Actively Recruiting
Comparison of Effects of Dynamic Neuromuscular Stabilization Training and Pelvic Floor Muscle Training in Women With Stress Urinary Incontinence: A Randomized Controlled Trial
Led by Izmir Katip Celebi University · Updated on 2026-03-25
51
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) training compared to Pelvic Floor Muscle Training (PFMT) in women with stress urinary incontinence (SUI). This randomized controlled trial aims to study how these two exercise programs impact pelvic floor muscle function, pelvic floor structure, urinary symptoms, quality of life, sexual function, and physical activity levels. The study addresses important questions about whether DNS or PFMT offers benefits and how they compare with each other in managing SUI symptoms. Participants will be assigned randomly to one of three groups: DNS training, PFMT, or a control group. Both DNS and PFMT groups will follow a 12-week home exercise program, performing exercises at least three times daily, five days a week. These groups will also attend supervised physiotherapist sessions twice weekly. The control group will receive educational materials about lifestyle and bladder health but will not participate in any structured exercise. During the study, participants will be monitored at the start and after 12 weeks using a range of measures including a 1-hour pad test, pelvic floor muscle strength and endurance assessments, pelvic floor morphometry, quality of life questionnaires, urinary diary records, sexual function indexes, and physical activity levels. Exercise adherence will be supported with diaries. This study will provide detailed insights into how these training methods affect women with SUI over the 12-week period.
CONDITIONS
Brief Title
Dynamic Neuromuscular Stabilization vs Pelvic Floor Muscle Training in Women With Stress Urinary Incontinence
Who Can Participate
Eligibility Criteria
You may qualify if you...
- Female participants aged between 18 and 65 years
- Diagnosed with stress urinary incontinence or stress-dominant mixed urinary incontinence by a specialist physician
- Ability to voluntarily contract the pelvic floor muscles
- Literate in Turkish
- Willing and voluntarily consenting to participate in the study
You will not qualify if you...
- Pregnancy
- Presence of urgency-predominant urinary incontinence symptoms or fecal incontinence
- Inability to understand or cooperate with assessment procedures
- Presence of any neurological or rheumatological disease
- Severe cardiac or pulmonary disease
- Uncontrolled diabetes mellitus or hypertension
- Chronic liver and/or kidney failure
- Advanced pelvic organ prolapse (greater than grade 2)
- History of abdominal or pelvic surgery (including cesarean section) within the past year
- History of spinal surgery
- Current urinary tract infection
- History of pelvic radiation therapy
- Presence of spinal deformity
- History of acute low back pain within the past 4-6 weeks
- Receiving pelvic floor muscle training within the past three months
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 - 12 weeks
Participants receive either Dynamic Neuromuscular Stabilization training or Pelvic Floor Muscle Training with physiotherapist guidance and perform exercises at home. The training includes 2 face-to-face sessions per week and 5 home sessions per week focused on improving pelvic floor muscle function.
Twice weekly in-person training sessions and home exercises 5 days per week
Trial Site Locations
Total: 1 location
1
Ege University, Faculty of Medicine, Department of Obstetrics & Gynecology
Izmir, Turkey (Türkiye)
Actively Recruiting
Research Team
S
Sevtap GUNAY UCURUM, Professor
How is the study designed?
Study Type
INTERVENTIONAL
Masking
SINGLE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
TREATMENT
Number of Arms
3
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