Physiotherapy Management in Women With Urinary Incontinence
NCT Number: NCT06581601
Status: RECRUITING
Study Type: INTERVENTIONAL
Phases: NA
Conditions: Urinary Incontinence
Interventions: OTHER: physiotherapy, exercises
Sponsor: Poznan University of Physical Education
Sex: FEMALE
Age: ADULT, OLDER_ADULT
Enrollment: 300
Study Design: Allocation: NON_RANDOMIZED|Intervention Model: FACTORIAL|Masking: NONE|Primary Purpose: PREVENTION
Start Date: 2024-08-21
Completion Date: 2027-11-20
Locations: 1Department of Physiotherapy, Poznan University of Physical Education, Faculty of Sport Sciences in Gorzow Wlkp., 61-871 Poznan, Poznan, 61-871, Poland

Summary:
Primary Objective:

The primary aim of the research is to evaluate whether the author's exercise program influences the reduction of incontinence and pelvic floor dysfunction postpartum, considering deliveries with the use of vacuum extractors, forceps, and cesarean sections.

Secondary Objective:

The secondary objective is to determine if the duration of the author's exercise program is sufficient to achieve positive changes in women.

Primary Outcome Measures: Modified 1-Hour Pad Test, measurement in grams, Before starting the author's six-week exercise program and after its completion, a modified 1-hour PAD Test will be conducted, which involves checking the amount of urine lost, during strictly defined activities. The test follows the guidelines in the literature. The test subject puts on a pre-weighed pad and, after emptying the bladder, drinks 500ml of water over 15 minutes. The test subject then waits 30 minutes. After this time, the test begins with 15 minutes of walking and climbing stairs. The test subject then performs a special training program: 10 times she stands up and sits down on a chair, 10 times she coughs vigorously, 10 times she picks up a bottle of water from the ground, runs in place for 1 minute, and for

1 minute he holds his hands under running water. After the test is completed, the pad is weighed again and the amount of urine lost during the test is assessed., before start exercises and after six week finish exercises|Floor Disability Index, Before the exercise begins and after it is completed, i.e. after 6 weeks, participants will fill out anonymously standardized questionnaires, in which they will have to mark the answer with an assigned score. The results will then be counted and scores will be assigned according to a key. The lower the value of the points received, the better the score., before start exercises and after six week finish exercises|Pelvic Floor Impact Questionnaire Short Form, Before the exercise begins and after it is completed, i.e. after 6 weeks, participants will fill out anonymously standardized questionnaires, in which they will have to mark the answer with an assigned score. The results will then be counted and scores will be assigned according to a key. The lower the value of the points received, the better the score., before start exercises and after six week finish exercises|Sexual Satisfaction Scale, Before the exercise begins and after it is completed, i.e. after 6 weeks, participants will fill out anonymously standardized questionnaires, in which they will have to mark the answer with an assigned score. The results will then be counted and scores will be assigned according to a key. The lower the value of the points received, the better the score., before start exercises and after six week finish exercises|Neck Disability Pain Index, Before the exercise begins and after it is completed, i.e. after 6 weeks, participants will fill out anonymously standardized questionnaires, in which they will have to mark the answer with an assigned score. The results will then be counted and scores will be assigned according to a key. The lower the value of the points received, the better the score., before start exercises and after six week finish exercises|Revised Oswestry Low Back Pain Disability Scale, Before the exercise begins and after it is completed, i.e. after 6 weeks, participants will fill out anonymously standardized questionnaires, in which they will have to mark the answer with an assigned score. The results will then be counted and scores will be assigned according to a key. The lower the value of the points received, the better the score., before start exercises and after six week finish exercises|Migraine Disability Assessment, Before the exercise begins and after it is completed, i.e. after 6 weeks, participants will fill out anonymously standardized questionnaires, in which they will have to mark the answer with an assigned score. The results will then be counted and scores will be assigned according to a key. The lower the value of the points received, the better the score., before start exercises and after six week finish exercises|Hospital Anxiety and Depression Scale, Before the exercise begins and after it is completed, i.e. after 6 weeks, participants will fill out anonymously standardized questionnaires, in which they will have to mark the answer with an assigned score. The results will then be counted and scores will be assigned according to a key. The lower the value of the points received, the better the score., before start exercises and after six week finish exercises|Short Form McGill Pain Questionnaire, Before the exercise begins and after it is completed, i.e. after 6 weeks, participants will fill out anonymously standardized questionnaires, in which they will have to mark the answer with an assigned score. The results will then be counted and scores will be assigned according to a key. The lower the value of the points received, the better the score., before start exercises and after six week finish exercises|CRANIA (Integrated Approach to Cranio Mandibular Neuroscience) questionnaire, Before the exercise begins and after it is completed, i.e. after 6 weeks, participants will fill out anonymously standardized questionnaires, in which they will have to mark the answer with an assigned score. The results will then be counted and scores will be assigned according to a key. The lower the value of the points received, the better the score., before start exercises and after six week finish exercises|International Physical Activity Questionnaire, Before the exercise begins and after it is completed, i.e. after 6 weeks, participants will fill out anonymously standardized questionnaires, in which they will have to mark the answer with an assigned score. The results will then be counted and scores will be assigned according to a key. The higher the value of the points received, the better the score., before start exercises and after six week finish exercises|Posture type Assessment by Hall-Wernham-Littlejohn, The result based on the observation of the posture with the use of the vertical, there is no measure or unit here., Type I correct: The examinee stands sideways, the plumb line is applied to the mastoid process of the temporal bone, correctly the plumb line runs along the cervical segment, through the middle of the shoulder, knee joint. For the front type II, the measurement is taken as before but the head is extended forward, the vertical course.Anterior pelvic tilt is still observed. With the rear type III, measurement as before. The vertical does not go through the center of the shoulder and knee. A posterior tilt of the pelvis, a rounded back and a receding head are observed., before start exercises|Pelvic Type Assessment, result based on the evaluation of the height of the hip plates relative to the L4/L5 vertebra, there is no measure or unit here., The subject is standing and the examiner must identify the fourth and fifth lumbar vertebrae. Pelvic assessment is carried out according to Lewitt. Pelvis normal: If the iliac crests are at the height of the fourth and fifth lumbar vertebrae.The pelvis is highly assimilated when the iliac crests fall above the fourth and fifth lumbar vertebrae.Pelvic overload when the iliac crests fall below the fourth and fifth lumbar vertebrae., before start exercises
Secondary Outcome Measures: Postural stability assessment, measurement in the form of a number, the manufacturer does not provide measurement units., Posturomed stablometric platform will be used to assess postural stability. Posturomed stablometric platform will be used to assess postural stability, before start exercises and after six week finish exercises