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IRCT20161221031506N9 IRCT 2022-07-10 Mashhad University of Medical Sciences Comparing the Combined Effect of Stability Exercises with Emphasis on Pelvic Floor Muscles and Interference Current on Improving the symptoms of Women with Stress Urinary Incontinence Comparing the Combined Effect of Stability Exercises and Interference Current in Improving Maximal Intravaginal Pressure, Frequency of Urinary Incontinence, and Quality of Life in Women with Stress Urinary Incontinence 2022-08-06 anticipated 30 Complete https://irct.ir/trial/64366 interventional Randomization: Randomized, Blinding: Double blinded, Placebo: Used, Assignment: Parallel, Purpose: Treatment, Randomization description: The random numbers is prepared using the website www.sealedenvelope.com in terms of 1 and 2. The 22 cards (taking into account 20% dropout) is placed into sealed envelopes. After the evaluation, the patients selected the card according to the order placed in the envelope. If the number of 1 is observed, the patient will be included in the intervention group, and if the number of 2 is observed, the patients will be included in the control group.Another physiotherapist who is not aware about the allocation process will evaluate the patients, Blinding description: The outcome assessor and the statistical analyzer will be blinded to the group allocation. The patient will receive a placebo interferential current. The outcome assessor will evaluate the patients in a separate room. She has not any information regarding the patient group. In addition, statistical analysis will be blinded to group allocation. In the spss file, codes a, and b will be defined for intervention and control groups. N/A Stress urinary inconvenience. Intervention 1: Intervention group: They will receive 12 sessions of interferential currents 4 weeks, 3 times per week. The intensity of the interferential currents causes the torelated contractions. Electrodes placement will be done bipolarly and by the Dumoulin method. Then, the patients will be performed the stability exercises. The patients in this group should perform the stability exercises for 4 weeks, 5 times per week. It should be noted that three out of five times will be performed under the physiotherapist' supervision. Generally, the duration of the exercises is 30 minutes per session. The patients should repeat each exercise 10-20 times in the requested positions. In the first session, people will be given exercise booklets, which contain pictures of the prescribed exercises. The patienrts should record their performed exercises during the week. The participants in the intervention group are trained to perform stability exercises while exhaling. Individuals are also asked to do diaphragmatic breathing for 3-4 minutes before starting stability exercises. This improves the blood circulation of the intestines and improves the function and rhythm of the pelvic floormuscle. Also, patients should have diaphragmatic breathing during rest periods betwwen exercises. Intervention 2: Control group:Similarly, the intervention group performs stabilization exercises 5 times a week for 4 weeks, 3 of which are performed under the supervision of a physiotherapist after receiving the placebo interference current, and the other 2 times are performed at home. Everyone is given an educational pamphlet. Undecided - It is not yet known if there will be a plan to make this available Justification or reason for indecision in sharing IPD is اطلاعات بیشتری وجود ندارد
public Reyhane Sekandari
Faculty of Paramedical Sciences, University campus, East entrance of Ferdowsi University of Mashhad, Azadi Square, Mashhad.
Mashhad Iran (Islamic Republic of) 9177948964 +98 51 3869 8719 r.sekandari1@gmail.com Mashhad University of Medical Sciences scientific Reyhane Sekandari
Faculty of Paramedical Sciences, University campus, East entrance of Ferdowsi University of Mashhad, Azadi Square, Mashhad.
Mashhad Iran (Islamic Republic of) 9177948964 +98 51 3869 8719 r.sekandari1@gmail.com Mashhad University of Medical Sciences Iran (Islamic Republic of) Have experienced stress urinary incontinence at least twice a week for two weeks. Stress urinary incontinence was confirmed by urodynamic tests and clinical examination. Mild and moderate stress urinary incontinence No history of taking anticholinergic drugs and other drugs during physiotherapy period. no limit 65 years Female smoking Known types of neuropathy Virginity Pregnancy and lactation History of pelvic surgery in the past year History of reconstructive surgery in the genitourinary system Having a urinary tract infection Chronic asthma and cough (more than three months) Having perceptual problems and mental illness based on a doctor's examination History of genitourinary neoplasia History of abnormalities in the genitourinary system Having any type of urinary incontinence other than pure stress urinary incontinence Severe stress urinary incontinence Severe prolapse Urethral hyper mobility Intrinsic sphincter dysfunction Severe neuromuscular disorders that compromise exercise performance N39.3 Stress incontinence (female) (male) Rehabilitation Rehabilitation Intervention group: They will receive 12 sessions of interferential currents 4 weeks, 3 times per week. The intensity of the interferential currents causes the torelated contractions. Electrodes placement will be done bipolarly and by the Dumoulin method. Then, the patients will be performed the stability exercises. The patients in this group should perform the stability exercises for 4 weeks, 5 times per week. It should be noted that three out of five times will be performed under the physiotherapist' supervision. Generally, the duration of the exercises is 30 minutes per session. The patients should repeat each exercise 10-20 times in the requested positions. In the first session, people will be given exercise booklets, which contain pictures of the prescribed exercises. The patienrts should record their performed exercises during the week. The participants in the intervention group are trained to perform stability exercises while exhaling. Individuals are also asked to do diaphragmatic breathing for 3-4 minutes before starting stability exercises. This improves the blood circulation of the intestines and improves the function and rhythm of the pelvic floormuscle. Also, patients should have diaphragmatic breathing during rest periods betwwen exercises. Control group:Similarly, the intervention group performs stabilization exercises 5 times a week for 4 weeks, 3 of which are performed under the supervision of a physiotherapist after receiving the placebo interference current, and the other 2 times are performed at home. Everyone is given an educational pamphlet Mean maximum intravaginal pressure. Timepoint: Immediately after allocation into , 4 and 8 weeks after starting treatment. Method of measurement: Pressure biofeedback. Quality of life. Timepoint: Immediately after allocation into , 4 and 8 weeks after starting treatment. Method of measurement: توسط پرسشنامه I_QOL. ICIQ_UI SF questionnaire score. Timepoint: Immediately after allocation into , 4 and 8 weeks after starting treatment. Method of measurement: ICIQ_UI SF questionnaire. Duration of maintenance of maximum intravaginal pressure. Timepoint: Immediately after allocation into , 4 and 8 weeks after starting treatment. Method of measurement: Pressure biofeedback. Frequent urinary incontinence for a week. Timepoint: Immediately after allocation into , 4 and 8 weeks after starting treatment. Method of measurement: With bladder diary. Mashhad University of Medical Sciences Approved 2022-06-28 The Ethics Committee of Mashhad University of Medical Sciences Mashhad University of Medical Science's Research and Development Deputy Office, Across 18th University Street, University Street. Mashhad Razavi Khorasan Iran (Islamic Republic of)