Effect of Peripheral and Central Neuromodulation Combined With Therapeutic Exercise in Women With Urinary Incontinence A Randomized Controlled Trial

What this Trial Is About

Urge urinary incontinence (UUI) is part of overactive bladder, a severe chronic condition that affects bladder function and quality of life, especially in menopausal women. This trial evaluates the effectiveness of combining therapeutic exercise with neuromodulation techniques to treat UUI by targeting the nerve activity involved in bladder control. Researchers aim to understand how these combined approaches may help improve symptoms and bladder function in affected women. The study includes three groups: one receiving posterior tibial nerve neuromodulation alongside a specialized exercise program focusing on core strength and postural control; a sham group receiving placebo neuromodulation with the same exercise protocol; and a control group performing pelvic floor exercises with manual therapy. Neuromodulation sessions last 30 minutes twice weekly for three months, while exercise sessions last 60 minutes divided into blocks emphasizing pelvic and postural muscle activation. Participants will be evaluated using questionnaires like the Overactive Bladder Questionnaire-Short Form and quality of life assessments at baseline, 1, 3, and 6 months post-treatment. Additional measures include bladder diaries, electromyography, and pain and adherence scales. The study monitors safety, symptom changes, and quality of life over six months to assess the combined treatment's impact in women with UUI.

Effect of Neuromodulation and Therapeutic Exercise in Urinary Incontinence