Hip abductor training for women with stress urinary incontinence

Is this trial a fit for you?

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

Adult women with stress urinary incontinence who are referred for perineal rehabilitation will be assigned to receive either hip abductor physiotherapy self-training, standard pelvic floor muscle training, or a self-training version of pelvic floor exercises. Treatments are delivered through physiotherapist-supervised programs or guided self-training and outcomes include urinary leakage frequency, pelvic floor function, and quality of life. Researchers will use clinical assessments and patient-reported questionnaires to compare symptom changes between groups over the treatment period. The design builds on imaging data suggesting gluteal and pelvic floor muscles activate overlapping brain regions and on prior physiotherapy work showing benefits of hip abductor training for lumbo-pelvic control.

Why it matters

Who can join: the full rules

Inclusion Criteria:

* Women ≥ 18 ans
* patient with urinary incontinence according to the ICS criteria \[3\]
* having received a prescription for perineal rehabilitation
* affiliated to french health care insurance
* Patient having read and understood the information letter and signed the consent form
* Effective contraception in women of childbearing age (negative urine pregnancy test). For postmenopausal women, a confirmatory diagnosis must be obtained (amenorrhea for at least 12 months before the inclusion visit)

Exclusion Criteria:

* Bladder pathologies (cyst, tumour, interstitial cystitis)
* Neurological pathologies (multiple sclerosis, Parkinson's desease, etc.)
* Pregnant or parturient or breastfeeding woman or absence of proven contraception
* Person deprived of liberty by administrative or judicial decision or a person placed under the safeguard of justice, or guardianship or curatorship
* Physical inability to perform hip abductors exercises (unable to walk or stand independently)
* Women having scheduled continence surgery before the end of physiotherapy sessions at the time of randomization
* Women having at least one of the continence-specific anticholinergic treatments prescribed before the end of the physiotherapy sessions at the time of randomization

Where it's running

• Pôle santé de la Grace Dieu
  Caen, France Recruiting
• Chu Rouen
  Rouen, France Recruiting
• Médipôle du Rouvray
  Saint-Étienne-du-Rouvray, France Recruiting

Study contacts

• Study coordinator: Benoit STEENSTRUP, physiotherapist
• Email: benoit.stennstrup@chu-rouen.fr
• Phone: +33 2 32 88 89 90

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How to take part

1. Review the eligibility criteria above with your treating physician.
2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.