Comparing Dynamic Neuromuscular Stabilization and Pelvic Floor Muscle Training for Women With Stress Urinary Incontinence in a Randomized Trial

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.

Dynamic Neuromuscular Stabilization vs Pelvic Floor Muscle Training in Women With Stress Urinary Incontinence