Comparison of the effects of pelvic floor muscle strengthening exercise, pelvic floor muscle strengthening exercise plus hip rotator muscle exercise, and pelvic floor muscle strengthening exercise plus electrical stimulation on the symptoms of women with stress and mixed urinary incontinence

Comparison of the effectiveness of functional intravaginal electrical stimulation and pelvic floor and pelvic external rotator muscle strengthening exercises on urinary incontinence

Clinical trial with 3 groups , with parallel groups, single -blind, randomized, on 60 patients. Sealed envelopes will be used for randomization

This study will be conducted in Isfahan city, in two rehabilitation faculty centers and in the pelvic floor clinic. The study will be conducted in a single-blind manner and the participants(patients) will be blind.

Inclusion criteria: Women diagnosed with stress and mixed urinary incontinence by a urologist,Average age between 30-65 years,Absence of pregnancy and a one-year postpartum period, No receive medical or surgical treatment for urinary incontinence,Absence of any urinary-genital infection,Absence of neuromuscular diseases, Absence of severe pelvic prolapse Exclusion criteria: Any problem that may interfere with the continuation of the treatment, Patient's lack of consent to continue the treatment

Group 1:In this group, patients will receive feedback from the performance of the muscles while performing pelvic floor exercises using the EMG biofeedback device. Group 2:In this group, in addition to the exercises of the first group, patients will perform pelvic rotator muscle exercises. Group 3:In addition to the treatment of first group, this group will receive electrical stimulation of the pelvic floor.

Quality of life questionnaire, The number of unwanted urinations ,Pelvic floor muscle strength ,Strength of external hip rotator muscles

Patients are randomly assigned to three groups. Patients are explained in advance about being placed in one of these three treatment groups and it is understood that you will be placed in one of these three groups. Then, to observe the random assignment of patients, envelopes will be prepared containing the methods of treatment groups, and the patient will choose one of them. Accordingly, the patient will enter his treatment group.

In this study, patients know that they will participate in one of the treatment groups. The therapist and the assessor are blind to the grouping. It will be planned so that participants in different treatment groups do not face each other and there will be no contact between them.