Outpatient and Home Pelvic Floor Training for Stress Urinary Incontinence
Summary
The objective of this study is to compare the effect of outpatient pelvic floor muscle training versus home pelvic floor muscle training in the treatment of stress urinary incontinence. The hypothesis of this study is that home pelvic floor muscle training is as effective as outpatient pelvic floor muscle training for the treatment of stress urinary incontinence.
Description
Success with the pelvic floor muscle training (PFMT) is hampered by non-adherence, which is related to factors such as inability to contract the pelvic floor muscles and lack of motivation. Thus under supervision by a physiotherapist (outpatient training), PFMT has the potential of improving adherence to training and has been demonstrated to be more effective when compared to unsupervised PFMT (home training). The objective of this study is to compare the effect of outpatient pelvic floor muscle training versus home pelvic floor muscle training in the treatment of stress urinary incontinence. This is a randomized controlled trial and which will be conducted at the Division of Urogynecology and Reconstructive Pelvic Surgery at the Federal University of Sao Paulo, Brazil. As a primary endpoint, the standardized volume test pad (250 mL) will be used. To assert that one of the groups (home PFMT or outpatient PFMT) is superior to the other, it will be necessary to find 38.5% more patients cured when the groups are compared. Secondary outcome measures will be used, assessment of the pelvic floor muscles function, urinary symptoms, quality of life and subjective cure.
Study Design
Conditions
Urinary Incontinence, Stress
Intervention
Exercises of the pelvic floor muscle at home, Exercises of the pelvic floor muscle in the outpatient
Status
Not yet recruiting
Source
Federal University of São Paulo
Results (where available)
Links
- Source: http://clinicaltrials.gov/show/NCT03058042
- ClinicalTrials.gov processed this data on February 20, 2017
Published on BioPortfolio: 2017-02-23T14:29:15-0500
Clinical Trials
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Effectiveness of Adding Voluntary Pelvic Floor Muscle Contraction to a Pilates Exercises Program
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PREgnancy-associated Pelvic Floor Health Knowledge And REDuction of Symptoms: The PREPARED Trial
The pelvic floor is composed of muscles and connective tissue which acts to provide support for pelvic organs, and weakness or injury to the pelvic floor can result in pelvic floor dysfunc...
PubMed Articles
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The role of neuromuscular electrical stimulation in the rehabilitation of the pelvic floor muscles.
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Association Between Pelvic Floor Muscle Strength and Sexual Function in Postmenopausal Women.
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The effect of the first vaginal birth on pelvic floor anatomy and dysfunction.
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Medical and Biotech [MESH] Definitions
Pelvic Floor Disorders
Injury, weakening, or PROLAPSE of the pelvic muscles, surrounding connective tissues or ligaments (PELVIC FLOOR).
Pelvic Floor
Soft tissue formed mainly by the pelvic diaphragm, which is composed of the two levator ani and two coccygeus muscles. The pelvic diaphragm lies just below the pelvic aperture (outlet) and separates the pelvic cavity from the PERINEUM. It extends between the PUBIC BONE anteriorly and the COCCYX posteriorly.
Muscle Stretching Exercises
Exercises that stretch the muscle fibers with the aim to increase muscle-tendon FLEXIBILITY, improve RANGE OF MOTION or musculoskeletal function, and prevent injuries. There are various types of stretching techniques including active, passive (relaxed), static, dynamic (gentle), ballistic (forced), isometric, and others.
Parametritis
Inflammation of the parametrium, the connective tissue of the pelvic floor, extending from the subserous coat of the uterus laterally between the layers of the BROAD LIGAMENT.
Breathing Exercises
Therapeutic exercises aimed to deepen inspiration or expiration or even to alter the rate and rhythm of respiration.
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