Study of a Combined Physiotherapy, Exercise, and Psychoeducation Program to Reduce Fall Risk and Urinary Incontinence in Women Aged 60 to 80

What this Trial Is About

Researchers are evaluating the effects of a combined intervention involving physiotherapy, physical exercise, and psychoeducation on fall risk and urinary incontinence in non-institutionalized older women aged 60 to 80 years. This quantitative, quasi-experimental, longitudinal study will last 18 weeks of intervention followed by a 24-week follow-up, starting in January 2025. The study aims to address major geriatric syndromes with limited existing evidence on combined therapies. Participants will be randomly assigned to one of four groups a multicomponent exercise group with verbal pelvic floor exercise instructions and psychoeducation, a similar group without psychoeducation, a multicomponent exercise group without pelvic floor instructions or psychoeducation, and a control group receiving information sessions only. Exercise sessions occur twice weekly focusing on balance, strength, aerobic capacity, and coordination, with pelvic floor contractions incorporated where instructed. The psychoeducation group attends five group therapy sessions. During the study, participants will undergo assessments of balance using tests like Timed Up and Go, strength and power through muscle tests and jump performance, and pelvic floor function via the PERFECT scale and electromyography. Well-being measures include quality of life, urinary incontinence impact, and self-esteem scales. Researchers will monitor adherence, analyze physical and psychological outcomes, and conduct follow-up evaluations for six months after treatment.

Effects of a Multidisciplinary Intervention on Fall Risk and Urinary Incontinence in Older Women