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this study will investigate effect of hip strengthening exercises and pelvic floor exercises on stress urinary incontinence in postnatal women. Clinical practice guidelines recommend PFMT as the first-line treatment for female SUI . Also, it has been speculated that the hip muscles are involved in the continence mechanism and that their deficiency could destabilize the normal function of the system. The addition of hip muscle exercises, regardless of PFM contractions, aimed to improve muscular condition for the motor or synergic strategies in PFM contraction. Secondary effects of these techniques, such as the influence of passive lumbar rotational mobilization in improving hip flexor strength, have been of high interest in physiotherapy in general
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| control group no intervention | Experimental | no intervention for 3 months with assessment for maximum vaginal squeeze pre and post experiment using bio feedback device and urinary distress inventory UDI-6 short form. |
|
| study group hip muscles strengthening exercise. | Experimental | hip muscles exercises (hip abductors, adductors and gluteus maximus) for 3 months with assessment for maximum vaginal squeeze pre and post experiment using bio feedback device and urinary distress inventory UDI-6 short form. |
|
| study group hip muscles strengthening exercise combined with pelvic floor muscles exercise. | Experimental | hip muscles exercises (hip abductors, adductors and gluteus maximus) combined with pelvic floor muscles exercises for 3 months with assessment for maximum vaginal squeeze pre and post experiment using bio feedback device and urinary distress inventory UDI-6 short form. |
|
| study group pelvic floor muscles exercise. | Experimental | pelvic floor muscles exercises for 3 months with assessment for maximum vaginal squeeze pre and post experiment using bio feedback device and urinary distress inventory UDI-6 short form. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| expremental pre and post test | Other | effect of strengthening exercise of combined hip strengthening exercises and pelvic floor exercises |
|
| Measure | Description | Time Frame |
|---|---|---|
| hip muscles strengthening exercise. | measure the muscle power and endurance for pelvic floor muscles by using bio feedback device to measure maximum vaginal squeeze | 3 months |
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Inclusion Criteria:
Exclusion Criteria:
stress urinary incomitance post-natal common problem in multiparas' females due to the effect of pregnancy hormones and increase intra-abdominal pressure during pregnancy also normal vaginal delivery increase the weakness of pelvic floor muscles.
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Mai Mohamed Sherif Mohamed Hassan | Cairo | Egypt |
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| ID | Term |
|---|---|
| D014550 | Urinary Incontinence, Stress |
| ID | Term |
|---|---|
| D014549 | Urinary Incontinence |
| D014555 | Urination Disorders |
| D014570 | Urologic Diseases |
| D052776 | Female Urogenital Diseases |
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| D005261 |
| Female Urogenital Diseases and Pregnancy Complications |
| D000091642 | Urogenital Diseases |
| D052801 | Male Urogenital Diseases |
| D059411 | Lower Urinary Tract Symptoms |
| D020924 | Urological Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |