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The study aims to compare the effectiveness of these two core training approaches in improving urinary incontinence, pelvic floor function, and quality of life in postpartum women.
The primary outcomes of this study are urinary incontinence, pelvic floor function, and quality of life in postpartum women. These outcomes will be assessed using validated instruments: the International Consultation on Incontinence Questionnaire-Urinary Incontinence (ICIQ-UI) for evaluating the severity of urinary incontinence, the King's Health Questionnaire (KHQ) for assessing the impact on pelvic floor function and health-related quality of life, and the Incontinence Impact Questionnaire (IIQ-7) for measuring the broader impact of incontinence on daily activities and emotional well-being. Outcome measures will be measured at baseline and after 4 weeks. Data analysis will be done by SPSS version 25.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| hypopressive training | Experimental | Exercises were conducted in various postures to challenge the body differently and enhance muscular endurance |
|
| transverses abdominis focused core training | Active Comparator | Teach correct pelvic floor and TrA activation; build foundational strength |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| hypopressive training | Other | Frequency: 3 sessions/week under supervision Duration: 30-40 minutes/session For 6 weeks |
|
| Measure | Description | Time Frame |
|---|---|---|
| International Consultation on Incontinence Questionnaire - Urinary Incontinence | The tool is used for assessing urinary incontinence symptoms by measuring the frequency, severity, and impact of urinary leakage on quality of life. It includes specific questions related to how often leakage occurs, the amount of urine lost, and how these symptoms affect various aspects of daily life, providing a comprehensive evaluation of the individual's condition | 6th week |
| King's Health Questionnaire | The tool is used for evaluating the impact of urinary incontinence on the quality of life in women, offering a comprehensive understanding of how stress urinary incontinence (SUI) affects their physical, emotional, and social well-being. It is particularly relevant for postpartum women, as it captures the functional limitations and lifestyle disruptions caused by incontinence, making it a valuable instrument for assessing the broader effects of SUI on daily life. | 6th week |
| Incontinence Impact Questionnaire | The Incontinence Impact Questionnaire (IIQ) is a validated self-report tool designed to measure the impact of urinary incontinence on a woman's quality of life across physical, social, and emotional domains.30 items divided into four domains: Physical activity (6 items), Travel (6 items), Social relationships (10 items), Emotional health (8 items) | 6th week |
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Inclusion Criteria:
Exclusion Criteria:
postpartum
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| imran amjad | Contact | 03324390125 | imran.amjad@riphah.edu.pk |
| Name | Affiliation | Role |
|---|---|---|
| hina gul, PhD* | Riphah International University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Al-madawah rehabilitation clinic | Recruiting | Lahore | Punjab Province | 6400 | Pakistan |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 36482844 | Background | Molina-Torres G, Moreno-Munoz M, Rebullido TR, Castellote-Caballero Y, Bergamin M, Gobbo S, Hita-Contreras F, Cruz-Diaz D. The effects of an 8-week hypopressive exercise training program on urinary incontinence and pelvic floor muscle activation: A randomized controlled trial. Neurourol Urodyn. 2023 Feb;42(2):500-509. doi: 10.1002/nau.25110. Epub 2022 Dec 8. | |
| 38432833 |
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| ID | Term |
|---|---|
| D014549 | Urinary Incontinence |
| ID | Term |
|---|---|
| D014555 | Urination Disorders |
| D014570 | Urologic Diseases |
| D052776 | Female Urogenital Diseases |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
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| transverses abdominis focused core training | Other | 3 sessions/week under supervision Duration: 30-40 minutes/session For 6 weeks |
|
| Katz CMS, Barbosa CP. Effects of hypopressive exercises on pelvic floor and abdominal muscles in adult women: A systematic review of randomized clinical trials. J Bodyw Mov Ther. 2024 Jan;37:38-45. doi: 10.1016/j.jbmt.2023.03.003. Epub 2023 Aug 24. |
| Background | Abd elglil AA, Mahmoud NSA. Effect of hypopressive exercises versus pelvic floor muscle exercises on stress urinary incontinence among multiparous women. Assiut Scientific Nursing Journal. 2023;11(40):162-74. |
| Background | Soomro KUQ, Mughal SA, Hussain SA, Rajpar ZH, Shaikh AQ, Shaikh A. Pelvic Floor Muscle Exercise plus Core Stability Exercise on Urinary Incontinence in Females. Journal of The Society of Obstetricians and Gynaecologists of Pakistan. 2024;14(2):139-42. |
| Background | Sikora K. The Effects of Core Stability Training on Improving Quality of Life and Symptom Severity in Females with Stress and Mixed Urinary Incontinence: A Meta-Analysis: California State University, Fresno; 2023. |
| 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 |