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IRCT20221205056713N4 IRCT 2024-08-02 Rashid Latif Medical college Pelvic floor strengthening exercises in stress urinary incontinence patients Effect of knack maneuver with or without diaphragmatic breathing on urinary tract symptoms and quality of life among patients of stress urinary incontinence 2024-07-22 anticipated 30 Complete https://irct.ir/trial/77986 interventional Randomization: Randomized, Blinding: Single blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: Participants will be randomly divided in two groups (group A group B) by using lottery method. Both groups will given conventional physical therapy treatment. Group A patients will be treated with the knack maneuver along diaphragmatic breathing and Group B patients will treated with the Knack maneuver. Both group will be assessed before and after the treatment, Blinding description: Subjects in two groups will blinded from other treatment options. However they will be instructed to report any adverse effects during trial. Data will assessed by a third person which will not known about the study so trial will be single blinded study. (as outcome assessor will be blinded). N/A stress urinary incontinence. Intervention 1: Intervention group 1: will given knack maneuver along diaphragmatic breathing. In group A, We will take diagnosed patients of stress urinary incontinence and we will perform knack maneuver along diaphragmatic breathing. Firstly patient will perform diaphragmatic breathing, we will command patient to slowly and deeply take breaths through the nose using the diaphragmatic with a minimum movement of the chest in a supine position with one hand placed on the chest and the other on the belly. During breathing, we should be careful that chest remains as still as possible and stomach moves against the hand focusing on contracting the diaphragm. Generally, inhale and exhale for approximately six seconds. Now the patient will perform knack maneuver. During Knack training, patients is warned not to hold their breath, pull their stomach inward, strain, or contract their legs or hip muscles. The relationship between IAP increase and PFM contraction and the situations causing IAP increase (coughing, sneezing, laughing, lifting a heavy object, pushing, and bending down, etc.).The women will asked to perform the Knack maneuver before and during situations that increase intraabdominal pressure. The training program will include 2 days per week for 4 weeks. Intervention 2: Intervention group 2 will given knack maneuver. In group B, We will also take diagnosed patients of stress urinary incontinence and we will perform knack maneuver. During Knack training, patients is warned not to hold their breath, pull their stomach inward, strain, or contract their legs or hip muscles. The relationship between IAP increase and PFM contraction and the situations causing IAP increase (coughing, sneezing, laughing, lifting a heavy object, pushing, and bending down, etc.).The women will ask to perform the Knack maneuver before and during situations that increase intra-abdominal pressure. The training program will include 2 days per week for 4 weeks. 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 It is not yet known if there will be a plan to make this available
public Saheeqa Qamar
35-KM, Ferozepur Road. Lahore.
Lahore Pakistan 54900 +92 313 9465214 saheeqaqamar.77@gmail.com Rashid Latif Medical College scientific Hafiza Nida Rasheed
35-KM, Ferozepur Road. Lahore
Lahore Pakistan 54900 +92 336 4535979 naddia.rasheed20@gmail.com Rashid Latif Medical College Pakistan Age 18 to 50 years Patients diagnosed with stress urinary incontinence 18 years 50 years Both Women who are having previous pelvic floor training. Pregnant women are excluded Patients taking blood pressure medications, sedatives, muscle relaxants, and diuretics are excluded. Patients with diagnosed mental illness are excluded N39.3 Stress incontinence (female) (male) Treatment - Other Treatment - Other Intervention group 1: will given knack maneuver along diaphragmatic breathing. In group A, We will take diagnosed patients of stress urinary incontinence and we will perform knack maneuver along diaphragmatic breathing. Firstly patient will perform diaphragmatic breathing, we will command patient to slowly and deeply take breaths through the nose using the diaphragmatic with a minimum movement of the chest in a supine position with one hand placed on the chest and the other on the belly. During breathing, we should be careful that chest remains as still as possible and stomach moves against the hand focusing on contracting the diaphragm. Generally, inhale and exhale for approximately six seconds. Now the patient will perform knack maneuver. During Knack training, patients is warned not to hold their breath, pull their stomach inward, strain, or contract their legs or hip muscles. The relationship between IAP increase and PFM contraction and the situations causing IAP increase (coughing, sneezing, laughing, lifting a heavy object, pushing, and bending down, etc.).The women will asked to perform the Knack maneuver before and during situations that increase intraabdominal pressure. The training program will include 2 days per week for 4 weeks Intervention group 2 will given knack maneuver. In group B, We will also take diagnosed patients of stress urinary incontinence and we will perform knack maneuver. During Knack training, patients is warned not to hold their breath, pull their stomach inward, strain, or contract their legs or hip muscles. The relationship between IAP increase and PFM contraction and the situations causing IAP increase (coughing, sneezing, laughing, lifting a heavy object, pushing, and bending down, etc.).The women will ask to perform the Knack maneuver before and during situations that increase intra-abdominal pressure. The training program will include 2 days per week for 4 weeks. Urinary tract symptoms. Timepoint: Before intervention and 4 weeks after intervention. Method of measurement: Urinary distress incontinence-6. Quality of life. Timepoint: Before intervention and 4 weeks after intervention. Method of measurement: Incontinence Impact Questionnaire (IIQ-7). Rashid Latif Medical college Approved 2023-09-11 Institutional Review Board of Rashid Latif Medical College, Lahore Rashid Latif Medical Complex 35-KM, Ferozepur Road. Lahore. Lahore Punjab Pakistan