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Evaluate long-term efficacy of multimodal PFMT in chronic stroke survivors with PFD.
Stroke is a leading cause of disability, with pelvic floor dysfunction (PFD) affecting 25-79% of survivors, including urinary incontinence, fecal incontinence/constipation, and sexual dysfunction. Evidence gaps include long-term efficacy (>12 months), optimal PFMT protocols, adjunctive therapies (biofeedback, NMES), bowel/sexual domains, partner impacts, QoL correlations, and prognostic factors. This trial addresses these via a large-scale, multicenter RCT.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Prospective, assessor-blinded, four-arm parallel-group RCT with 1:1:1:1 allocation. | Active Comparator | Prospective, assessor-blinded, four-arm parallel-group RCT with 1:1:1:1 allocation. Duration: 16 weeks supervised + 36 weeks home maintenance (total 12 months follow-up). Setting: Eight rehabilitation centers in Pakistan (e.g., Swat Psychiatric Care & Rehabilitation Center, Al-Makki Rehabilitation Center, etc.). |
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| Group A (Standard PFMT) | Active Comparator | 3 supervised/week (weeks 1-8), 1/week (9-16) + home. |
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| Group B (Intensified PFMT) | Active Comparator | 5/week (1-8), 3/week (9-16) + home. |
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| Group C (PFMT + Biofeedback) | Active Comparator | Standard + vaginal/anal biofeedback (MAPLe®/Peritron™). |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Core PFMT: 8-12 contractions (6-10s hold), 3 sets/day, progressed over 16 weeks. • Group A (Standard PFMT): 3 supervised/week (weeks 1-8), 1/week (9-16) + home. • Group B (Intensified PFMT): 5/week | Other | Prospective, assessor-blinded, four-arm parallel-group RCT with 1:1:1:1 allocation. Duration: 16 weeks supervised + 36 weeks home maintenance (total 12 months follow-up). Setting: Eight rehabilitation centers in Pakistan (e.g., Swat Psychiatric Care & Rehabilitation Center, Al-Makki Rehabilitation Center, etc.). |
| Measure | Description | Time Frame |
|---|---|---|
| Modified Oxford scale to determine pelvic floor muscle strength | Primary outcome measure | Baseline, 8 weeks, 16 weeks, 6 months, 12 months. |
| Measure | Description | Time Frame |
|---|---|---|
| Female Sexual Function Index to assess sexual dysfunction in women | standardized tools to aid data collection | Baseline, 8 weeks, 16 weeks, 6 months, 12 months. |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| IQRA University | Kampala | Uganda |
Ethical considerations
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot | Yes | No | No | Study Protocol | Dec 1, 2021 | Feb 4, 2026 |
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| Core PFMT: 8-12 contractions (6-10s hold), 3 sets/day, progressed over 16 weeks. | Other | Prospective, assessor-blinded, four-arm parallel-group RCT with 1:1:1:1 allocation. Duration: 16 weeks supervised + 36 weeks home maintenance (total 12 months follow-up). Setting: Eight rehabilitation centers in Pakistan (e.g., Swat Psychiatric Care & Rehabilitation Center, Al-Makki Rehabilitation Center, etc.). |
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| Prot_000.pdf |
| ID | Term |
|---|---|
| D020521 | Stroke |
| ID | Term |
|---|---|
| D002561 | Cerebrovascular Disorders |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |
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| ID | Term |
|---|---|
| D006699 | Home Care Services |
| ID | Term |
|---|---|
| D003153 | Community Health Services |
| D006296 | Health Services |
| D005159 | Health Care Facilities Workforce and Services |
| D009739 | Nursing Services |
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