Lumbopelvic postural rehabilitation plus pelvic floor muscle training for women's urinary incontinence
Effect of Lumbopelvic Rehabilitation Using Posturography Combined With Pelvic Floor Training on Urinary Incontinence in Women
This study will test whether adding lumbopelvic postural rehabilitation to pelvic floor muscle training helps women with urinary incontinence reduce symptoms.
Quick facts
| Phase | Not applicable |
|---|---|
| Study type | Interventional |
| Enrollment | 78 (estimated) |
| Ages | 18 Years to 65 Years |
| Sex | Female |
| Sponsor | Mohammed V University in Rabat Academic / other |
| Locations | 1 site (Rabat, Rabat-Salé-Kénitra) |
| Trial ID | NCT07337278 on ClinicalTrials.gov |
What this trial studies
In a randomized, controlled design, women with stress, urge, or mixed urinary incontinence will be assigned to 12 weeks of pelvic floor muscle training (PFMT) alone or PFMT combined with lumbopelvic postural rehabilitation. The combined group receives supervised PFMT three times per week plus two supervised postural rehabilitation sessions per week, while the control group receives supervised PFMT three times per week with prescribed home exercises. Primary outcome is change in incontinence severity measured by the ICIQ-UI-SF, and secondary outcomes include urinary symptom profile (USP), pelvic floor muscle strength, patient-reported overall improvement, and quality of life. Interventions are delivered at hospital clinics with additional home exercise components.
Who should consider this trial
Good fit: Women aged 18–65 with stress, urge, or mixed urinary incontinence, a normal neuro-perineal exam, and symptom scores indicating incontinence are ideal candidates.
Not a fit: Patients with neurological bladder dysfunction, significant pelvic organ prolapse (POP-Q stage II or higher), current urinary or vaginal infection, voiding dysfunction, or cognitive/visual impairments are unlikely to benefit or are excluded.
Why it matters
Potential benefit: If successful, adding postural rehabilitation could lead to greater symptom reduction, stronger pelvic floor function, and improved quality of life compared with PFMT alone.
How similar studies have performed: Pelvic floor muscle training alone is well supported by prior research, while combining PFMT with targeted lumbopelvic postural rehabilitation is a relatively novel approach with limited but emerging supportive data.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: * Female participants aged between 18 and 65 years * Presence of clinical signs of urinary incontinence (stress urinary incontinence and/or urge urinary incontinence and/or mixed urinary incontinence) diagnosed according to the International Continence Society (ICS) terminology * USP (urinary symptom profile) scores for stress urinary incontinence and/or overactive bladder ≥ 1 * Normal neuro-perineal examination * Written informed consent provided prior to participation in the study Exclusion Criteria: * Known detrusor overactivity or reduced bladder compliance of neurological origin * Associated voiding dysfunction, defined as a Urinary Symptom Profile (USP) dysuria subscale score ≥ 1 * Known organic or morphological pathology of the lower urinary tract * Pelvic organ prolapse grade II or higher according to the Pelvic Organ Prolapse Quantification system (POP-Q) * Current urinary tract infection or vaginal infection * Cognitive or visual impairments that may interfere with understanding or performing the exercise program * Pregnant women or women within 10 months postpartum * Anticholinergic medication use or hormone replacement therapy within the last 6 months * Recent pelvic or abdominal surgery within the last 6 months
Where this trial is running
Rabat, Rabat-Salé-Kénitra
- Al Ayachi Hospital, CHU Ibn Sina — Rabat, Rabat-Salé-Kénitra, Morocco (Recruiting)
Study contacts
- Study coordinator: Khaoula Mestour
- Email: khaoulamestour00@gmail.com
- Phone: +212 6 17 70 82 62
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.