Effect of Exercise and Biofeedback on Symptoms of Incontinence in Women With Stress Urinary Incontinence
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Purpose
The overall purpose of this research is to determine the effect of ultrasound imaging biofeedback on urine leakage, pelvic floor muscle contractions, and quality of life in women with stress urinary incontinence. This study will include women 20 years or older with stress urinary incontinence.
The study will involve 2 groups: pelvic floor muscle (PFM) exercises with biofeedback using transabdominal Rehabilitative ultrasound imaging (RUSI) (Group A) and PFM exercises alone (Group B). The participants will perform 16 exercise sessions over a period of 8 weeks. Group A will perform 3 pelvic floor exercises using the transabdominal RUSI to provide biofeedback. Group B will perform the same 3 pelvic floor exercises without biofeedback.
All participants involved in the study will complete a general medical information questionnaire. In addition, all participants will have their PFM contraction assessed using an ultrasound machine placed over the lower abdomen, quality of life assessed with a written questionnaire, and given a 7-day bladder diary to complete prior to, at 4-weeks, and at completion of the study.
| Condition | Intervention |
|---|---|
|
Stress Urinary Incontinence |
Other: Pelvic floor muscle exercises with biofeedback |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Intervention Model: Single Group Assignment Masking: Single Blind (Outcomes Assessor) Primary Purpose: Treatment |
| Official Title: | Effect of Rehabilitative Ultrasound Imaging Biofeedback on Urinary Incontinence, Pelvic Floor Muscle Contractions and Quality of Life in Women With Stress Urinary Incontinence |
- Change in the ability to contract the pelvic floor muscles from baseline to the midpoint and completion of the study [ Time Frame: baseline, 4 weeks, and 8 weeks ] [ Designated as safety issue: No ]Pelvic floor muscle lift and length of pelvic floor muscle contraction will be measured using transabdominal ultrasound imaging. Ability to maintain continence during a cough will be measured by asking the participant to stand, contract the pelvic floor muscles, and cough. The participant will state whether or not they leaked urine.
- Change in the number of incontinent episodes per week from baseline to the midpoint and conclusion of the study [ Time Frame: Baseline, 4 weeks, and 8 weeks ] [ Designated as safety issue: No ]Incidence of incontinent episodes will be measured using a 7-day bladder diary
- Change in quality of life from the baseline to the midpoint and completion of the study [ Time Frame: Baseline, 4 weeks, and 8 weeks ] [ Designated as safety issue: No ]Quality of life will be measured using the I-QOL questionnaire
| Estimated Enrollment: | 60 |
| Study Start Date: | February 2011 |
| Estimated Study Completion Date: | December 2012 |
| Estimated Primary Completion Date: | December 2012 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: Pelvic floor muscle exercises
Three pelvic floor muscle exercises will be performed twice a week for 8 weeks with verbal cueing from the instructor.
|
Other: Pelvic floor muscle exercises with biofeedback
Three pelvic floor muscle exercises will be performed twice a week for 8 weeks with the use of a transabdominal ultrasound imaging machine being used. The ultrasound head will be placed over the lower abdomen. The participant will be able to see the bladder and the pelvic floor muscles lift when contracted properly. The ultrasound machine will give visual biofeedback to the participant so that they can correctly contract the pelvic floor muscles.
Other Name: Transabdominal ultrasound imaging
|
Eligibility| Ages Eligible for Study: | 20 Years and older |
| Genders Eligible for Study: | Female |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- women will need to be 20 years or older
- diagnosed with stress urinary incontinence (SUI).
Exclusion Criteria:
women with:
- urge or mixed incontinence
- pelvic organ prolapse
- previous surgical treatment for incontinence
- current treatment for SUI (including medications)
- current pregnancy
- six months or less postpartum
- body mass index of ≥ 30
- recurrent vulvovaginitis
- current/recurrent urinary tract infections (UTI)
- non-English speaking.
Contacts and Locations| Contact: Lisa Fleisher | 214 706-2300 | fleisher@sbcglobal.net |
| Contact: Elaine Trudelle-Jackson | 214 706-2300 | ejackson@twu.edu |
| United States, Texas | |
| Texas Woman's University | Recruiting |
| Dallas, Texas, United States, 75225 | |
| Contact: Lisa Fleisher 214-706-2300 fleisher@sbcglobal.net | |
| Principal Investigator: Lisa Fleisher, PhDc | |
| Study Chair: | Elaine Trudell-Jackson, Ph.D. | Texas Woman's University |
More Information
No publications provided
| Responsible Party: | Lisa Fleisher, PhD Candidate, Texas Woman's University |
| ClinicalTrials.gov Identifier: | NCT01337193 History of Changes |
| Other Study ID Numbers: | SUI 16333 |
| Study First Received: | April 1, 2011 |
| Last Updated: | June 4, 2012 |
| Health Authority: | United States: Institutional Review Board |
Keywords provided by Texas Woman's University:
|
stress urinary incontinence exercise pelvic floor muscles biofeedback rehabilitative ultrasound imaging |
Additional relevant MeSH terms:
|
Urinary Incontinence Urinary Incontinence, Stress Urination Disorders |
Urologic Diseases Urological Manifestations Signs and Symptoms |
ClinicalTrials.gov processed this record on May 21, 2013