressive exercises
* Other: pelvic floor muscle training


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Multigravida Previous spontaneous vaginal deliveries Diagnosed Stage 1 and 2 pelvic organ prolapse Post-menopausal females Exclusion Criteria: History of cesarean section History of ovarian cysts History of UTIs History of neoplasm Instrumental deliveries

Ages Eligible for Study
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Minimum Age: 50 Years

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

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: hypopressive exercises<br>pelvic floor muscle exercises along with hypopressive exercises | Other: hypopressive exercises<br>* patients will receive pelvic floor muscle training with hypopressive exercises at outpatient department. Treatment will continue for 12 weeks 3 days per week. They will receive information about the localization and function of the PFM and transversus abdominis (TrA) muscles. Next, lying in a supine position with flexed knees and hips, they will localize their own pelvic floor with the help of touching their perineum. Then they will be instructed how to contract the PFM correctly, then they will directed to contract PFMs and in the end participants will be taught how to voluntarily contract the PFM simultaneously with diaphragmatic Aspiration(8-10 repetitions daily<br>Other: pelvic floor muscle training<br>* patients will receive only pelvic floor muscle training exercises(pelvic floor muscle contractions) at the outpatient department and treatment will continue for 12 weeks 3 days per week. PFMT will be performed in the lying, sitting and standing positions. The patients will be instructed to perform three sets of 8-12 maximum voluntary contractions held for 6 sec, with 12 sec of rest between each contraction, followed by three fast contractions in a row<br>|
| Active Comparator: pelvic floor muscle training<br>pelvic floor muscle exercises alone | Other: pelvic floor muscle training<br>* patients will receive only pelvic floor muscle training exercises(pelvic floor muscle contractions) at the outpatient department and treatment will continue for 12 weeks 3 days per week. PFMT will be performed in the lying, sitting and standing positions. The patients will be instructed to perform three sets of 8-12 maximum voluntary contractions held for 6 sec, with 12 sec of rest between each contraction, followed by three fast contractions in a row<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| pelvic organ prolapse quantification (POP-Q) | POP-Q can be seen in Many clinical settings & published researches and it is used to grade and measure of pelvic organ prolapse during its assessment. | 12th week | 
| Pelvic Floor Impact Questionnaire-7 (PFIQ-7) | It is a short and less comprehensive version of Pelvic Floor Impact Questionnaire (PFIQ). It is a health related questionnaire for women with pelvic floor conditions. consists of 7 questions that need to be answered 3 times each. | 12th week | 
| Prolapse Quality of life questionnaire(P-QOL) | A simple, valid, reliable questionnaire to assess the severity of symptoms and their impact on the quality of life in women with Pelvic organ prolapse. There are several questions which a participant needs to answer. | 12th week | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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pelvic organ prolapse, postmenopausal, females, exercises