Effects of a Multimodal and Multidimensional Intervention on Urinary Incontinence in Young Nulliparous Female Athletes.

Effects of a Multimodal and Multidimensional Intervention on Urinary Incontinence in Young Nulliparous Female Athletes. Single-Center Randomized Controlled Stepped-Wedge Trial

A prevalence of urinary incontinence ranging from 5.7% to 80% has been observed in young nulliparous athletes during their activity.

The usual recommendations for managing adult women do not seem to be transferable.

Young nulliparous athletes need specific educational and behavioral interventions and an alternative to pelvic floor muscle strengthening.

A multimodal and multidimensional intervention for athletes and coaches combining specific pelvic health education and strengthening of lumbopelvic-abdominal stability appears to be an innovative and optimal solution for reducing the symptoms of urinary incontinence in young nulliparous women who participate in athletics.

Inclusion Criteria :

• Female subject, nulliparous
• Member of an athletics club affiliated with the French Athletics Federation (FFA)
• At least 15 years old at the start of the study and belonging to the U16/U18/U20/U23 categories (born between January 1, 2005, and September 1, 2011)
• Having internet access
• Having access to a digital device (computer, tablet, mobile phone)
• Affiliated with or covered by a social security scheme
• Having freely given their express consent, as well as the express consent of both parents for minor participants

Exclusion Criteria :

• Any individual deprived of their liberty or subject to legal protection (guardianship, curatorship, or protective supervision).
• A pregnant woman, a woman who has been pregnant, or a woman planning a pregnancy within the last nine months.
• Any individual unable to understand the purpose and conditions of the study.
• Any individual unable to give their consent.