Clinical Trials Detalhe
Comparison Between a Telerehabilitation Program for Urinary Incontinence Versus a Conventional Face-to-face Program
General Information
Gender
FEMALE
Age
from 18 Years to 65 Years
Phase
NA
Study Type
INTERVENTIONAL
Location
Physical and Rehabilitation Medicine Department - Centro Hospitalar Universitário de São João (Porto, Portugal)
Susana Cristina Alves Moreira (Porto, Portugal)
Clinicaltrial.gov
https://classic.clinicaltrials.gov/ct2/show/NCT05114395Summary
Urinary incontinence (UI) is defined as any involuntary loss of urine. It affects a significant percentage of the population, mainly female, with a prevalence of 21.4% in Portuguese women, having a negative impact on quality of life and sexual function. About half presents with stress UI (SUI), followed by mixed UI (MUI), with isolated urgency UI being less common. Pelvic floor rehabilitiation is a first line treatment for SUI and MUI, however, it is not yet defined which is the best treatment program or the ideal strategies to improve adherence to it. Telerehabilitation assumed a leading role in the covid pandemic phase, although there are few studies on pelvic floor rehabilitation for UI, none in Portugal to date. The authors aim to evaluate the effectiveness of a hybrid program of pelvic floor rehabilitation in female patients with SUI and MUI with a predominance of SUI, including consultation and face-to-face sessions complemented with telerehabilitation.
Conditions
Stress Urinary Incontinence
Incontinence, Urinary
Covid19
Pelvic Floor Muscle Weakness
Eligibility
Inclusion Criteria: * Female patients aged between 18 and 65 years with SUI or MUI with a predominance of SUI with at least 1 urinary incontinence episode per week in the last month * Pelvic floor muscle strength greater than or equal to 2 (modified Oxford scale) * Capable of understanding and executing the therapeutic program and expressing agreement to participate in the study after free and informed consent Exclusion Criteria: * Patients with urgency urinary incontinence or MUI with a predominance of urgency * Pregnant women * Submitted to conservative or surgical treatment of UI in the last 12 months * Active urinary tract infection * Macroscopic hematuria * Neurogenic dysfunction of the lower urinary tract * Cognitive deficit * Osteoarticular, neurological or psychiatric pathologies that prevent the realization of the therapeutic program * Active pelvic neoplasia * Pelvic organ prolapse grade greater than or equal to 2 * Impossibility of access or illiteracy to technological means (phone or computer) * Unavailable to attend the face-to-face program due to accessibility, schedule, economic reasons or fear of the pandemic context