Actively Recruiting
Effects of Dynamic Neuromuscular Stabilization Exercises on Urinary Symptoms and Pelvic Floor Muscle Functions in Women With Stress Urinary Incontinence
Led by Izmir University of Economics · Updated on 2026-02-17
62
Participants Needed
1
Research Sites
17 weeks
Total Duration
On this page
AI-Summary
What this Trial Is About
Researchers are evaluating the effects of Dynamic Neuromuscular Stabilization (DNS) exercises compared to pelvic floor muscle training (PFMT) in women who have stress urinary incontinence (SUI), which causes involuntary urine leakage during physical activities like coughing or sneezing. This study aims to see if DNS, a method that focuses on regulating intra-abdominal pressure and stabilizing core muscles, can reduce urinary symptoms and improve pelvic floor muscle function as effectively as PFMT. Participants will be randomly assigned to one of two groups: the PFMT group will use an EMG biofeedback device to perform pelvic floor muscle exercises, guided by a physiotherapist, focusing on proper muscle contractions and relaxation. The DNS group will perform exercises based on developmental kinesiology principles, including breathing techniques and posture correction using the Core 360 belt with sensors. The DNS program starts with preparatory fascial mobilizations and advances through specific developmental positions. Women in the study will be assessed over an 8-week period, measuring changes in pelvic floor muscle pre-contraction during strain, muscle strength, electrical muscle activity, voluntary contractions, urinary incontinence severity, symptoms, and quality of life impact. The study involves learning exercises, regular training sessions, and evaluations to monitor progress and safety. Participation lasts from enrollment through the end of treatment at 8 weeks.
CONDITIONS
Brief Title
Dynamic Neuromuscular Stabilization Exercises in Women With Urinary Incontinence
Who Can Participate
Eligibility Criteria
You may qualify if you...
- Female gender
- Voluntary participation in the study
- Aged between 18 and 62 years
- Ability to read and write in Turkish
- No mental disorders affecting cooperation or comprehension
- Complaint of stress urinary incontinence or stress-predominant mixed urinary incontinence
You will not qualify if you...
- Prior history of pelvic floor muscle training
- Any neurological disorder
- Pelvic organ prolapse stage II or higher
- Presence of fecal incontinence
- Pregnancy
- Lower extremity conditions affecting pelvic alignment (e.g., leg length discrepancy, total hip arthroplasty)
- Active lower urinary tract infection
- Respiratory disorders such as chronic obstructive pulmonary disease or asthma
- History of hysterectomy
AI-Screening
AI-Powered Screening
Complete this quick 3-step screening to check your eligibility
Your Study Journey
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person)
Duration - 8 weeks
Participants engage in pelvic floor muscle training or dynamic neuromuscular stabilization exercises to improve urinary symptoms and pelvic floor muscle functions.
Weekly visits for 8 weeks
Trial Site Locations
Total: 1 location
1
Izmir University of Economics
Izmir, İzmir, Turkey (Türkiye), 35330
Actively Recruiting
Research Team
S
Seda Yakıt Yeşilyurt, Asst. Prof., PhD
How is the study designed?
Study Type
INTERVENTIONAL
Masking
SINGLE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
TREATMENT
Number of Arms
2
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