Mental Practice and Therapeutic Exercise in Young Nulliparous Women

Study Overview
=================
Brief Summary
-----------------
Mental practice (both in isolation and also in combination with real practice) has been shown to improve somatosensory and motor variables but so far no study has taken it into the study of women's health. Through this study we want to offer some interesting data regarding the effectiveness of mental practice combined with physical practice.

Official Title
-----------------
Mental Practice and Therapeutic Exercise in Young Nulliparous Women: A Randomized Controlled Trial

Conditions
-----------------
Therapeutic Exercise, Motor Imagery, Action Observation

Intervention / Treatment
-----------------
* Behavioral: Motor Imagery plus therapeutic exercise
* Behavioral: Action observation plus therapeutic exercise
* Behavioral: Sham action observation plus therapeutic exercise


Participation Criteria
=================
Eligibility Criteria
-----------------
Inclusion Criteria: over 18 years of age and asymptomatic women. Exclusion Criteria: This study will exclude those who presented a respiratory pathology, cardiac, systematic, or metabolic disease, history of recent surgery, vertebral fracture, or osteoarticular disorders of the spine area.

Ages Eligible for Study
-----------------
Minimum Age: 18 Years
Maximum Age: 30 Years

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

Accepts Healthy Volunteers
-----------------
Accepts Healthy Volunteers

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: Therapeutic exercise plus motor imagery<br>This group will perform a therapeutic exercise programme (aerobic and strength training) to which motor imagery training will be added. | Behavioral: Motor Imagery plus therapeutic exercise<br>* Aerobic exercise (20 minutes) and strengthening exercise (15 minutes) to which will be added a motor imagery intervention (imagining movements without actually doing them).<br>|
| Experimental: Therapeutic exercise plus action observation<br>This group will perform a therapeutic exercise programme (aerobic and strength training) to which action observation training will be added. | Behavioral: Action observation plus therapeutic exercise<br>* Aerobic exercise (20 minutes) and strengthening exercise (15 minutes) to which will be added a action observation intervention (observing movements without actually doing them).<br>|
| Active Comparator: Therapeutic exercise<br>This group will perform a therapeutic exercise programme (aerobic and strength training) to which sham action observation training will be added. | Behavioral: Sham action observation plus therapeutic exercise<br>* Aerobic exercise (20 minutes) and strengthening exercise (15 minutes) to which will be added a sham action observation intervention (observing space planets).<br>|

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

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Pelvic Floor Muscle Strength | maximum pelvic floor strength | pre-intervention (T0), and inmmediate post-intervention (T1) (between the first and the second measurement, about 60 minutes have elapsed because it is done on the same day). | 
| Pain Pressure Threshold | Pain sensitivity | pre-intervention (T0), and inmmediate post-intervention (T1) (between the first and the second measurement, about 60 minutes have elapsed because it is done on the same day). | 
| Lumbopelvic Motor Control | Sensorimotor control of lower limbs | pre-intervention (T0), and inmmediate post-intervention (T1) (between the first and the second measurement, about 60 minutes have elapsed because it is done on the same day). |