PEMM for women with chronic low back pain and urinary leakage
Effects of PEMM in Chronic Low Back Pain Women With Urinary Incontinence A Randomised Controlled Trial
This study will try pelvic external myofascial mobilization (PEMM) with core exercises to see if it lowers pain, reduces disability, and improves urinary leakage and mental health in women with chronic low back pain and urinary incontinence.
Quick facts
| Phase | Not applicable |
|---|---|
| Study type | Interventional |
| Enrollment | 200 (estimated) |
| Ages | 18 Years to 65 Years |
| Sex | Female |
| Sponsor | Hamad Medical Corporation Industry-sponsored |
| Locations | 1 site (Doha, Baladiyat ad Dawhah) |
| Trial ID | NCT07351851 on ClinicalTrials.gov |
What this trial studies
This interventional, randomized study compares pelvic external myofascial mobilization (PEMM) delivered with a Theragun plus core exercises against a control condition in women who have chronic low back pain and urinary incontinence. Participants are randomly assigned using simple randomization and receive physiotherapy-based PEMM as the experimental intervention. Primary outcomes include reductions in disability and pain and improvements in mental health and urinary symptoms. The trial is conducted at Hamad Medical Corporation in Doha and enrolls adult women meeting clinical pain and incontinence criteria.
Who should consider this trial
Good fit: Women aged 18–65 with chronic low back pain lasting more than three months, urinary incontinence for at least three months, moderate-to-severe pain (NRS >5), and referred for physiotherapy are ideal candidates.
Not a fit: Women who are pregnant or within one year postpartum, have active urinary tract infection, prior pelvic floor surgery, systemic renal or cardiac conditions, active cancer, inflammatory disease, or red-flag back conditions are unlikely to be eligible or benefit from this intervention.
Why it matters
Potential benefit: If successful, PEMM could reduce pain and disability and improve urinary control and mental well-being for women with coexisting chronic low back pain and urinary incontinence.
How similar studies have performed: Some prior work in men and in other musculoskeletal/fascial conditions has suggested benefits from external myofascial mobilization, but evidence specifically addressing women with both chronic low back pain and urinary incontinence is limited.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: * Age group of 18 - 65 years * Has child/children \<5 parity * CLBP patients with UI referred for physiotherapy for CLBP * Patient with low back pain for more than 3 months * NRS more than 5/10 * Patient with complain of urinary incontinence since past 3 months or more Exclusion Criteria: * Chronic Low Back Pain with red flags * Not able to read and write in English /Arabic * Pregnant ladies and post partum 1 year * UTI, Pelvic floor Surgery * Any systemic condition of renal and cardiac * Patient with active carcinoma or any inflammatory disease
Where this trial is running
Doha, Baladiyat ad Dawhah
- Hamad Medical Corporation — Doha, Baladiyat ad Dawhah, Qatar (Recruiting)
Study contacts
- Study coordinator: MANISHA P SHENOY, Masters
- Email: mshenoy@hamad.qa
- Phone: +97450202795
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.