Efficacy of a Face to Face Versus a Remote Physiotherapy Instruction Session About Pelvic Floor in Women With Urinary Incontinence

Efficacy of a Face-to-face Versus a Remote Physiotherapy Instruction Session About Pelvic Floor in the Pelvic Floor Muscle Capacity of Incontinent Women: a Randomized Controlled Trial

The purpose of this study is to assess and to compare the efficacy of a face to face versus a remote physiotherapy instruction session about pelvic floor muscle (PFM) function, including teaching women how to contract their PFM and how to perceive a correct PFM contraction. Study participants will be randomly assigned to participate in one of the three study groups: Group 1 will receive face to face instructions, Group 2 will receive real time remote instructions and Group 3 will not receive any instruction. The primary outcome measure is PFM function assessed using the modified Oxford Scale.

Inclusion Criteria:

• Women who are not able to contract their PFM (≤ 2 of Modified Oxford Scale);
• Cognitive ability, hearing and visual acuity preserved (through 10-point cognitive screener and Snellen test, respectively);
• Non-neurogenic UI;
• No history of neurological disorders;
• No symptoms of a vaginal or urinary tract infection;
• Pelvic organ prolapse ≤2 (according to the Baden and Walker scale);
• Who have not already been instructed on how to perform PFM contraction or who is not already performing PFM training;
• No suspected or confirmed pregnancy.

Exclusion Criteria:

• Who have intolerance to physical examination, or latex allergy;
• Who withdraws from participating in the study.