Lumbopelvic postural rehabilitation plus pelvic floor muscle training for women's 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

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.

Why it matters

Who can join: the full rules

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 it's running

• 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

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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.