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| ID | Type | Description | Link |
|---|---|---|---|
| ANSM | Other Identifier | 2026-A01275-46 |
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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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Control condition | Active Comparator | Usual activities |
|
| Interventional condition | Experimental | Combined pelvic health education and lumbar-pelvic-abdominal stability strengthening program. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Combined pelvic health education and lumbar-pelvic-abdominal stability strengthening programme. | Other | The intervention will consist of participants: i) reviewing educational content (8 educational videos online) ii) participating in two in-person sessions at the athletics club and performing lumbar-pelvic-abdominal stability exercises iii) learning and implementing recommendations for empowering themselves in pelvic health management. iv) complete reports in 6 questionnaires during follow-up. |
| Measure | Description | Time Frame |
|---|---|---|
| Urinary incontinence symptoms | Severity of urinary incontinence symptoms as measured by the ICIQ-UI-SF score (International Consultation on Incontinence Questionnaire - Short Form for Urinary Incontinence). Scores typically range from 0 to 21. The higher the score, the more severe the urinary incontinence. | Week 1, 7, 13, 19, 25, 31 |
| Measure | Description | Time Frame |
|---|---|---|
| The program's effects on the prevalence of urinary incontinence | The program's effects on the prevalence of urinary incontinence will be measured using the ICIQ-UI-SF questionnaire, with a dichotomous interpretation of the score: 0 = continent, ≥1 = incontinent. | Week 1, 7, 13, 19, 25, 31 |
| Effects of the intervention on athletes' knowledge of the pelvic-perineal region |
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Inclusion Criteria :
Exclusion Criteria :
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Pascal EDOUARD, PHD | Contact | (0)477127985 | +33 | pascal.edouard@univ-st-etienne.fr |
| Céline PEURIERE, CDP | Contact | (0)477120285 | +33 | Celine.Peuriere@chu-st-etienne.fr |
| Name | Affiliation | Role |
|---|---|---|
| Pascal EDOUARD, PHD | CHU de Saint-Etienne | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| CHU de Saint-Etienne | Saint-Etienne | 42055 | France |
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A stepped-wedge randomized controlled trial using closed cohort sampling
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| Usual activities | Other | Collection of data on routine activities |
|
A questionnaire we have developed will measure the effects of the intervention on athletes' knowledge of the pelvic and perineal region. It will consist of 10 questions. This outcome will be assessed by comparing the mean number of correct answers (on a scale of 0 to 10) within and between groups. |
| Week 1, 31 |
| The program's effects on associated pelvic and perineal symptoms | The ODS-S questionnaires measure associated pelvic and perineal symptoms. This criterion will be assessed by comparing the mean total scores (on a scale of 0 to 20) within and between groups. | Week 1, 31 |
| The program's effects on urinary dysfunction. | Section C of the LURN-SI29 questionnaire, which assesses urinary dysfunction. This criterion will be evaluated by comparing the mean total scores (on a scale of 0 to 20) within and between groups. | Week 1, 31 |
| Number of educational contents viewed | Measured by tracking content views at the end of the session. | Week 13, 19, 25 |
| Practicing lower back, pelvic, and abdominal stability exercises | Measured by collecting the frequency of implementation. | Week 1, 7, 13, 19, 25, 31 |
| The dose-response effect related to adherence | Assessed by measuring the effects on the ICIQ-UI-SF score based on the frequency of exercise implementation. Scores typically range from 0 to 21. The higher the score, the more severe the urinary incontinence. | Week 1, 7, 13, 19, 25, 31 |
| Program satisfaction | Assessed using a questionnaire. This criterion will be expressed as the average of the total scores for the satisfaction and recommendation questions (on a scale of 0 to 10). A score of "10" indicates high satisfaction and a strong recommendation. | Week 31 |
| Trends in Top Athletic Performance | Measured by the best performance (time/distance) in the most common track and field event. Time is measured in seconds and minutes. Distance is measured in meters. | Week 1, 7, 13, 19, 25, 31 |
| Number of educational contents viewed by coaches | Measured by tracking content views at the end of the session | Week 13, 19, 25 |
| Coaches' level of knowledge regarding the pelvic-perineal region | Assessed using a 10-question questionnaire. This criterion will be expressed through an intra-group and inter-group comparison of the average number of correct answers (on a scale of 0 to 10). | Week 1, 31 |
| Practicing lumbar-pelvic-abdominal stability exercises | Measured by collecting the frequency as specified in a questionnaire | Week 1, 7, 13, 19, 25, 31 |
| Coaches' satisfaction with the program | Assessed using a questionnaire. This criterion will be expressed as the average of the total scores for the satisfaction and recommendation questions (on a scale of 0 to 10). A score of "10" indicates high satisfaction and a strong recommendation. | Week 31 |
| ID | Term |
|---|---|
| D014549 | Urinary Incontinence |
| ID | Term |
|---|---|
| D014555 | Urination Disorders |
| D014570 | Urologic Diseases |
| D052776 | Female Urogenital Diseases |
| 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 |
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