Clinical trial NCT06003894: 360 Degree Expanded Diaphragm Breathing Pattern Training in Individuals With Urinary Incontinence
Official title: Comparison of the Effectiveness of Kegel Exercises and 360-degree Expanded Diaphragm Breathing Pattern Training in Individuals With Urinary Incontinence
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Urinary Incontinence
Keywords: kegel exercises
urinary incontinence
diaphragmatic breathing
Lead sponsor: Uskudar University
Sponsor class: OTHER
First posted: 2023-08-22
Enrollment: 66
Sex: ALL
Minimum age (years): 12
Maximum age (years): 65
Standard ages: CHILD
ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: 360 degree expanded diaphragm breathing
Primary purpose: TREATMENT

Brief summary: The aim of this study is to investigate the effect of transferring the healthy intra-abdominal pressure created by 360 degree expanded diaphragm breathing taught to the patient to the pelvic cavity on incontinence problems.

Detailed description: 66 people with a score of 3 or higher on the Incontinence Severity Index will be included in the study. All participants will complete the King Health Questionnaire and Incontinence Quality of Life Questionnaires. The control group will consist of 33 people and will apply only Kegel exercises 2 sets a day, 3 days a week for 8 weeks. The experimental group will consist of 33 people and the participants will apply Kegel exercises for 8 weeks, 3 days a week, 2 sets a day. In addition to this, 360 degree expanded diaphragm breathing training will be given to the experimental group. Practices for using this breathing pattern will be done 2 sets per day, each set for 10 minutes. At the end of 8 weeks, all 3 questionnaires will be asked to be filled again. The variation between the initial results and the final results, as well as the differences between the final changes, will also be compared.

Eligibility criteria: Inclusion Criteria:

* Getting a score of 3 and above in the incontinence severity index.
* Be in the age range of 12-65 years.
* No neurological problems.

Exclusion Criteria:

• Having a history of surgery or childbirth in the last 3 months.

Primary outcomes:
measure: The incontinence severity index (ISI)
timeFrame: 10 weeks
measure: Understanding King's Health Questionnaire (KHQ)
timeFrame: 10 weeks
measure: Incontinence Quality of Life Questionnaire (I-QOL)
timeFrame: 10 weeks
Secondary outcomes:
Other outcomes:
Locations:
city: Üsküdar
country: Turkey
facility: Üsküdar Unıversıty
state: İstanbul
Study officials:
affiliation: Uskudar University
name: Elif AKAR
role: STUDY_CHAIR
References:
citation: Huang YC, Chang KV. Kegel Exercises. 2023 May 1. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan-. Available from http://www.ncbi.nlm.nih.gov/books/NBK555898/
citation: Cho ST, Kim KH. Pelvic floor muscle exercise and training for coping with urinary incontinence. J Exerc Rehabil. 2021 Dec 27;17(6):379-387. doi: 10.12965/jer.2142666.333. eCollection 2021 Dec.
citation: Singla N, Aggarwal H, Foster J, Alhalabi F, Lemack GE, Zimmern PE. Management of Urinary Incontinence Following Suburethral Sling Removal. J Urol. 2017 Sep;198(3):644-649. doi: 10.1016/j.juro.2017.02.3341. Epub 2017 Mar 4.
citation: Snodgrass W, Barber T. Comparison of bladder outlet procedures without augmentation in children with neurogenic incontinence. J Urol. 2010 Oct;184(4 Suppl):1775-80. doi: 10.1016/j.juro.2010.04.017. Epub 2010 Aug 21.
citation: Abu Raddaha AH, Nasr EH. Kegel Exercise Training Program among Women with Urinary Incontinence. Healthcare (Basel). 2022 Nov 24;10(12):2359. doi: 10.3390/healthcare10122359.